Case: 48 Type A Aortic Dissection. Dissection involved in Aortic Arch & its Branches. Echo Report Type A Aortic Dissection Dissection involved in Aortic Arch & its branches, Thickened & Calcified AV, Moderate to Severe AR, Dilated Aortic Root, Concentric LVH, Dilated LV, Mild MR, Mild TR, No RWMA, Normal LVSF , No PE, EF: 60%. | Interesting cases in Echocardiography
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Case: 48 Type A Aortic Dissection. Dissection involved in Aortic Arc…
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Aortic Dissection ---- A dissecting aortic aneurysm (aortic dissection) occurs when a tear in the intima allows blood to enter the media, creating a false lumen that can propagate along the aortic wall. --- Pathophysiology Initiated by intimal tear → blood dissects into media → separation of layers. The false lumen may re-enter the true lumen or rupture externally (fatal). Weakening of media due to hypertension, cystic medial degeneration, or connective tissue disease (e.g., Marfan, Ehlers–Danlo
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🔴 AORTIC DISSECTION – TTE CLUES 🔴 🩺 Direct Signs: 🧵 Intimal flap in ascending aorta 🔀 True and false lumen 📏 Dilated aortic root / ascending aorta 💥 Indirect Signs: ❤️ Acute severe aortic regurgitation (flail cusp or root dilation) 🫀 Pericardial effusion ± tamponade 📉 LV dysfunction due to acute volume overload 📈 CW / Color Doppler: 🌊 Eccentric AR jet (often severe) 🔁 Flow in both lumens ⚡ High-velocity jet across intimal tear (occasionally seen) 📌 TTE is rapid and bedside—excellent
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Type A Aortic Dissection is a life-threatening cardiac emergency that demands immediate attention. Under the expert care of Dr. Rithin Rathnakar, Consultant – Cardiovascular and Thoracic Surgeon at Sir H. N. Reliance Foundation Hospital, our Aortic Disease Clinic is equipped to provide rapid diagnosis and surgical intervention for this critical condition. Sudden chest or back pain? High blood pressure or genetic risk? Don’t delay, seek expert cardiac care now! Visit our Aortic Disease Clinic at
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