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General Thoracic and Cardiovascular Surgery

, Volume 65, Issue 3, pp 167–170 | Cite as

Momentary and wide aortic regurgitation as an indicator of aortic dissection

  • Takafumi Inokuchi
  • Osamu SasakiEmail author
  • Toshihiko Nishioka
  • Hiroyuki Ito
  • Nobuo Yoshimoto
  • Hideaki Yamabi
  • Kazuhito Imanaka
  • Hideki Sasaki
Case Report
  • 263 Downloads

Abstract

A 55-year-old female with a history of hypertension was admitted for dyspnea, epigastralgia and nausea. A chest X-ray showed pulmonary congestion. Transthoracic echocardiography (TTE) revealed severe left ventricular dysfunction with akinesis of the infero-posterior wall and Doppler color-flow mode showed mild aortic regurgitation (AR). Noninvasive positive pressure ventilation, intravenous heparin and diuretics were administered. Follow-up TTE revealed a dissection flap as well as momentary and wide AR only during isovolumetric relaxation. Contrast-enhanced computed tomography of the chest revealed Stanford type A aortic dissection. A momentary and wide AR in echocardiograms might serve as an important and useful indicator of aortic dissection in patients with acute myocardial infarction and congestive heart failure.

Keywords

Acute myocardial infarction Congestive heart failure Aortic dissection Aortic regurgitation Dissectional flap 

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to declare.

Supplementary material

Video. Transthoracic echocardiography. Findings show momentary and wide aortic regurgitation, mild mitral regurgitation and dissection flap that moves in synchrony with the aortic valve. (MPG 794 kb)

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Copyright information

© The Japanese Association for Thoracic Surgery 2015

Authors and Affiliations

  • Takafumi Inokuchi
    • 1
  • Osamu Sasaki
    • 1
    Email author
  • Toshihiko Nishioka
    • 1
  • Hiroyuki Ito
    • 1
  • Nobuo Yoshimoto
    • 1
  • Hideaki Yamabi
    • 2
  • Kazuhito Imanaka
    • 2
  • Hideki Sasaki
    • 3
  1. 1.Division of Cardiology, Saitama Medical CenterSaitama Medical UniversityKawagoeJapan
  2. 2.Division of Cardiovascular Surgery, Saitama Medical CenterSaitama Medical UniversityKawagoeJapan
  3. 3.Division of Cardiovascular SurgeryEhime Prefectural Central HospitalMatsuyamaJapan

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