scholarly journals Diagnosis of a pericardial effusion with a thoracic aortic aneurysm by point-of-care ultrasound

CJEM ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 71-74
Author(s):  
Mario Francispragasam ◽  
Jeff H. Yoo ◽  
Tong V. Lam ◽  
Daniel J. Kim
Keyword(s):  
Pericardial Effusion ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Surgical Repair ◽  
Aortic Rupture ◽  
Point Of Care ◽  
Ascending Aorta ◽  
Point Of Care Ultrasound ◽  
Rule Out

AbstractWe present a rare case of a young patient with chest pain whose ascending thoracic aortic aneurysm (TAA) was detected by point-of-care ultrasound (POCUS) leading to a successful surgical repair. POCUS identified a moderate pericardial effusion and an associated severely dilated ascending aorta. In this context, it is important to rule out aortic rupture and aortic dissection. We also discuss the epidemiology, complications, and management of TAAs as well as the role of cardiac POCUS in the diagnosis of thoracic aneurysmal disease.

scholarly journals Chronic Type A Aortic Dissection: Rare Presentation of Incidental Pericardial Effusion

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Ashraf Abugroun ◽  
Ahmed Subahi ◽  
Safwan Gaznabi ◽  
Hussein Daoud
Keyword(s):  
Pericardial Effusion ◽  
Aortic Aneurysm ◽  
Aortic Dissection ◽  
Surgical Repair ◽  
Aortic Rupture ◽  
Open Surgical Repair ◽  
Ascending Aortic Aneurysm ◽  
Rare Presentation ◽  
Type A Aortic Dissection ◽  
Elective Cholecystectomy

Aortic dissection is the most devastating sequelae of aortopathy other than aortic rupture. However, aortic dissection can be asymptomatic in the acute phase with delayed symptomatic presentation or incidental diagnosis upon chest imaging. We report a case of a 63-year-old male who was diagnosed with pericardial effusion upon preoperative workup for elective cholecystectomy. Further investigations confirmed hemorrhagic pericardial effusion secondary to a chronic dissecting ascending aortic aneurysm. The patient condition was successfully managed with open surgical repair with an uneventful postoperative course. This case demonstrates an extremely rare presentation of incidental hemorrhagic pericardial effusion caused by a chronic dissecting ascending aortic aneurysm.

P1822Pocket-size mobile echocardiographic device screening for thoracic aortic aneurysm in asymptomatic hypertensive patients

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A P Lee ◽  
F Yang ◽  
Y T Fan ◽  
M C Wong ◽  
R H Wong
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Screening Program ◽  
Point Of Care ◽  
Multiple Logistic Regression Analysis ◽  
Pressure Control ◽  
Ascending Aorta ◽  
Heart Valve Disease ◽  
Aortic Sinus ◽  
Hypertensive Patients

Abstract Background Patients with hypertension may develop thoracic aortic aneurysm (TAA) that can be asymptomatic but potentially life-threatening. We sought to assess the prevalence of asymptomatic TAA among hypertensive patients and define the effectiveness of a TAA point-of-care screening program using pocket-size mobile echocardiographic (PME) devices. Methods We prospectively performed transthoracic echocardiography for TAA screening using a PME device on 1529 hypertensive patients (age, 62y [30y to 85y], 824 men) who attended our hypertension specialist clinic between June 2016 and July 2018. Measurement of the dimensions of the aortic sinus, sinotubular junction, ascending aorta, aortic arch, and descending thoracic aorta were obtained through multiple standard echo views. Results The prevalence of TAA (defined as maximum aortic diameter of ≥4.5cm and/or >50% diameter of the adjacent aorta) in our study population was 7.3% (111/1529), with distal ascending aorta as the most frequent location (Figure). Multiple logistic regression analysis identified male gender, older age, and presence of heart valve disease as independent factors associated with TAA (all p<0.05). Figure 1 Conclusions Asymptomatic TAA is common among asymptomatic hypertensive patients. Point-of-care use of PME device is effective in detecting TAA in a clinic setting. Such approach may be useful for early detection of TAA among at-risk patients allowing aggressive blood pressure control and early surgical intervention to prevent catastrophic complications such as aortic dissection or rupture. Acknowledgement/Funding Health and Medical Research Fund of the Hong Kong Government

scholarly journals The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Matthew G. Hanson ◽  
Barry Chan
Keyword(s):  
Pericardial Effusion ◽  
Point Of Care ◽  
Physical Exam ◽  
Right Atrial ◽  
Point Of Care Ultrasound ◽  
X Ray ◽  
Average Systolic Blood Pressure ◽  
Time To Diagnosis ◽  
Clinically Significant ◽  
The Impact

Abstract Background Symptomatic pericardial effusion (PCE) presents with non-specific features and are often missed on the initial physical exam, chest X-ray (CXR), and electrocardiogram (ECG). In extreme cases, misdiagnosis can evolve into decompensated cardiac tamponade, a life-threatening obstructive shock. The purpose of this study is to evaluate the impact of point-of-care ultrasound (POCUS) on the diagnosis and therapeutic intervention of clinically significant PCE. Methods In a retrospective chart review, we looked at all patients between 2002 and 2018 at a major Canadian academic hospital who had a pericardiocentesis for clinically significant PCE. We extracted the rate of presenting complaints, physical exam findings, X-ray findings, ECG findings, time-to-diagnosis, and time-to-pericardiocentesis and how these were impacted by POCUS. Results The most common presenting symptom was dyspnea (64%) and the average systolic blood pressure (SBP) was 120 mmHg. 86% of people presenting had an effusion > 1 cm, and 89% were circumferential on departmental echocardiogram (ECHO) with 64% having evidence of right atrial systolic collapse and 58% with early diastolic right ventricular collapse. The average time-to-diagnosis with POCUS was 5.9 h compared to > 12 h with other imaging including departmental ECHO. Those who had the PCE identified by POCUS had an average time-to-pericardiocentesis of 28.1 h compared to > 48 h with other diagnostic modalities. Conclusion POCUS expedites the diagnosis of symptomatic PCE given its non-specific clinical findings which, in turn, may accelerate the time-to-intervention.

M26 How Does the Histology of the Aortic Root and Ascending Aorta Affect Aortic Aneurysm Progression and Surgical Repair?

2021 ◽  
Vol 30 ◽  
pp. S11
Author(s):  
T. Surman ◽  
D. O'Rourke ◽  
J. Finnie ◽  
K. Reynolds ◽  
J. Edwards ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Root ◽  
Surgical Repair ◽  
Ascending Aorta

scholarly journals Corrigendum to Defining the Role of Point-of-Care Ultrasound in Cardiovascular Disease [The American Journal of Cardiology 122 (2018) 1443-1450]

2019 ◽  
Vol 123 (4) ◽  
pp. 706-707
Author(s):  
Lara C. Kovell ◽  
Mays T. Ali ◽  
Allison G. Hays ◽  
Thorr S. Metkus ◽  
Jose A. Madrazo ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Point Of Care ◽  
Point Of Care Ultrasound
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