Sonographic features of carotid artery dissection due to extension of aortic dissection: a case report

• Main Authors: Christian Boßelmann, Sven Poli
• Format: Article
• Language: English
• Published: SpringerOpen 2019-12-01
• Series: The Ultrasound Journal
• Subjects: Neurology; Ultrasound; Point-of-care systems; Carotid artery dissection
• Online Access: https://doi.org/10.1186/s13089-019-0147-2

Abstract Background Carotid artery dissection due to extension of aortic dissection (CAEAD) is a severe complication of acute aortic dissection. The risk of ischemic stroke is increased. Early sonographic detection and repeat evaluation are necessary to guide clinical management. Case presentation A 58-year-old male patient presents with sudden, tearing retrosternal pain. Point-of-care carotid ultrasound is used to establish the diagnosis of CAEAD. We describe a number of sonographic features and compare ultrasound to other imaging modalities. Conclusions Bedside carotid ultrasound enables rapid, sensitive and safe hemodynamic assessment, especially in critically ill patients.