Ruptured aortic dissection into the left atrium which presented as congestive heart failure and was diagnosed by transoesophageal echocardiography

Guy Van Camp, I. Liebens, P.g. Silance, B. Cham, Jean-Luc Vandenbossche

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

A 72 year old man was admitted with severe dyspnoea. Ten days before he had had intense thoracic pain with loss of consciousness that was followed by increased dyspnoea. A continuous murmur was heard in the precordial and the left infrascapular regions. Lung auscultation showed stasis over the lower half of both lungs. Transthoracic echocardiography showed a bicuspid aortic valve and a dissection of the proximal aorta, which was considerably enlarged. Transoesophageal echocardiography confirmed dissection of the proximal aorta and showed a communication from the false lumen of the aortic dissection to the left atrium; and colour flow Doppler showed a continuous shunt to the left atrium. After transoesophageal echocardiography the patient had emergency surgical repair, which was successful. He had no complications in the post-operative period.
Original languageEnglish
Pages (from-to)400-402
Number of pages3
JournalBritish Heart Journal
Volume72
Issue number4
Publication statusPublished - 1 Oct 1994

Keywords

  • RUPTURE
  • AORTIC DISSECTION
  • LEFT ATRIUM
  • CONGESTIVE HEART FAILURE
  • TRANSOESOPHAGEAL ECHOCARDIOGRAPHY

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