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01.11.2010 | Case Report | Ausgabe 2/2010 Open Access

Critical Ultrasound Journal 2/2010

Emergency department diagnosis of critical aortic stenosis using bedside ultrasonography

Zeitschrift:
Critical Ultrasound Journal > Ausgabe 2/2010
Autoren:
David C. Riley, Grace Glassman, Kimberlee Hodges
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s13089-010-0047-y) contains supplementary material, which is available to authorized users.

Abstract

Introduction

An 88-year-old woman with a history of coronary artery disease, hypertension, and a history of a large left upper lobe lung mass presented to the Emergency Department (ED) from a nursing home with rapidly progressive shortness of breath and chest pain over 1 day with a rapid decline in mental status. Bedside color Doppler ultrasound para-sternal long-axis examination of the heart revealed severe aortic stenosis. Bedside pulsed-wave and continuous-wave Doppler ultrasound in the apical 5-chamber view revealed critical aortic stenosis using the simplified continuity equation.

Conclusion

Bedside ED cardiac color Doppler, pulsed Doppler evaluation of the left ventricular outflow tract, and continuous-wave Doppler of the aortic valve were used to assist in the diagnosis of critical aortic stenosis.
Zusatzmaterial
Video Clip S1. Critical aortic stenosis parasternal long-axis view (MOV 10.1 mb)
Video Clip S2. Critical aortic stenosis color Doppler LVOT view (MOV 6.28 mb)
Video Clip S3. Critical aortic stenosis color Doppler apical 5-chamber view (MOV 7.85 mb)
Literatur
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