Can you accurately distinguish the false lumen from the true lumen in an aortic dissection? Have you ever seen a thrombosed false lumen? - Here’s a quick overview from Prof. Binder. Learn more in our Aortic Disease FocusClass, and benefit from our ongoing offer 👉 https://zurl.co/jwf6 #aorticdisease #aorticdiseasefocusclass #focusclass #ultrasoundknowledge #ultrasoundcourses | 123sonography
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Key Echo Findings in Aortic Dissection 🫀👇 • Mobile intimal flap separating true vs. false lumen • Different flow patterns between lumens on color Doppler • Aortic regurgitation — often from commissural detachment or root dilation • Pericardial effusion/tamponade from rupture into the pericardial space • Dilated ascending aorta or sinus of Valsalva • Possible LVH or LV dysfunction from chronic hypertension or ischemia Want more echo pearls like this? Join our newsletter on our website for free
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🔴 AORTIC DISSECTION – TTE CLUES 🔴 🩺 Direct Signs: 🧵 Intimal flap in ascending aorta 🔀 True and false lumen 📏 Dilated aortic root / ascending aorta 💥 Indirect Signs: ❤️ Acute severe aortic regurgitation (flail cusp or root dilation) 🫀 Pericardial effusion ± tamponade 📉 LV dysfunction due to acute volume overload 📈 CW / Color Doppler: 🌊 Eccentric AR jet (often severe) 🔁 Flow in both lumens ⚡ High-velocity jet across intimal tear (occasionally seen) 📌 TTE is rapid and bedside—excellent
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