International Journal of Cardiovascular Sciences. 10/May/2022;36:e20210285.
A New Kid on the Block in POCUS: “LISA”
Alex dos Santos Felix
, Marcelo Dantas Tavares de Melo
, Thaíssa Santos Monteiro
, Maria Carolina Terra Cola
, Rafael Castro
, Nicolas Merke
A new kid on the Block in POCUS: “LISA”
Transesophageal echocardiography (TTE) and computed tomography angiography (CTA) are methods of choice for definitive diagnosis and prognostic stratification of acute aortic syndromes (AAS). Point-of-care ultrasound (POCUS) has important applications in the initial workup of these patients in the emergency room (ER), ruling out other potential causes of chest pain and allowing a faster diagnosis, although conventional transthoracic echocardiographic acoustic windows do not allow for imaging of some segments of the thoracic aorta (TA), especially the descending TA (DTA).
A 49-year-old man, with a 20-day history of dorsal and abdominal pain, shortness of breath (NYHA-III) and peripheral edema was admitted to the hospital ER. He had uncontrolled systemic hypertension and a history of smoking, without a family history of aortic diseases or sudden death.
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