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Chest, Vol 80, 239-242, Copyright © 1981 by American College of Chest Physicians


ARTICLES

Ultrasound visualization of aortic dissection by right parasternal scanning, including systolic flutter of the intimal flap

IA D'Cruz, M Jain, C Campbell and AN Goldbarg

Dilation of the ascending aorta and an intimal flap within it (indicating dissecting aneurysm) were visualized by M-mode and cross- sectional echocardiography, from the right but not from the left parasternal area. The diagnosis was confirmed by aortography and at surgery. Systolic flutter of the intimal flap, seen on M-mode echocardiography, was attributable to the jet from a mildly stenotic aortic valve impinging on it.





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Copyright © 1981 by the American College of Chest Physicians.