Journal Information
Vol. 47. Issue 7.
Pages 421-422 (July 2023)
Vol. 47. Issue 7.
Pages 421-422 (July 2023)
Images in Intensive Medicine
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Incidental echocardiography finding in a patient with suspected aortic syndrome
Hallazgo ecocardiográfico casual en paciente con sospecha de síndrome aórtico
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J. Pascual
Corresponding author
jpascualllopis@gmail.com

Corresponding author.
, C. Fuster, J.M. Chesini
Hospital Universitario de Torrevieja, Torrevieja, Alicante, Spain
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This is the case of a 78-year-old woman with a 2-h history of intense oppressive chest pain associated with sweating and poor general condition. The examination of the patient’s heartbeats reveals a visible and overt vibration at thoracic wall level. The bedside echocardiography performed in the parasternal view—both in the long (figure 1) and short axes (figure 2)—revealed the presence of extrinsic compression of the heart by a fluid-and-air-filled heart chamber (in blue color) that caused the protrusion of the heart lower side (in green color). The CCTA performed discards the presence of acute aortic disease but confirms the presence of massive hiatal hernia with complete herniation of the gastric chamber (figure 3) (Fig. 1).

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Copyright © 2022. Elsevier España, S.L.U. and SEMICYUC
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