RESUMO
Pulmonary embolism (PE) is a frequently encountered clinical condition with a high mortality rate that is affected by various factors such as age, hemodynamics, and other comorbidities. Early diagnosis and risk stratification are crucial to achieving a favorable clinical outcome. New risk stratification algorithms have been proposed in order to identify high-risk patients who will benefit from early thrombolytic treatment. Among the various validated diagnostic methods, the role of echocardiography is increasingly accepted. Recent advances in studying right ventricular function have made echocardiography an attractive tool for establishing or excluding the diagnosis of acute PE in the emergency setting and initiating optimal therapy.
Assuntos
Ecocardiografia Doppler em Cores , Ecocardiografia Transesofagiana , Embolia Pulmonar/diagnóstico por imagem , Doença Aguda , Algoritmos , Técnicas de Apoio para a Decisão , Humanos , Valor Preditivo dos Testes , Prognóstico , Embolia Pulmonar/mortalidade , Embolia Pulmonar/fisiopatologia , Embolia Pulmonar/terapia , Medição de Risco , Fatores de Risco , Terapia Trombolítica , Função Ventricular Esquerda , Função Ventricular DireitaRESUMO
Traumatic dissection of the aorta is a well-documented entity with poor prognosis and broad spectrum of clinical presentations. We report a rare case of an asymptomatic late presentation of aortic dissection after a high-speed vehicle accident. This case highlights the importance of high clinical suspicion for the diagnosis of aortic dissection.