[Aortic pseudo-valvular image with diastolic eccentricity of the semilunaris. A specific sign of aortic dissection?]. / Immagine pseudo-valvolare aortica con eccentricità diastolica delle semilunari. Un segno specifico di dissezione aortica?

ABSTRACT

M-mode and two-dimensional echocardiograms were obtained in a patient with aortic dissection (De Bakey type 1). The M-mode echocardiogram showed an image resembling to an aortic valve with a left coronary cusp and eccentric diastolic echoes. The M-mode and two-dimensional echocardiograms recorded at a more distal level showed that this image was produced by the systo-diastolic movements of the torn intima. Such an echocardiographic finding should suggest the presence of an aortic dissection.