Echo post mortem

A tragic case when a definite diagnosis was made by the Echo after a patient's death.

A young man experienced severe chest pain after physical exertion. Just after obtaining his ECG (number 1) he fell unconscious and dyed. 
Here is his ECG number 1, note subtle ST-depression in lateral leads and signs of LV-hypertrophy :





Here is his ECG just after his collapse at the beginning of the cardiac resuscitation:


Note the diffuse ST-segment elevation, which could lead to the wrong diagnosis of STE-ACS and deadly revascularisation.

Here is his Echo, obtained soon after the end of his ineffective resuscitation:


Note dilated ascending aorta, separated intima inside its cavity, a clot in the pericardium and quick clot formation inside the heart at the end of the examination.
Here is his heart. Notice his dissected aorta. 




Diagnosis: aortic dissection with cardiac tamponade.

My book
Dear friend, let's subscribe to updates. You will get them to your inbox for free

Welcome to, heart auscultation learning source. Get free updates delivered to your inbox. Enter your email for free updates.

Not now, maybe next time.