Dilated aortic root aortic dissection with visible flap severe aortic regurgitation | Cardiovascular Education
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🔴 AORTIC DISSECTION – TTE CLUES 🔴 🩺 Direct Signs: 🧵 Intimal flap in ascending aorta 🔀 True and false lumen 📏 Dilated aortic root / ascending aorta 💥 Indirect Signs: ❤️ Acute severe aortic regurgitation (flail cusp or root dilation) 🫀 Pericardial effusion ± tamponade 📉 LV dysfunction due to acute volume overload 📈 CW / Color Doppler: 🌊 Eccentric AR jet (often severe) 🔁 Flow in both lumens ⚡ High-velocity jet across intimal tear (occasionally seen) 📌 TTE is rapid and bedside—excellent
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