{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:13:57Z","timestamp":1780352037994,"version":"3.54.1"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2022,10,17]]},"abstract":"<jats:p>Point-of-care ultrasound (POCUS) is becoming a frequently utilized imaging tool in the emergency department (ED) as it can aid in early diagnosis of many pathologies. This is a case report of a 55-year-old male who presented to the emergency department by ambulance for sudden onset chest pain followed by a syncopal episode. Point-of-care echocardiogram revealed a large pericardial effusion with a significantly dilated aortic root, concerning for aortic dissection. Patient was emergently taken for a computed tomography (CT) scan, which was only remarkable for an ascending thoracic aortic aneurysm but failed to show an aortic dissection flap. On repeat POCUS, a dissection intimal flap, large pericardial effusion with tamponade physiology, and aortic regurgitation were identified and later confirmed on transesophageal echocardiogram. This case report details a rare pathology that was correctly identified on initial POCUS before it was seen on CT scan.<\/jats:p>","DOI":"10.1155\/2022\/7166230","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T18:50:08Z","timestamp":1666032608000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4854-2872","authenticated-orcid":true,"given":"Kristina","family":"Thomas","sequence":"first","affiliation":[{"name":"St. Joseph\u2019s Medical Center, Stockton, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2673-7890","authenticated-orcid":true,"given":"Omar","family":"Amr","sequence":"additional","affiliation":[{"name":"St. Joseph\u2019s Medical Center, Stockton, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.5167\/uzh-148742"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2010.187"},{"key":"3","article-title":"Can't miss killer: the role of point-of-care ultrasound in diagnosing acute aortic dissection. EMRA","author":"T. Kehrl","year":"2017"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.6207"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1007\/s40138-014-0044-8"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2013.10.015"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2011.09.022"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1186\/s12947-015-0008-5"},{"key":"9","article-title":"Identification of aortic dissection using limited bedside ultrasound. Emergency Ultrasound","author":"J. S. Colla","year":"2017"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1177\/8756479315586026"}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2022\/7166230.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2022\/7166230.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2022\/7166230.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T18:50:11Z","timestamp":1666032611000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cricc\/2022\/7166230\/"}},"subtitle":[],"editor":[{"given":"Kenneth S.","family":"Waxman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,10,17]]},"references-count":10,"alternative-id":["7166230","7166230"],"URL":"https:\/\/doi.org\/10.1155\/2022\/7166230","relation":{},"ISSN":["2090-6439","2090-6420"],"issn-type":[{"value":"2090-6439","type":"electronic"},{"value":"2090-6420","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10,17]]}}}