{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:26:16Z","timestamp":1787761576079,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Acute aortic dissection (AAD) is the prevalent acute aortic syndrome characterized by rapid onset and progression with time-dependent prognosis. When suspecting AAD of descending thoracic aorta in the context of the emergency department setting, computed tomography scanning and trans-esophageal echocardiography are the most useful imaging modalities. The sensitivity of transthoracic echocardiography in diagnosing for type B dissection is only 31%\u201355% when compared with other modalities. We describe the case of a 62-year-old female with a clinical history of Marfan syndrome where the low sensitivity of the transthorac approach in the detection of descending aortic dissection was overcomed by the posterior thoracic approach with the posterior paraspinal window (PPW). In the literature, are described just few reports where echocardiography via the PPW makes it possible to diagnose acute descending aortic syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcecho.jcecho_35_22","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T07:54:33Z","timestamp":1682063673000},"page":"218-220","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["The Utility of Paraspinal Acoustic Windows for the Evaluation of Acute Dissection of Descending Thoracic Aorta in the Emergency Setting"],"prefix":"10.4103","volume":"32","author":[{"given":"Serenella","family":"Conti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Dell\u2019Uomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Dominici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Beatrice","family":"Forte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240904","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jcmg.2013.10.015","article-title":"The Role of Imaging in Aortic Dissection and Related Syndromes","volume":"7","author":"Baliga","year":"2014","journal-title":"JACC Cardiovasc Imaging"},{"key":"R2-5-20240904","first-page":"103","article-title":"Usefulness of ultrasound in the management of aortic dissection","volume":"19","author":"Liu","year":"2018","journal-title":"Rev Cardiovasc Med"},{"key":"R3-5-20240904","doi-asserted-by":"crossref","first-page":"83","DOI":"10.2169\/internalmedicine.49.2838","article-title":"Echocardiographic diagnosis of aortic intramural hematoma via the posterior paraspinal window","volume":"49","author":"Yoshimuta","year":"2010","journal-title":"Intern Med"},{"key":"R4-5-20240904","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/0002-8703(87)90805-2","article-title":"A new paraspinal window in the echocardiographic diagnosis of descending aortic dissection","volume":"114","author":"Klein","year":"1987","journal-title":"Am Heart J"},{"key":"R6-5-20240904","doi-asserted-by":"crossref","first-page":"45","DOI":"10.4103\/jcecho.jcecho_106_20","article-title":"Transthoracic echocardiographic diagnostic accuracy in detecting \u201ctype-B\u201d aortic dissection","volume":"31","author":"Parato","year":"2021","journal-title":"J Cardiovasc Echogr"},{"key":"R7-5-20240904","first-page":"158","article-title":"Posterior echocardiography windows: Usefulness in clinical practice","volume":"2","author":"La Marchesina","year":"2001","journal-title":"Ital Heart J Suppl"},{"key":"R8-5-20240904","doi-asserted-by":"crossref","first-page":"150","DOI":"10.4103\/jcecho.jcecho_75_17","article-title":"Cardiac back view: An old forgotten echocardiographic window","volume":"28","author":"Carbone","year":"2018","journal-title":"J Cardiovasc Echogr"}],"container-title":["Journal of Cardiovascular Echography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_35_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:01:45Z","timestamp":1787760105000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_35_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jcecho.jcecho_35_22","relation":{},"ISSN":["2211-4122"],"issn-type":[{"value":"2211-4122","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}