Aortic dissection

An aortic dissection is a life-threatening condition where the inner layer of the aorta, the body’s main artery, tears. Blood then surges through this tear, separating the inner and middle layers of the aorta. When this occurs in the abdominal aorta, it can cause severe pain and compromise blood flow to vital organs.

In abdominal ultrasound, an aortic dissection may appear as an intimal flap separating the true and false lumens of the aorta, or as a dilated aortic diameter. Early detection via medical imaging is crucial for timely intervention and improved patient outcomes, making ultrasound a valuable diagnostic tool in emergency settings.

Clinical Author

Bruno Vargas is originally from Mexico City. He first trained as an Emergency Medical Technician at la Universidad Panamericana (UP) before starting medical school at la Universidad Nacional Autónoma de México (UNAM) in Mexico City. Later he did his social service year in the Sierra Madre of Chiapas with Partners in Health Mexico/Compañeros en Salud (CES) in 2019, where he was trained in Global Health, social medicine, and introduced to Point of Care Ultrasound (POCUS). At that moment while working in a resource-limited setting he became passionate about POCUS. He graduated as a general practitioner, and afterward stayed with CES during the pandemic as part of the COVID-19 task force, training community healthcare workers and “pasantes” (first-year doctors doing their year of social service). He finished the Ultrasound Leadership Academy (ULA) fellowship and has started a POCUS training program at his site with midwives, nurses, doctors, and trainees from these areas. He is currently doing a Global Health Fellowship with HEAL as a site fellow in Chiapas with CES. He has committed to a lifelong career in global health providing healthcare access to the most marginalized communities. He has a profound respect and admiration for nature and loves any kind of outdoor activities, especially bicycling, high mountain, and scuba-diving.

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