Thoracic aortic dissection and redissection

Discussion:

Marfans syndrome patients are prone to aortic dissection.

On the 2nd CT, in addition to the initial findings of a type A aortic dissection which has been surgically corrected is an acute intramural hemorrhage in the descending thoracic aorta and marked new aneurysmal dilatation of the thoracic and upper abdominal aorta.  This indicates the second incidence of acute aortic syndrome.

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