Aortic aneurysm and dissection: Stanford type A

Case contributed by Dr Craig Hacking

Presentation

Chest pain

Patient Data

Age: 68
Gender: Female

Massively aneurysmal aorta displacing the trachea to the right. Right main bronchus narrowing.

Consolidation in the left lower lobe. Small adjacent left pleural effusion.

Aortic dissection confirmed, arising from the ascending aorta (Stanford type A) above the sinotubular junction and terminating in the left CIA. Extension of the dissection into the brachiocephalic trunk, left CCA and possibly the coeliac trunk. The coronary artery origins are normal.

The true lumen (more dense) supplies the coeliac trunk, SMA and bilateral renal arteries.

The false lumen (less dense) supplies the IMA.

No renal or splenic infarct but the left kidney density is reduced suggesting reduced perfusion.

Case Discussion

Great example of the extent of dissection.

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Case information

rID: 36693
Case created: 5th May 2015
Last edited: 11th Aug 2017
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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