Aortic dissection

Case contributed by Dr Dalia Ibrahim

Presentation

Acute chest pain

Patient Data

Age: Elderly
Gender: Male
CT

An intimal dissecting flap starts distal to the origin of the left subclavian artery and extends into the  the descending thoracic & abdominal aorta as well as the right common iliac artery.

It divides the aortic lumen into small true lumen and larger (partially thrombosed) false lumen.

Aneurysmal dilatation of the descending thoracic and supra-renal abdominal aorta.

The celiac, mesenteric and renal arteries arise from the true lumen.

No extension of the intimal flap into the left common iliac artery.

No contrast leakage.

Case Discussion

Stanford B Debakey III dissecting aortic aneurysm.

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Case information

rID: 27466
Case created: 3rd Feb 2014
Last edited: 10th Jun 2017
System: Vascular
Inclusion in quiz mode: Included

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