Aortic dissection

Case contributed by Dr Ahmed Abd Rabou

Presentation

Abdominal pain and vomiting in known cardiac patient

Patient Data

Age: 60
Gender: Male
CT

Cardiomegaly and aortic dissection. The flap is seen involving the ascending aorta, without involvement of the coronaries, the arch and descending aorta and extends distally to the aortic bifurcation. Both false and true lumina are patent with no evidence of occlusion of any of the aortic branches. No sign of bowel ischemia or renal infarction. Bilateral pleural and minimal pericardial effusion are noted.

Case Discussion

This aortic dissection is classified as Stanford A or DeBakey type I which involves the aorta proximal to the left subclavian artery and requires further surgical intervention to avoid coronary artery occlusion or cardiac tamponade.

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Case information

rID: 28802
Case created: 12th Apr 2014
Last edited: 14th Dec 2015
System: Vascular
Inclusion in quiz mode: Included

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