Presentation
Abdominal pain and vomiting in known cardiac patient
Patient Data
Age: 60 years
Gender: Male
From the case:
Aortic dissection
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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.