Aortic dissection

Case contributed by Dr Ahmed Abd Rabou

Presentation

Sudden onset of severe chest pain and dyspnea

Patient Data

Age: 52 years old
Gender: Male
CT

Dissecting flap is seen involving the descending thoracic aorta starting distal to the left subclavian artery and extending downward to the common iliac arteries. The true lumen is anterior while the false lumen is posterior and larger. Both are patent yet the false lumen shows a crescent shape irregular thrombus at distal thoracic segment. Both renal arteries are patent, the left renal artery arise from the true lumen while the right renal artery arises from both false and true lumina. The celiac, superior and inferior mesenteric are patent and arise from true lumen.

Case Discussion

Stanford type B or DeBakey III aortic dissection. The ascending aorta, arch and origin of coronary arteries are spared.

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Case information

rID: 44411
Case created: 20th Apr 2016
Last edited: 26th Apr 2016
System: Vascular
Inclusion in quiz mode: Included

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