Aortic dissection

Case contributed by Dr Usama Ibrahim Khalifa

Presentation

Chest and back pain as well as elevated D-dimer level. For investigation of possible pulmonary embolism.

Patient Data

Age: 60 years
Gender: Male
CT

Stanford B / DeBakey III

Stanford B/DeBakey III dissection started just after the origin of the left subclavian artery and extending down to the level of aortic bifurcation and iliac arteries.

Dissection involves the common iliac, external & internal iliac arteries bilaterally.

Thrombosed false lumen seen just after the origin of the left subclavian artery and at the right external artery level.

The right renal artery & SMA originates from the true lumen with dissected SMA.

The IMA & left renal arteries arising from the false lumen.      

Case Discussion

Stanford Type B/DeBakey III aortic dissection.

Management is usually medically by antihypertensive measures.

Unfortunately the patient died shortly after the presentation.

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Case information

rID: 62562
Published: 5th Sep 2018
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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