Aortic dissection - DeBakey type II
Presentation
Presents with collapse, seizure and global ischemic change on ECG.
Patient Data
Age: 70 years
Gender: Male
From the case:
Aortic dissection - DeBakey type II
CT
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Axial C+ arterial phase
Ascending aortic dissection (Debakey type II = Stanford A) with intimal flap prolapsing through the aortic valve.
From the case:
Aortic dissection - DeBakey type II
CT
Axial C+ arterial phase
Reformat demontrates the intimal flap attachment has torn superiorly and prolapsed through the aortic valve (simulating a heart-shape). Heart within a heart. :)
Case Discussion
CTA of the chest demonstrates an aortic dissection involving the ascending aorta. This is a surgical emergency. The patient proceeded to repair of the ascending aorta and is doing well.
Case courtesy of Dr Mark McCusker.
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