Radiopaedia 2024 rPoster Abstract Submissions: These will remain open only for a small number of extra hours today!  SUBMIT NOW

Aortic dissection on CTPA

Case contributed by Brendon Friesen
Diagnosis certain

Presentation

Chest tightness and hypertension, pleuritic chest pain. Breathless on exertion. Troponin elevated. ?Pulmonary embolus.

Patient Data

Age: 30
Gender: Male
x-ray

Ascending aorta appears dilated (allowing for AP projection)

ct

No pulmonary embolus.

Arch of aorta dilated with suggestion of intramural hematoma.

Pericardial effusion or hemopericardium.

Small right pleural effusion

ct

Dissection flap involving ascending aorta. Intramural hematoma evident on non-contrast imaging.

Hemopericardium.

Type A aortic dissection.

 

Case Discussion

Type A aortic dissection, which was initially suspected on CTPA, and confirmed with subsequent non-contrast/CTA aorta protocol imaging.

Non-contrast imaging is important to assess intramural hematoma, which may be difficult to appreciate on CTA images.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.