Aortic dissection: Stanford A

Case contributed by Dr Essam G Ghonaim

Presentation

Long standing history of hypertension and ischaemic heart disease presented with chest pain.

Patient Data

Age: 67
Gender: Female
CT

Post contrast axial CT sections through the aorta showing an atherosclerotic Stanford type A / DeBakey type I dissecting aortic aneurysm. Patient is fortunate enough to have almost all her major aortic branches coming off the true lumen, only the inferior mesenteric artery coming off the false lumen and both lumens are seen connected. Additional findings are left renal cysts and retro-aortic left renal vein anomaly. 

Annotated image

Annotated images. 

Case Discussion

Identification of the origins of major aortic branches as well as differentiation of true and false lumens is the main issues for contributing this case. 

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Case information

rID: 35729
Case created: 19th Apr 2015
Last edited: 14th Mar 2017
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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