Aortic dissection - Stanford type A

Case contributed by Dr Henry Knipe


Multiple falls.

Patient Data

Age: 85
Gender: Male

Lungs and pleural spaces are clear. Prominent calcified right cardiomediastinal border. Heart size is enlarged even allowing for projection. Thoracic scoliosis. Sternotomy wires noted. 


CTA had been performed six years earlier

Type A aortic dissection is present, which arises adjcaent to the a calcified aortic valve. It has a chronic appearance - the wall is calcified and contains a variable amount of mural thormbus. The dissection is limited to the ascending aorta.

Case Discussion

This case demonstrates two important factors when reporting - the clinical details are often brief and may not contain the relevant information and reviewing previous imaging is essential (and may even make you look clever). 

PlayAdd to Share

Case information

rID: 26183
Published: 4th Dec 2013
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.