Aortic dissection: Stanford type A

Case contributed by Dr Henry Knipe

Presentation

Multiple falls.

Patient Data

Age: 85
Gender: Male
X-ray

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

CT

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). 

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Case information

rID: 26183
Case created: 4th Dec 2013
Last edited: 30th Aug 2015
System: Chest
Inclusion in quiz mode: Included

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