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Aortic dissection - Stanford type B

Case contributed by Dr Yair Glick

Presentation

Chest pain. History of elephant trunk procedure.

Patient Data

Age: 55 years
Gender: Male

The ascending aorta is dilated, measuring 37 mm at its widest point.
Stanford type B aortic dissection, originating from the height of the left CCA and involving a short segment of the left SA. The celiac trunk and the left RA are supplied by the false lumen and the origins of the CHA (arises separately from the celiac trunk) and SMA lie on the border between true and false lumina. The dissection terminates at the aortic bifurcation and so both CIAs are supplied by the true lumen.

Severe centrilobular and paraseptal emphysema (not shown).
RLL infiltrate.
Several small cystic hepatic lesions.
Left renal parapelvic cyst.

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Case information

rID: 73648
Published: 17th Jan 2020
Last edited: 17th Jan 2020
System: Vascular
Inclusion in quiz mode: Included
Institution: Laniado Hospital

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