Iatrogenic Stanford B / DeBakey III aortic dissection and intramural haematoma

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Mild back pain during diagnostic conventional coronary angiography in a diabetic patient.

Patient Data

Age: 75 years
Gender: Female
  • Aortic dissection with intimal dissection flap is seen extending from the distal aortic arch around and just distal the origin of the left subclavian artery and extending down to the whole descending aorta; involving the the right common iliac as well as the right external iliac artery.
  • Associated intramural haematoma is seen within the distal aortic arch and the proximal descending aorta.     
  • The celiac artery as well as the superior, inferior mesenteric and the renal arteries appear spared and arise from the true lumen.     
  • Normal ascending aorta with normal branching of the aortic arch.
  • Normal origin and distribution of the coronary arteries.  
  • Mild cardiomegaly with concenteric hypertrophy of the left ventricle is noted. 
  • No pericardial effusion.
  • No pleural collection.
  • No mediastinal masses.

Case Discussion

Iatrogenic Stanford B / DeBakey III aortic dissection and intramural haematoma during diagnostic conventional coronary angiography in a 75 years old diabetic patient. 

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Case Information

rID: 36655
Case created: 3rd May 2015
Last edited: 9th Mar 2016
System: Vascular
Inclusion in quiz mode: Included

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