Intramural haematoma and Stanford type B aortic dissection

Case contributed by Dr Gabriel Lau

Presentation

Sudden chest pain, radiating to back and jaw. Positive D-dimer.

Patient Data

Age: 61
Gender: Male

Case Discussion

FINDINGS:
High density ring on non-contrast scans, ascending aorta.
Dissection of descending aorta.
Involves the left subclavian artery and both iliac arteries, which remain patent.
True lumen supplies the coeliac trunk, SMA, IMA and both renal arteries.
No pulmonary embolus is seen.

LIKELY DIAGNOSIS:
IMH
Type B dissection.

FURTHER INVESTIGATION/MANAGEMENT:
Urgent Cardiothoracic Surgical referral.

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Case Information

rID: 47728
Case created: 31st Aug 2016
Last edited: 31st Aug 2016
Systems: Vascular, Chest
Inclusion in quiz mode: Included

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