Stanford type B thoracic aortic dissection with aortic rupture during TC
Diagnosis certain
Presentation
Acute chest pain.
Patient Data
Age: 73
Gender: Male
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CT thoracic angiogram
The direct examination shows a modest haematoma adjacent of the aortic arch.
In the arterial phase, is appreciable dissection with intimal flap starting from the left subclavian artery to the abdominal thoracic passage. There is a haematoma adjacent to the aortic arch with signs of rupture at the proximal of the descending aorta.
In the portal phase conspicuous mediastinal haemorrhagic spreading and in the left pleural cavity. Minimum haemorrhagic effusion in the pericardium.
Case Discussion
The worst complication of aortic dissection is the aorta rupture, usually within the pericardial cavity or the left pleural cavity.
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