Thoracic aortic dissection
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20 year-old with acute chest pain. No past medical history.
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Dilatation of the descending aorta, commencing at the level of the arch.
A dissection flap is evident with a 'tennis ball' type appearance of the smaller true and larger false lumen.
Retro-esophageal origin of the right subclavian artery, with its origin at the same level on the arch as the dissection.
The typical appearances of a thoracic dissection in the first choice investigation of a contrast enhanced CT chest.
This represents a Stanford Type B dissection, given it commences distal to the origin of the left subclavian artery.
11 public playlists include this case
- CHEST GENERAL by Deyan P. Ivanov
- MK6 by [email protected]
- Acute Aortic Syndromes by James
- Critical CTs by Aaron Wong
- THX Mediastinum by Cary MacMillan
- Chest Pathology by Caroline Khazei
- Vascular by Ian Bickle ◉
- CT NGUC by TRINH TRINH
- VAS1-P6 by tuanleminh ◉
- e-film 2015(2) by Alborz Jahangiri
- Ulster University with Ian by Ian Bickle ◉