CT - CTPA
Axial C+ CTPA
Initial study protocolled as a combination CTA/CTPA. On finding extensive descending aortic dissection extending into the abdominal aorta and left common carotid artery, further CTA was performed of the neck, abdomen and pelvis as well as a ECG-gated CTA of the aortic root.
The CTPA is of good quality and no pulmonary embolus is identified. No signs of right ventricular strain.
Sternotomy wires. No pericardial effusion.
Marked kyphoscoliosis. Advanced multilevel vertebral degenerative disease.