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Aortic dissection - DeBakey type III / Stanford B

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Previous history of surgery for aortic valve and proximal aortic endograft.

Patient Data

Age: 70 years
Gender: Male

CTA Thoracic aorta

ct

There is a descending aortic dissection that begins beyond the brachiocephalic vessels (Stanford B) and only involves the descending aorta (DeBakey type III). Note also the presence of the aortic valve prosthesis and a small proximal endoleak related to the Dacron graft on ascending aorta (not seen on enhanced series).

The celiac and superior mesenteric arteries both arise from the smaller true lumen.

Case Discussion

There is a descending aortic dissection that begins beyond the brachiocephalic vessels (Stanford B) and only involves the descending aorta (DeBakey type III).

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