IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Iatrogenic Stanford B / DeBakey III aortic dissection and intramural hematoma

Case contributed by Mohammad A. ElBeialy
Diagnosis almost certain

Presentation

Mild back pain during diagnostic conventional coronary angiography in a diabetic patient.

Patient Data

Age: 75 years
Gender: Female
  • Aortic dissection with intimal dissection flap is seen extending from the distal aortic arch around and just distal the origin of the left subclavian artery and extending down to the whole descending aorta; involving the the right common iliac as well as the right external iliac artery.
  • Associated intramural hematoma is seen within the distal aortic arch and the proximal descending aorta.     
  • The celiac artery as well as the superior, inferior mesenteric and the renal arteries appear spared and arise from the true lumen.     
  • Normal ascending aorta with normal branching of the aortic arch.
  • Normal origin and distribution of the coronary arteries.  
  • Mild cardiomegaly with concenteric hypertrophy of the left ventricle is noted. 
  • No pericardial effusion.
  • No pleural collection.
  • No mediastinal masses.

Case Discussion

Iatrogenic Stanford B / DeBakey III aortic dissection and intramural hematoma during diagnostic conventional coronary angiography in a 75 years old diabetic patient. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.