Aortic aneurysm and dissection - Stanford type A

Case contributed by Craig Hacking , 5 May 2015
Diagnosis certain
Changed by Craig Hacking, 28 Aug 2015

Updates to Case Attributes

Diagnostic Certainty was set to .

Updates to Study Attributes

Findings was changed:

Aortic dissection confirmed, arising from the ascending aorta (Stanford type A) above the sinotubular junction and terminating in the rightleft CIA. Extension of the dissection into the brachiocephalic trunk,left, left CCA and possibly the coeliac trunk. The coronary artery origins are normal.

The true lumen (more dense) supplies the coeliac trunk, SMA and bilateral renal arteries.

The false lumen (less dense) supplies the IMA.

No renal or splenic infarct but the left kidney density is reduced suggesting reduced perfusion.

Images Changes:

Image CT (C+ arterial phase) ( update )

Stack was set to .
Single Or Stack Root was set to .

Image CT (C+ arterial phase) ( update )

Stack was set to .
Single Or Stack Root was set to .

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