Stanford type A aortic dissection on CTPA

Discussion:

This could be a terrifying case for first and second year radiology residents, or even practicing radiologists to take on-call, particularly when tired. This life-threatening finding of ascending aortic aneurysm with possible early rupture is barely noticeable when focusing on the evaluation for acute pulmonary embolus. This case provides a great reminder to perform as detailed as possible of an evaluation of the entire chest, even when performing a directed study such a CTA for PE. 

The patient underwent successful graft repair of the ascending aorta. 

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