EURORAD ESR

Case 1607

Aortic dissection

Author(s)
M. A. Siddiqui, J.K. Mordani, Vikramaditya
 
Patient
female, 82 year(s)
 
 
  • Figure 1
    Chest radiograph

    This radiograph shows a widened mediastinum and a double shadow at the aortic knuckle.

     
    Area of Interest: unknown; Imaging Technique: Chest radiograph;
     
     
  • Figure 2
    Contrast enhanced CT of the chest, arterial phase
     

    Dilated aortic root with an intimal flap in both the aortic root and the descending thoracic aorta, forming two aortic lumens with flow in each.

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT of the chest, arterial phase;

    Subintimal flap is well seen in the arch. (Two flap walls are seen because of its semilunar shape within aorta.)

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT of the chest, arterial phase;

    Pericardial and pleural effusions.

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT of the chest, arterial phase;

    Normal calibre abdominal aorta showing flap extending into it.

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT of the chest, arterial phase;

    Abdominal aorta showing that the flap actually spirals during dissection.

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT of the chest, arterial phase;
     
     
This radiograph shows a widened mediastinum and a double shadow at the aortic knuckle.
 
Dilated aortic root with an intimal flap in both the aortic root and the descending thoracic aorta, forming two aortic lumens with flow in each.
 
Subintimal flap is well seen in the arch. (Two flap walls are seen because of its semilunar shape within aorta.)
 
Pericardial and pleural effusions.
 
Normal calibre abdominal aorta showing flap extending into it.
 
Abdominal aorta showing that the flap actually spirals during dissection.
 
 
 
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