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Aortic dissection.

Worthley JCW - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Aortic dissection.

History: A previously healthy 22-year-old active duty male presented with intermittent left upper quadrant/epigastric abdominal pain for two and a half weeks.

Findings: An acute abdominal series/chest xray demonstrated widening of the mediastinum with a dilated aortic knob and apparent aneurysmal dilatation of the descending thoracic aorta.

Ddx: Traumatic aortic dissection Aortic aneurysm Non Traumatic aortic dissection Mediastinal tumors

Dxhow: Gated contrast imaging of the chest and abdomen.

Exam: Physical exam was nonspecific.

No MeSH data available.


The intimal flap between the true and the false lumen extends into the opacified innominate (R. bracniocephalic) artery and then further into the root of the right carotid artery.  The left carotid and left subclavian arteries are normally opacified with contrast.  There is no discrete coronary arterial or intracardiac/ or annular extension of the false lumen or dissection.
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MPX2160_synpic47789: The intimal flap between the true and the false lumen extends into the opacified innominate (R. bracniocephalic) artery and then further into the root of the right carotid artery. The left carotid and left subclavian arteries are normally opacified with contrast. There is no discrete coronary arterial or intracardiac/ or annular extension of the false lumen or dissection.


Aortic dissection.

Worthley JCW - MedPix (2009)

The intimal flap between the true and the false lumen extends into the opacified innominate (R. bracniocephalic) artery and then further into the root of the right carotid artery.  The left carotid and left subclavian arteries are normally opacified with contrast.  There is no discrete coronary arterial or intracardiac/ or annular extension of the false lumen or dissection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2160&req=5

MPX2160_synpic47789: The intimal flap between the true and the false lumen extends into the opacified innominate (R. bracniocephalic) artery and then further into the root of the right carotid artery. The left carotid and left subclavian arteries are normally opacified with contrast. There is no discrete coronary arterial or intracardiac/ or annular extension of the false lumen or dissection.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Aortic dissection.

History: A previously healthy 22-year-old active duty male presented with intermittent left upper quadrant/epigastric abdominal pain for two and a half weeks.

Findings: An acute abdominal series/chest xray demonstrated widening of the mediastinum with a dilated aortic knob and apparent aneurysmal dilatation of the descending thoracic aorta.

Ddx: Traumatic aortic dissection Aortic aneurysm Non Traumatic aortic dissection Mediastinal tumors

Dxhow: Gated contrast imaging of the chest and abdomen.

Exam: Physical exam was nonspecific.

No MeSH data available.