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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.


A second false lumen arises distally within the descending thoracic aorta.  Multiple fenestrations within the dissection flap are visualized. The descending aorta exhibits a maximal diameter of 5.9 cm at the origin of a second dissection plane immediately above the level of the diaphragmatic hiatus.
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MPX2160_synpic47797: A second false lumen arises distally within the descending thoracic aorta. Multiple fenestrations within the dissection flap are visualized. The descending aorta exhibits a maximal diameter of 5.9 cm at the origin of a second dissection plane immediately above the level of the diaphragmatic hiatus.


Aortic dissection.

Worthley JCW - MedPix (2009)

A second false lumen arises distally within the descending thoracic aorta.  Multiple fenestrations within the dissection flap are visualized. The descending aorta exhibits a maximal diameter of 5.9 cm at the origin of a second dissection plane immediately above the level of the diaphragmatic hiatus.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2160_synpic47797: A second false lumen arises distally within the descending thoracic aorta. Multiple fenestrations within the dissection flap are visualized. The descending aorta exhibits a maximal diameter of 5.9 cm at the origin of a second dissection plane immediately above the level of the diaphragmatic hiatus.

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.