File:Aortic dissection (CTPA) (Radiopaedia 75506-86750 C 2).jpg

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Aortic_dissection_(CTPA)_(Radiopaedia_75506-86750_C_2).jpg ‎(548 × 548 pixels, file size: 86 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 75506
  • Image ID: 52282349
  • Image stack position: 2/100
  • Plane projection: Sagittal
  • Aux modality: C+ arterial phase
  • Study findings: Vascular findings Acute aortic dissection arising in the lateral wall of the aortic arch at the level of the left common carotid origin (Stanford A) and terminates beyond the abdominal aortic bifurcation in the common iliac arteries: Other findings No intracranial arterial occlusion or dissection. Sternotomy wires. No pericardial effusion. Posterolateral bladder wall diverticuli. Low-lying left kidney. Cortical scarring of both kidneys. Fluid-filled stomach and proximal esophagus, placing the patient at risk of aspiration. Streaky opacification of the lower lobes which may be due to aspiration. Bilateral inguinal hernias containing small bowel on the right and large bowel on the left, no bowel dilatation to suggest obstruction. Marked kyphoscoliosis. Advanced multilevel vertebral degenerative disease. IMPRESSION Acute Stanford A aortic dissection extending into the right CCA and bilateral iliac arteries.
  • Modality: CT
  • System: Vascular
  • Findings: Initial study protocolled as a combination CTA/CTPA. On finding extensive descending aortic dissection extending into the abdominal aorta and left common carotid artery, further CTA was performed of the neck, abdomen and pelvis as well as a ECG-gated CTA of the aortic root. The CTPA is of good quality and no pulmonary embolus is identified. No signs of right ventricular strain. Sternotomy wires. No pericardial effusion. Marked kyphoscoliosis. Advanced multilevel vertebral degenerative disease.
Date Published: 8th Apr 2020
Source https://radiopaedia.org/cases/aortic-dissection-ctpa
Author Craig Hacking
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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