Page 28 - Virtual Vascular Vol 3

The fenestration can be clearly identified on the selective sagittal cuts of the CT scan.

A patient presented with sudden onset severe back pain, and emergency CT
showed type B aortic dissection. Follow-up CT scan 1 week later showed
rapid expansion of the thoracic aorta to maximum diameter of 5.2cm, with
fenestration seen between the true and false lumen in lower thoracic aorta.

True lumen (TL)

True lumen (TL)

Fenestration

between true False lumen (FL))

and false

Fenestration lumen

between true False lumen (FL)

and false Coeliac axis

lumen

28 29