Page 29 - Virtual Vascular Vol 3
P. 29

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










































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