Page 13 - Virtual Vascular Vol 15

TEVAR for Acute Dissection

A 57 year old gentleman was admitted for chest pain radiating to back,

and right leg coldness.

SBP was >200mmHg. The right leg was cold, pulseless, pale and numb. There was
minimal weakness. Left side pulses were all strong.

Provisional diagnosis was acute aortic dissection with limb ischemia.
A contrast CT aortogram was done:

Left common Left subclavian

carotid

Intimal flap starting
distal to left subclavian
artery

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