Page 47 - Virtual Vascular Vol 4

Type B Aortic Dissection with Intimal tear distal

left renal malperfusion to left subclavian artery

A 50 years old gentleman with history of hypertension complained of

acute onset of chest pain 2 months ago which subsided gradually, and he

did not seek medical attention. He had poor drug compliance all along.
His blood pressure remains difficult to control and on 4 anti-

hypertensives drugs to maintain systolic blood pressure <140mmHg. His Coeliac artery

Creatinine was 140mmol/l. CT aortogram showed Stanford Type B aortic from false lumen
dissection distal to left subclavian artery. The celiac artery was perfused

from the false lumen, superior mesenteric artery was from both true and

false lumen, right renal artery from true lumen and left renal artery from
false lumen. The left kidney was small and hypoperfused.

Diss1a.mp4

right renal artery from true lumen
46 left renal artery from false lumen 47