Page 14 - Virtual Vascular Vol 8

Acute Type B Dissection with

Retrograde Type A Intramural haematoma

CC Dissection CT 480.mp4
Intimal tear distal to

Left subclavian artery

A 63-year-old gentle has history of hypertension with poor drug compliance
complained of acute onset of chest and back pain for 1 hour. On arrival to A&E,
his blood pressure was 180/110mmHg, pulse was 90/min. An urgent contrast CT

aortogram was performed showing a Acute Type B dissection with a retrograde
Type A intramural haematoma. True lumen compressed
by false lumen
How do you read the CT Scan of an aortic dissection?

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