Page 15 - Virtual Vascular Vol 8
P. 15

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?





 14                                                                                                            15
   10   11   12   13   14   15   16   17   18   19   20