Type A aortic dissection - Thoracic Imaging

Title: Thoracic Imaging - Type A aortic dissection
Diagnosis: Type A aortic dissection
Author: Martins Martina
Comment: Howarth Nigel
Hospital: HUG
Department: Département de Radiologie
State: Terminée
Date: 21.03.2003
: 3447
KeyWords: Aortic dissection; mediastinum, trauma
Anatomy: Thorax
Chapter: Mediastinum
ACR: 561.74

Clinical Presentation: Sudden onset transfixiating retrosternalchest pain.
Comment: Aortic dissection typically affects the thoracic aorta.There is a strong
correlation with high blood pressure and malesex. Surgeons used the Stanford
classification: type A (ascendingaorta) and type B (aortic arch and descending aorta). The
prognosisin type A is worse than in type B, requiring surgery. Type B may betreated
Description: CT images before and after intravenous injection of aniodinated
contrast medium show a hematoma in the wall of theascending aorta.

Order: 0
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

References: Kazui T, Washiyama N, Bashar AH, Terada H, Suzuki T.Surgical
outcome of acute type A aortic dissection: analysis ofrisk factors. Ann Thorac Surg
2002;74:75-81. Khan IA, Nair CK.Clinical, diagnostic, and management perspectives of
aorticdissection. Chest 2002; 122:311-28. Review. Henning RJ, Eikman E,Siddique Patel
M. Acute and chronic aortic dissection. Heart Dis2002; 4:231-41. Erbel R, Alfonso F,
Boileau C, et al. Diagnosis andmanagement of aortic dissection. Eur Heart

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