Case History:: 69-year-old patient with pain in legs and feeling of cold legs and chest pain.
Case History: 69-year-old patient presents with complaints of pain in legs and feeling of cold legs and chest pain.
69-year-old patient presents with complaints of pain in legs and feeling of cold legs and chest pain.
Imaging is essential in delineating the morphology and extent of the dissection as well as allowing for classification (which dictates management).Â
An essential part of the assessment of aortic dissection is identifying the true lumen, as placement of an endoluminal stent graft in the false lumen can have dire consequences.
Although in general MRA has been reserved for follow-up examinations, rapid non-contrast imaging techniques (eg, true FISP) may see MRI having a larger role to play in the acute diagnosis.
Patients are often hypertensive (although they may be normotensive or hypotensive) and present with anterior or posterior chest pain and a tearing sensation in the chest.Â
In some cases of aortic rupture, the involvement ofÂ coronary arteriesÂ may result in collapse and death.
The normal lumen lined by intima is called theÂ true lumenÂ and the blood-filled channel in the media is called theÂ false lumen.
AÂ type AÂ dissection may also result in coronary artery occlusion, aortic incompetence, rupture into pericardial sac with resultingÂ cardiac tamponade.