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Aortic Dissection in a 57 yo male presenting with severe chest and back pain. Dissection began at ascending aorta and continued all the way to the lower abdomen.

Additional Cases

Ascending thoracic aorta fusiform aneurysm with focal dissection along the left anterolateral aspect. This patient was scanned in our private practice. Can someone advise me what would be standard treatment for this patient once transported to hospital?

a 39-year-old woman presenting with sharp back pain between shoulder blades. She has a medical history of only hypertension and is on medication (lercanidipine). She was referred to the ER with clinical suspicion of acute coronary syndrome (ACS). However, she was later diagnosed with acute aortic dissection. Initial vital signs at the ER were stable besides to blood pressure (Rx arm 184/95 mmHg , Lx arm 188/75 mmHg). Electrocardiogram (EKG) showed NSR with nonspecific ST deviation. Laboratory findings were normal includes negative Troponin. CXR was normal. #aorticdissection #dissection

Frontal view of the chest in a young adult with acute onset of chest pain and asymmetric upper extremity blood pressures shows widening of the mediastinum (arrows) and prominence of the descending thoracic aorta shadow. These symptoms and imaging findings are typical of an aortic dissection. Aortic dissection is uncommon in the pediatric population. Common etiologies include trauma, iatrogenic injury, and Marfan disease. In adults, aortic dissection is typically related to atherosclerosis and hypertension. #ThoraxThursday #ThoracicThursday

#Dissection of #Aorta