Limited intimal tear of the ascending aorta in a young patient: a case report

Figures

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  Fig. 1. Comparison between initial and follow-up contrast-enhanced CT images. The left column shows the initial CT at presentation, and the right column shows the follow-up CT obtained on day 3 at corresponding anatomical levels. (A) Blood tracking along the aortic arch on the initial CT, (arrow), which resolved on follow-up imaging., (B) Serial axial images demonstrating progression of the aortic contour abnormality in the proximal ascending aorta; a subtle contour bulge on the initial CT, (arrow) becomes more conspicuous on follow-up imaging., (C) Dilatation of the aortic root measuring 60 mm, without significant interval change., (D) Mild pericardial effusion, which remained stable on follow-up imaging

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  Fig. 2. Three-dimensional reconstruction from follow-up CT. The intimal tear in the proximal ascending aorta is clearly demonstrated (arrow), corresponding to the lesion identified on axial CT images

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  Fig. 3. Intraoperative views showing aortic root dilatation and a linear intimal tear. Intraoperative view shows aortic root dilatation (A) and an extensive linear intimal tear seen from the luminal side of the aorta (arrows) (B)