Population
A 77-year-old man presenting with acute-onset severe chest pain radiating to the back and elevated blood…
Design
Case_report
Key result
Multiphasic computed tomography of the aorta revealed an intimal tear in the descending thoracic aorta extending retrograde to the aortic root, leading to cardiac tamponade and death.
Authors
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Alerts to fatal retrograde extension risk from descending aortic tears; leaves open prospective validation of imaging protocols.
Case Report (n=1)
This case highlights the importance of early and accurate CT imaging assessment to identify the site of intimal tear and extent of dissection flap in acute aortic dissection, particularly for atypical presentations like retrograde Stanford Type A dissection.
Gifford et al. (2017) conducted a case report in Acute descending aortic dissection with aortic root retrograde extension (n=1). Computed tomography aortography was evaluated. Multiphasic computed tomography of the aorta revealed an intimal tear in the descending thoracic aorta extending retrograde to the aortic root, leading to cardiac tamponade and death.
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