MedPix® Patient Chart - Case No: 4275 :: Imaging - Review Images

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History

Age: 67 :: Gender: Woman

Patient History

67 yo female POD #2 from a 3 vessel Coronary Artery Bypass Graft with decreased urine output.

Exam


Physical Exam and Laboratory


Imaging

Imaging - Review Images for PT: 4275

Findings


Summary of Findings

Contrast filled false lumen extending from the proximal thoracic aorta just distal to the take off of the coronary arteries to the aortic arch. There is thrombus within the false lumen. The coronary arteries and the other great vessels are not involved.


Imaging

Imaging - Review Images for PT: 4275

Diffferential


Differential Diagnosis

Aortic Dissection


Imaging

Imaging - Review Images for PT: 4275

Diagnosis


Case Diagnosis

Dx: Aoritc Dissection


Dx Confirmed by:

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Followup


Followup and Treatment

The patient was brought back to the OR for aortic replacement.

Discussion


Discussion for this Patient

Aortic dissection is a known complcation of cardiac surgery. Typically patients present with chest or back pain, aortic insufficiency, blood pressure discrepancies between extremities, neurologic defects, ischemic extremities, or pulse deficits. Silent disection - such as this case - are rare.

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History:
67 yo female POD #2 from a 3 vessel Coronary Artery Bypass Graft with decreased urine output.

Exam:


Findings:
Contrast filled false lumen extending from the proximal thoracic aorta just distal to the take off of the coronary arteries to the aortic arch. There is thrombus within the false lumen. The coronary arteries and the other great vessels are not involved.

Differential:
Aortic Dissection

Diagnosis:
Aoritc Dissection
Confirmed by:

Treatment and Followup:
The patient was brought back to the OR for aortic replacement.

Discussion:
Aortic dissection is a known complcation of cardiac surgery. Typically patients present with chest or back pain, aortic insufficiency, blood pressure discrepancies between extremities, neurologic defects, ischemic extremities, or pulse deficits. Silent disection - such as this case - are rare.

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Case Contributor and Editor
Submitted by: Maria Flynn - Author Info
Case/Image Editor: - Editor Info
Case Accepted: :: Revised: :: Submitted:
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