Skip to main content
Insights into Imaging
Fig. 3 | Insights into Imaging

Fig. 3

From: A pictorial review of acute aortic syndrome: discriminating and overlapping features as revealed by ECG-gated multidetector-row CT angiography

Fig. 3

Acute Stanford type A classic aortic dissection in a 71-year-old woman with abrupt, severe retrosternal chest pain. a–c Transverse images from an ECG-gated CTA demonstrate an extensive intimo-medial flap involving the entire thoracic aorta. The true lumen (*) appears small in the ascending aorta where it is nearly circumferentially separated from the rest of the aortic wall (b). Extension of the flap down to the aortic root to involve the aortic valve apparatus is clearly demonstrated in this patient who had aortic regurgitation confirmed on echocardiography, a significant complication of acute dissection (c). d Multiplanar reformations in a coronal plane show the involvement of the brachiocephalic artery to better advantage (arrow), the near circumferential separation of the aortic media at the level of the ascending aorta and its extension down to the aortic valve apparatus (arrowhead)

Back to article page