Link to #24
60 year old male with acute chest pain
Widened mediastinum >8cms, left mainstem bronchus is pushed down, trachea not shifted, no cap
High density blood behind the aorta, hemopericardium
SMA is ectatic suggesting arteriopathy
TypeA dissection not involving the brachiocephalic vessels but with rupture into the mediastinum and containd rupture into the pericardium No signs of tamponade. Septum shows normal bowing, IVC normal caliber
Region of rupture
RCA not involved
RV normal size, no bowing of the septum
IVC normal caliber
Brachiocephalic vessels not involved
