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Aortic Dissection
1.
Aortic Dissection
Zahir Rahman MD 10/14/02
2.
3.
4.
5.
6.
RCA RSC LCA
INTIMA TRUE LUMEN FALSE LUMEN PULMONARY TRUNK RSC
7.
THROMBUS IN FALSE
LUMEN TRUE LUMEN
8.
FALSE LUMEN LRA
TRUE LUMEN
9.
10.
11.
12.
13.
14.
EKG
15.
16.
Intraoperative TEE Ascend
Aorta
17.
Intraoperative TEE –
Aortic Arch
18.
Descend Aorta –
Communication back into true lumen
19.
Descend Aorta –
Multiple Intimal Flaps
20.
21.
22.
23.
24.
Aortic Dissection
Zahir Rahman MD 10/14/02
25.
26.
Common Classification Systems
Braunwald
27.
Common Classifications of
Aortic Dissection
28.
Variants of Aortic
Dissection
29.
30.
31.
32.
33.
34.
Proposed Mechanism of
Initiation of Dissection
35.
36.
Symptoms of Aortic
Dissection According to a report on 464 patients from the International Registry of Acute Aortic Dissection. (Hagan et al. Jama 2000; 283:897-903)
37.
38.
39.
Mechanisms of Aortic
Regurgitation in Proximal AD
40.
41.
42.
Clinical Variables Associated
with High In-Hospital Mortality Rates. (Mehta et al. Circulation. 2002;105:200-206)
43.
44.
45.
(von Kodolitsch et
al, Arch Intern Med 2000;160:2977-2982)
46.
(von Kodolitsch et
al, Arch Intern Med 2000;160:2977-2982)
47.
48.
49.
50.
Normal Aorta in
CXR 3 years Prior
51.
Enlargement of the
Aortic Knob A Case of Proximal Aortic Dissection
52.
Comparison of Imaging
Modalities (Braunwald)
53.
54.
Thoracic Aortagram in
AP view
55.
56.
Contrast-Enhanced CT at
level of Ventricle
57.
Left Anterior Oblique
View Contrast Enhanced CT Intimal Flap originates beyond Left SC Artery
58.
59.
Descend Aorta –
Communication back into true lumen
60.
61.
RCA RSC LCA
INTIMA TRUE LUMEN FALSE LUMEN PULMONARY TRUNK RSC
62.
Practical Assessment of
Imaging Modalities
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
Indications for Definitive
Surgical and Medical Therapy in AD
73.
Surgical Repair of
Proximal Dissections
74.
75.
76.
77.
78.
Intramural Hematoma (H)
79.
Crescenteric Hematoma that
does not Enhance confirming a intramural Hematoma that does not communicate with the Aortic Lumen.
80.
Evolution of a
Penetrating atherosclerotic Ulcer of Aorta
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