Friday, 12 April 2019

CASE 545: AORTIC DISSECTION, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


Man 72 yo with epigastric pain and back pain.
Ultrasound of abdomen   detected   aortic  dissection.  
US 1 : longitudinal scan of aortic  epigastric area  having of septation intra aortic lumen, double lumen sign,  to lower division.



US 2 ,  US 3 : Doppler  flow.  



US 4 : crossed section,  Doppler flow  of
echocardiography detected dissection of aorta.


MSCT angio= CT 1   crossed section  of  aortic arch
CT 2= crossed section of aorta shows double lumen in  epigastric area.
CT 3 =longitudinal scan of aorta.   
CT 4 = 3D  view of  aortic  thoraco-abdomen.




Conclusion : ultrasound detected thoraco-abdomen aortic dissection.

Treatment :  Intervention of stenting graft for aortic arch.

NOTA= In a survey of AAA at Medic Center for 10 years (1990-2000), 246/987 cases of AAA dissecting were detected and documented by ultrasound and CT scanning confirmed, # 24.9%, that had been prothesis grafting later in Binh dan hospital.

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