PMC4109323_01
(a) Chest X-ray on admission day, (b) postoperative day 6.
CRIM2014-842872.001.jpg
PMC4109323_01_CRIM2014-842872.001.jpg
fig1
CRP 2 mg/dL, D-dimer 942 ng/mL, BNP 1000 pg/mL, and troponin T 0.05 ng/mL. Chest X-ray at the time of presentation showed bilateral pulmonary infiltrates (Figure 1(a)). This was likely due to pulmonary edema, as evidenced by bilateral lower lung field opacities seen on chest X-ray (Figure 1(b)).
CT scan of chest prior to admission shows aortic dissection.
CRIM2014-842872.002.jpg
PMC4109323_01_CRIM2014-842872.002.jpg
fig2
When a CT scan of the chest showed a dissecting aneurysm of the ascending aorta (Figure 2), the patient was transferred to our hospital and successfully underwent aortic dissection repair.
3D reconstruction of the aorta 82 days after aortic repair.
CRIM2014-842872.003.jpg
PMC4109323_01_CRIM2014-842872.003.jpg
fig3
A follow-up 3D reconstruction of the aorta 82 days after the surgery is shown in Figure 3.
CT scan of second aortic aneurysm and dissection.
CRIM2014-842872.004.jpg
PMC4109323_01_CRIM2014-842872.004.jpg
fig4
The origins of the innominate artery, left common carotid artery, and left subclavian artery were dissected focally, and the dissection continued down into the common iliac arteries bilaterally (Figures 4 and 5).
3D reconstruction of the second aortic dissection.
CRIM2014-842872.005.jpg
PMC4109323_01_CRIM2014-842872.005.jpg
fig5
The origins of the innominate artery, left common carotid artery, and left subclavian artery were dissected focally, and the dissection continued down into the common iliac arteries bilaterally (Figures 4 and 5).