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Thorax CT angiography showing the dilatation of ascending aorta of a patient before surgery on admission to our center.
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A contrast computed tomography (CT) scan was performed and revealed ascending aorta dilatation of 48.5 mm without aortic dissection and sinus valsalva of 46 mm (Fig. 1). The last thorax CT (that we took in our clinic did not demostrate dissection flap (Fig. 1). Both imagings of Figs 1 and were avaluated under the same radyologic level for accuracy.
A picture that shows a chronic dissection flap of a patient during surgery.
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OM1 (80-90%) on its midportion where by the other coronary arteries were normal. On operation, following standard cannulation aortotomy was done where by the left main coronary artery osteal on the ascending aorta position was found to have a chronic dissection flap with dimension of 15 mm x 30 mm in size (Fig. 2).
Thorax MR of a patient 15 years ago shows a dissection flap.
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Both echocardiography and thorax magnetic resonance (MR) revealed pericardial effusion on posterior side of the heart (hemopericardium) with dissection flap (Fig. 3).