PMC8230154_01
Transthoracic echocardiography - posterior paraspinal window, long-axis view, demonstrating an intimal flap in the descending thoracic aorta lumen
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F1
TTE (by E9 Machine, GE, Boston, USA) in the left lateral decubitus position, using a sector transducer. TTE - via the parasternal, apical, and subcostal windows - did not demonstrate aortic lesions, while - via the left posterior paraspinal window - a clear intimal flap in the descending thoracic aorta (DTA) lumen was demonstrated [Figure 1 and Video 1].
Multidetector computed tomographic angiography demonstrating a complete thrombosis of the false lumen in the descending thoracic aorta (orange arrow)
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F2
Type-B thoracic aorta dissection [Figure 2]. The patient developed hemodynamic deterioration and was treated by emergent thoracic endovascular aortic repair realizing a full metal jacket thoracic-abdominal aorta [Figure 3].
Electrocardiographically-gated computed tomography aortogram (left) with three-dimensional volume rendering images (right) demonstrating a full metal jacket thoracic-abdominal aorta
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F3
Type-B thoracic aorta dissection [Figure 2]. The patient developed hemodynamic deterioration and was treated by emergent thoracic endovascular aortic repair realizing a full metal jacket thoracic-abdominal aorta [Figure 3].