PMC5012799_01
Type B hematoma formation in the descending thoracic aorta with internal deviation of intimal calcification. At left: non-contrast computed tomography. At right: TEE showing tickening of aorta
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Initial non-contrast CT and transoesophagel echography (TEE) (Figure 1) showed a Stanford type B hematoma formation in the descending thoracic aorta with internal deviation of intimal calcification.
Intimal tear, with a reperfusion area in the hematoma. A) contrast enhanced CT scan; B) TEE; C) CT scan with reconstruction
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CT scan and TEE (Figure 2 A, B) revealed ULP, appearing as an intimal tear, with a reperfusion area in the hematoma. Contrast CT scan showed the importance of the reperfusion area (Figure 2 C).
Enhaced CT scan 3 months later: ectasic aorta with stable hematoma
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On the 3 months follow up contrast CT scan (Figure 3), there was no aortic dissection or aneurysm.