Aortic Dissection Flap in Arch of Aorta

A 65-year-old male presents with shortness of breath (no chest pain) and was found to have a dilated aortic root on CT pulmonary angiogram. POCUS (supra sternal view) showed a dissection flap in the arch of aorta; a finding subsequently confirmed on CT aortagram. Patient was sent for emergency surgical intervention.

Dr.Rajasutharsan Kathirgamanathan, Emergency Physician
The Northern Hospital, Melbourne, Australia
@raj_kathir007

Suprasternal View of Type A Dissection

Suprasternal notch view shows a mobile intimal dissection flap in the aortic arch.

Michael Cover, MD
@michaelc0ver

Type A Aortic Dissection - Double Valve Sign

Type A aortic dissection flap appears as a "second valve" on this parasternal long axis cardiac view.

Michael Cover, MD
@michaelc0ver

Descending Thoracic Aorta Flap Seen on Apical 4 Chamber

33 yo male presented with chest/epigastric pain. POCUS is notable for acute aortic dissection as seen in the descending thoracic aorta flap as well as presence of a pericardial effusion.

Maxime Gautier

Thoracic Aortic Dissection & Aneurysm

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