Abstract
A 41-year-old man collapsed after lifting weights at a gym. Following admission to
the emergency department, a 64-slice cardiac computed tomography (CT) revealed a Stanford
Type A aortic dissection arising from a previous coarctation repair. Multiphasic reconstructions
demonstrated an unstable, highly mobile aortic dissection flap that extended proximally
to involve the right coronary artery ostium. Our case is an example of the application
of electrocardiogram-gated cardiac CT in directly visualizing involvement of the coronary
ostia in acute aortic dissection, which may influence surgical management.
Keywords
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Article info
Publication history
Published online: May 20, 2009
Accepted:
March 13,
2009
Received:
February 10,
2009
Identification
Copyright
© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
