eMedicine Specialties > Emergency Medicine > Cardiovascular

Dissection, Aortic: Multimedia

Author: John M Wiesenfarth, MD, FACEP, FAAEM, Associate Clinical Professor, Division of Emergency Medicine, University of California Davis; Chief, Department of Emergency Medicine, Kaiser-Permanente Hospital Sacramento/Roseville
Contributor Information and Disclosures

Updated: Aug 28, 2009

Multimedia

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Media file 1: Chest radiograph of a patient with aortic dissection. Image courtesy of Dr. K. London, University of California at Davis Medical Center.

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Chest radiograph of a patient with aortic dissection. Image courtesy of Dr. K. London, University of California at Davis Medical Center.

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Media file 2: Chest radiograph of a patient with aortic dissection presenting with hemothorax.

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Chest radiograph of a patient with aortic dissection presenting with hemothorax.

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Media file 3: Chest radiograph demonstrating widened mediastinum in a patient with aortic dissection.

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Chest radiograph demonstrating widened mediastinum in a patient with aortic dissection.

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Media file 4: Angiogram demonstrating dissection of the aorta (same patient as in Image 3).

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Angiogram demonstrating dissection of the aorta (same patient as in Image 3).

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Media file 5: Electrocardiogram of a patient presenting to the ED with chest pain; this patient was diagnosed with aortic dissection.

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Electrocardiogram of a patient presenting to the ED with chest pain; this patient was diagnosed with aortic dissection.

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Media file 6: Patient with an ascending type A aortic dissection showing the intimal flap. Image courtesy of Kaiser-Permanente.

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Patient with an ascending type A aortic dissection showing the intimal flap. Image courtesy of Kaiser-Permanente.

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Media file 7: Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

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Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

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Media file 8: Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

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Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

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Media file 9: Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

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Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

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Media file 10: Patient with a type A aortic dissection involving the ascending and descending aorta. Image courtesy of Kaiser-Permanente.

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Patient with a type A aortic dissection involving the ascending and descending aorta. Image courtesy of Kaiser-Permanente.

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Media file 11: Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

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Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

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Media file 12: Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

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Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

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Media file 13: Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

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Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

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Media file 14: Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity. Image courtesy of Kaiser-Permanente.

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Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity. Image courtesy of Kaiser-Permanente.

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Media file 15: Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

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Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

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Media file 16: Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

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Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

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Media file 17: Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

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Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

More on Dissection, Aortic

Overview: Dissection, Aortic

Differential Diagnoses & Workup: Dissection, Aortic

Treatment & Medication: Dissection, Aortic

Follow-up: Dissection, Aortic

Multimedia: Dissection, Aortic

References

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References

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Keywords

aortic dissection, thoracic aortic dissection, dissection of the thoracic aorta, aortic aneurysm, aortic tear, tear in the aortic wall, Stanford classification, DeBakey classification, cystic medial necrosis, atherosclerosis, Marfan syndrome, Ehlers-Danlos syndrome, adult polycystic kidney disease, Turner syndrome, Noonan syndrome, osteogenesis imperfecta, bicuspid aortic valve, coarctation of the aorta, connective-tissue disorders, homocystinuria, familial hypercholesterolemia, syphilis, crackcocaine use, cardiac catheterization, myocardial infarction, syncope, cerebrovascular accident

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Contributor Information and Disclosures

Author

John M Wiesenfarth, MD, FACEP, FAAEM, Associate Clinical Professor, Division of Emergency Medicine, University of California Davis; Chief, Department of Emergency Medicine, Kaiser-Permanente Hospital Sacramento/Roseville
John M Wiesenfarth, MD, FACEP, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Joseph J Sachter, MD, FACEP, Consulting Staff, Department of Emergency Medicine, Muhlenberg Regional Medical Center
Joseph J Sachter, MD, FACEP is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Physician Executives, American Medical Association, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Gary Setnik, MD, Chair, Department of Emergency Medicine, Mount Auburn Hospital; Assistant Professor, Division of Emergency Medicine, Harvard Medical School
Gary Setnik, MD is a member of the following medical societies: American College of Emergency Physicians, National Association of EMS Physicians, and Society for Academic Emergency Medicine
Disclosure: SironaHealth Salary Management position; South Middlesex EMS Consortium Salary Management position

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Barry E Brenner, MD, PhD, FACEP, Professor of Emergency Medicine, Professor of Internal Medicine, Program Director, Emergency Medicine, University Hospitals, Case Medical Center
Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Chest Physicians, American College of Emergency Physicians, American College of Physicians, American Heart Association, American Thoracic Society, Arkansas Medical Society, New York Academy of Medicine, New York Academy of Sciences, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

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eMedicine Specialties > Emergency Medicine > Cardiovascular

Dissection, Aortic: Multimedia

Multimedia

Chest radiograph of a patient with aortic dissection. Image courtesy of Dr. K. London, University of California at Davis Medical Center.

Chest radiograph of a patient with aortic dissection presenting with hemothorax.

Chest radiograph demonstrating widened mediastinum in a patient with aortic dissection.

Angiogram demonstrating dissection of the aorta (same patient as in Image 3).

Electrocardiogram of a patient presenting to the ED with chest pain; this patient was diagnosed with aortic dissection.

Patient with an ascending type A aortic dissection showing the intimal flap. Image courtesy of Kaiser-Permanente.

Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

Patient with an ascending type A aortic dissection showing the intimal flap (same patient as in Images 6-9). Image courtesy of Kaiser-Permanente.

Patient with a type A aortic dissection involving the ascending and descending aorta. Image courtesy of Kaiser-Permanente.

Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

Patient with a type A aortic dissection involving the ascending and descending aorta (same patient as in Images 10-13). Image courtesy of Kaiser-Permanente.

Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity. Image courtesy of Kaiser-Permanente.

Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

Patient showing a type B aortic dissection with extravasation of blood into the pleural cavity (same patient as in Images 14-17). Image courtesy of Kaiser-Permanente.

More on Dissection, Aortic

References

Further Reading

Keywords

Contributor Information and Disclosures

Author

Medical Editor

Pharmacy Editor

Managing Editor

CME Editor

Chief Editor