CTICasesRuptured Stanford Type A aortic dissection
Imaging findings
Chest CT in a patient presenting with syncope shows a large mediastinal hematoma, hemopericardium, and an intimal flap in the ascending aorta with blood tracking into the mediastinum.
Key takeaways
Acute Stanford Type A aortic dissection can rupture through the adventitia, leading to a large mediastinal hematoma and hemopericardium, presenting radiographically as sudden mediastinal widening and tracheal deviation.
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