CTICasesAortic Dissection with Hemorrhage Dissecting Around Pulmonary Arteries
Imaging findings
Imaging revealed a Type-A aortic dissection with evidence of rupture and extensive acute hemorrhage dissecting around the pulmonary arteries, reaching peripheral pulmonary vessels. Associated findings included hemopericardium and involvement of the innominate subclavian artery. Ground glass opacity around the pulmonary arteries was also noted, presumed to be hemorrhage.
Key takeaways
A striking example of a ruptured Type-A aortic dissection where hemorrhage dissects extensively into the shared common sheaths surrounding the pulmonary arteries, resulting in widespread perivascular hemorrhage and associated hemopericardium.
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