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Aortic Dissection with Adventitial Extension

Imaging findings

Acute aortic dissection involving the ascending aorta with blood density tracking along the shared adventitial sheath of the pulmonary arteries, extending to sub-segmental branches.

Key takeaways

Blood can extend along the shared adventitial sheath between the aorta and pulmonary arteries. This can be extensive and may act as a decompressive mechanism during an acute dissection.

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