Type A Dissection and Severe AR
  • Patient presented with acute decreased level of consciousness and marked electrocardiographic changes. Coronary angiography showed distortion of the left and right system ostia. LVgram and Aortagram showed impaired LV function, severe AR, and type A dissection.

LVgram

Aortagram

  • Chest X-ray before and after decreased LOC show marked change in mediastinum and CT confirms diagnosis.
Pre LOC
Post LOC
CT

Case provided by Dr. Diamantouros