Sequential computed tomography documentation of acute type A aortic dissection progressing to rupture.
Jin Kato1, Mio Kasai1, Mitsuharu Mori1
1Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashimachi, Utsunomiya, Tochigi, 321-0974 Japan.
Indian Journal of Thoracic and Cardiovascular Surgery
|November 24, 2025
Summary
A rare case of aortic dissection with documented rupture is presented. Advanced imaging precisely located the aortic rupture, aiding emergent diagnosis and highlighting the critical role of radiology in critical cardiovascular events.
Area of Science:
- Cardiovascular Medicine
- Radiology
- Medical Imaging
Background:
- Aortic dissection is a life-threatening condition.
- Rupture is a severe complication of aortic dissection.
- Prompt diagnosis is crucial for patient survival.
Purpose of the Study:
- To report a rare case of aortic dissection with radiologically documented rupture.
- To illustrate the utility of sequential computed tomography (CT) in capturing the progression from dissection to rupture.
- To emphasize the role of advanced imaging in emergent diagnosis of cardiovascular emergencies.
Main Methods:
- A case study of a 65-year-old male patient presenting with sudden loss of consciousness.
- Sequential computed tomography (CT) scans, including non-contrast and contrast-enhanced phases.
- Detailed analysis of imaging findings to identify the intimal tear and pericardial sac perforation.
Main Results:
- The study documented a rare instance of aortic dissection progressing to rupture.
- Sequential CT scans successfully captured the transition from dissection to rupture.
- The intimal tear was identified at the dorsal aspect of the aortic root, with evidence of pericardial sac perforation.
Conclusions:
- This case highlights the diagnostic power of advanced imaging in pinpointing aortic rupture.
- Sequential CT imaging can anatomically delineate the progression of aortic dissection to rupture.
- Radiological findings have significant implications for emergent diagnosis and management of aortic emergencies.
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