case_images: PMC8230154_01
case_images: Transthoracic echocardiography - posterior paraspinal window, long-axis view, demonstrating an intimal flap in the descending thoracic aorta lumen
case_images: JCE-31-45-g001.jpg
case_images: PMC8230154_01_JCE-31-45-g001.jpg
case_images: F1
case_images: TTE (by E9 Machine, GE, Boston, USA) in the left lateral decubitus position, using a sector transducer. TTE - via the parasternal, apical, and subcostal windows - did not demonstrate aortic lesions, while - via the left posterior paraspinal window - a clear intimal flap in the descending thoracic aorta (DTA) lumen was demonstrated [Figure 1 and Video 1].
case_images: Multidetector computed tomographic angiography demonstrating a complete thrombosis of the false lumen in the descending thoracic aorta (orange arrow)
case_images: JCE-31-45-g002.jpg
case_images: PMC8230154_01_JCE-31-45-g002.jpg
case_images: F2
case_images: Type-B thoracic aorta dissection [Figure 2]. The patient developed hemodynamic deterioration and was treated by emergent thoracic endovascular aortic repair realizing a full metal jacket thoracic-abdominal aorta [Figure 3].
case_images: Electrocardiographically-gated computed tomography aortogram (left) with three-dimensional volume rendering images (right) demonstrating a full metal jacket thoracic-abdominal aorta
case_images: JCE-31-45-g003.jpg
case_images: PMC8230154_01_JCE-31-45-g003.jpg
case_images: F3
case_images: Type-B thoracic aorta dissection [Figure 2]. The patient developed hemodynamic deterioration and was treated by emergent thoracic endovascular aortic repair realizing a full metal jacket thoracic-abdominal aorta [Figure 3].