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65 yr old female with sudden onset of severe abdominal and back pain.
Aortic dissection – there is an echogenic flap with in the lumen. It does not have the appearance of an artefact
65 yr old female with sudden onset of severe abdominal and back pain.
Initial management of distal dissection is control of blood pressure with analgesia, B blockers and other anti-hypertensives. CT should be performed to confirm the diagnosis and the extent of the dissection as if the ascending aorta is involved (type A) then cardiothoracic repair may be required.