13 May 2025
: Case report 
Thoracic Aortic Dissection (Type B) Managed with Emergency Cesarean Section and Thoracic Endovascular Aortic Repair
Unusual clinical course
Julia Tarnowska
ABCDEFG 1*, Oskar Gąsiorowski BCDE 1, Jerzy Leszczyński BD 1, Kamil Stępkowski BD 1, Zbigniew Gałązka DEG 1, Ewa Romejko-Wolniewicz BD 2
DOI: 10.12659/AJCR.947148
Am J Case Rep 2025; 26:e947148
Figure 2 Chest computed tomography (CT) scans with contrast. Axial chest CT scans with contrast demonstrated the aortic dissection, with the false lumen (A) measuring 1.84 cm in diameter and the true lumen (B) measuring 0.78 cm in diameter. The dissection flap is clearly visible, separating the 2 lumina. (C) Sagittal chest CT scans with contrast showed a dissection flap separating the true lumen from the false lumen, with evidence of contrast enhancement in both lumina. (D, E) The coeliac vessels were covered and compressed by the false lumen, as indicated by the yellow ellipse in image D. This compression resulted in intestinal ischemia and subsequent necrosis, which was confirmed during surgical exploration.