Chronic Descending Aortic Dissection

by: Paul Haluska, M.D.

• Spontaneous contrast in the false lumen and entry tear.
• Sequential tomographic cuts obtained by advancing the transesophageal echo probe.
• Partial thrombosis of the false lumen.
• Grayscale flow Doppler in the true lumen and in the entry tear.
• Less thrombus in the false lumen a few millimeters lower.
• Cyclical compression of the true lumen.
• Lung parenchyma is shown in addition to the dissection.
• Small caliber of true lumen compared to the false lumen at the gastroesophageal juntion.
• Grayscale flow in the true lumen.

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