Acute rupture of a dissecting aneurysm of the aorta - view from ventral onto the heart, the aortic valve and ascending aorta with the "entry point" of the aneurysm 6cm above the aortic valve held open by clamps.
Additional findings: Dissecting aneurysm of the ascending aorta (type A according to Stanford, see classifications of aortic dissection), extending to the common iliac arteries. Entry 60mm above the aortic valve. Re-entry of the dissecting aneurysm in the right iliac artery. Fresh rupture (55mm long vertical tear) in the ascending aorta. Hemorrhage in the pericardium (hemorrhagic, partly coagulated pericardial effusion of 1000 ml). Aneurysm-related compression of the right renal artery and the abdominal aorta just before bifurcation. Fresh hemorrhage in the perirenal fat and fresh hematoma in the right area of ??the right psoas muscle (about 300ml).
Hospital: 87-year-old patient with arterial hypertension. Leriche's syndrome.
Comment: A complete occlusion of the true lumen of the aorta distal from the bifurcation of the false lumen leading to Leriche syndrome (pale gray mottling of the entire lower body).
Source: © PathoPic