EuroPCR2026-images-101627-Routine-angiobut-coronary-ostia

What do you see?

Acute aortic dissection with intimal flap and extension into ascending aorta

Coronary artery perforation with hemopericardium/tamponade

Aortic pseudoaneurysm (contained rupture)

Correct! The correct answer is "Acute aortic dissection with intimal flap and extension into ascending aorta".

Dilated ascending aorta (dashed lines), intimal flap (white arrow), propagation towards aortic arch (black arrow) and frank aortic regurgitation (white asterisk) should rise suspicion of acute AD.

Good try! The correct answer is "Acute aortic dissection with intimal flap and extension into ascending aorta".

Dilated ascending aorta (dashed lines), intimal flap (white arrow), propagation towards aortic arch (black arrow) and frank aortic regurgitation (white asterisk) should rise suspicion of acute AD.

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