Type A Dissection Flap on Transthoracic Echocardiogram Case of the week: Outpt TTE, 3month f/u EF monitor on chemo... called to bedside.. pt: "one week ago I had sudden, excruciating CP, lasted about an hr"... see CTA after I wheeled pt to ER Type A Aortic Dissection. This is a TTE, parasternal long, looking at aortic valve. You can see the dissection flap. Take a look at the CTA.. dissection goes down to Iliacs! - Dr. Jeremy S. Pollock @bmorecardiology #TypeA #Dissection #Aortic #Dissection #Flap #Echocardiogram #POCUS #Clinical #PLAX