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Candle flame appearance in dissection of aorta
  2. P K DASH,
  3. V R IYER

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A 40 year old man underwent transoesophageal echocardiography for suspected dissection of aorta. Dissection extended from T7 vertebral level to L2 vertebral level. At the exit point of the dissection, there was a tiny opening through which a jet of blood flowed from the false lumen to the true lumen. The appearance produced a candle shaped image on colour Doppler imaging (Ao, aorta).