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Fig. 5B. —68-year-old man with aberrant right subclavian artery and horseshoe kidney. Axial contrast-enhanced CT scan shows dissection involving aortic arch with calcifications within intimomedial flap and different attenuation of enhanced blood within true and false (arrow) lumens. Intimal tears leading to dissection frequently form in areas of elevated hydraulic stress, such as region of aberrant vessel origin.

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