PMID: 6109899Jan 31, 1981Paper

Diagnosis of dissecting aortic aneurysm by computed tomography

Lancet
R MoncadaR Pifarre

Abstract

Computed tomography (CT) of the torso combined with simultaneous intravenous bolus injection of contrast media was used in sixteen patients suspected of having dissected their aorta. All patients had subsequent correlative percutaneous aortography within 24 h of the CT examination. Four patients proved to be normal, one had an aneurysm of the thoracic aorta, and eleven had aortic dissection (five type I, six type III dissection). All eleven patients with aortic dissections were diagnosed by CT and angiography; nine had spontaneous dissections and two had iatrogenic injuries to the aorta. Limitations of this imaging procedure include; inability to detect aortic valvular dysfunction and failure to provide an adequate perspective of aortic branch involvement. Potential benefits include: avoidance of aortogram in some cases, relative non-invasiveness, rapidity and ease of procedure, and less expense, radiation, contrast media, and discomfort to the patient. Early experience with CT-enhancement technique has reliably demonstrated normal as well as abnormal aortic wall morphology. It may have a place as an alternative to the conventional aortogram.

Citations

Jan 1, 1986·International Journal of Cardiac Imaging·S Mohr-KahalyJ Meyer
Jan 7, 1993·The New England Journal of Medicine·C A NienaberR P Spielmann
Jun 1, 1987·British Heart Journal·A J MurdayM F Sturridge
Aug 1, 1984·British Heart Journal·D L StoneA K Dixon
May 1, 1986·Acta Radiologica: Diagnosis·M LandtmanM Taavitsainen
Sep 1, 1996·Indian Journal of Pediatrics·S NijhawanR R Rai

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