PMID: 1202971Nov 1, 1975Paper

Dissecting aneurysm of thoracic aorta: reappraisal of radiologic diagnosis

The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
Y ItzchakV Deutsch

Abstract

In a series of 24 cases of acute dissecting aneurysm of the aorta (not including Marfan's disease) the diagnosis was usually suspected on the basis of the clinical picture and plain chest roentgenograms. The most consistent clinical sign was severe pain. Absent pulses and a neurological deficit were each noted in only five patients. In many cases there was no correlation between the clinical picture and the type or the extent of the dissection. Widening of the aortic arch and obliteration of the aortic knob with displacement of the trachea to the right are the most common signs in plain chest roentgenograms. A barium swallow examination in these cases reveals an elongated compression and displacement of the esophagus by the aortic arch. Calcification in the area of the aortic arch is the exception rather than the rule in dissecting aneurysms. Angiography is essential for the definitive diagnosis of dissecting aneurysms. The diagnosis is based on the demonstration of two channels, either by the presence of a linear radiolucency separating the two lumens, or by differences in flow that present as delayed opacification or delayed washout. If only the true lumen is opacified, widening of the outer extraluminal border of the aorta o...Continue Reading

Citations

Oct 31, 1978·Cardiovascular Radiology·R W KatzbergJ A deWeese
Jan 1, 1980·Cardiovascular and Interventional Radiology·S L Kaufman, R I White
Jan 1, 1989·Seminars in Roentgenology·T C DemosR E Marsan
Jan 1, 1983·The Journal of Emergency Medicine·M C EttingerH M Northup
Jun 1, 1994·Revista española de cardiología·J SalaJ Barthe
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Mar 1, 1979·The American Journal of Cardiology·P R Cipriano, R B Griepp
Nov 2, 2013·Heart International·Mohammad Yusuf BeebeejaunHassan Alkhawam
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Jan 1, 1980·Scandinavian Journal of Thoracic and Cardiovascular Surgery·J Andresen, F Axelsen

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Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

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