Evolution of post-traumatic aortic aneurysm in the subacute phase: magnetic resonance imaging follow-up as a support of the surgical timing

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Rossella FattoriAngelo Pierangeli

Abstract

A recent surgical series documented that in traumatic aortic rupture (TAR) a surgical repair postponed to the treatment of associated lesions reduced operative and overall mortality. Nevertheless some isolated cases may develop to free rupture. Until now, no imaging follow-up studies of post-traumatic aortic lesions have been reported in the early stage. The aim of this study is to analyze the behaviour of traumatic aortic ruptures in the subacute phase, in order to detect the morphological characteristics of unstable post-traumatic aneurysms. Twenty-five consecutive patients affected by traumatic aortic rupture (one intimal hemorrhage, 19 partial lesions and five circumferential lesions) were admitted to the department of cardiac surgery. Magnetic resonance imaging (MRI) was the imaging method used to confirm the diagnosis. No one was operated on during the acute phase. All patients were treated with beta-blockers and vasodilators as well as limited fluid administration. Delayed surgery was carried out in 18 patients at 243 days (+/-127), after the resolution of associated lesions. A scheduled MRI follow-up was performed at 7, 15 and 30 days and immediately before the operation. The parameters examined were increase of post-tr...Continue Reading

Citations

Oct 14, 2005·European Radiology·Vincenzo RussoRossella Fattori
Aug 20, 2002·AJR. American Journal of Roentgenology·Rossella FattoriGiampaolo Gavelli
Aug 20, 2008·Radiology·Scott D SteenburgScott Reeves
Nov 15, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R FattoriR Di Bartolomeo
May 9, 2006·The Journal of Thoracic and Cardiovascular Surgery·Andrea AgostinelliTiziano Gherli
Nov 5, 1999·Journal of Magnetic Resonance Imaging : JMRI·R Fattori, C A Nienaber

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