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Published on: September 8, 2023
Pulmonary multislice computed tomography findings in acute aortic dissection.
Aslihan Semiz-Oysu1, Aysegul Okur, Sinan Sahin
1Umraniye Training and Research Hospital, Department of Radiology, Istanbul, Turkey;
Pulmonary imaging findings like pleural effusion and mosaic attenuation are common in acute aortic dissection. Further research is needed to understand the clinical significance of these multislice computed tomography (CT) findings.
Area of Science:
- Radiology
- Cardiovascular Imaging
- Thoracic Imaging
Background:
- Acute aortic dissection is a life-threatening condition.
- Pulmonary manifestations of acute aortic dissection are not well-characterized.
- Multislice computed tomography (CT) is crucial for diagnosing aortic dissection.
Purpose of the Study:
- To document the types and incidence of pulmonary findings on multislice CT in patients with acute aortic dissection.
- To identify common and uncommon pulmonary abnormalities associated with acute aortic dissection.
Main Methods:
- Retrospective review of multidetector CT scans.
- Analysis of 36 patients diagnosed with acute aortic dissection or intramural hematoma.
- Documentation of specific pulmonary imaging features.
Main Results:
- Common findings included pleural effusion, dependent lung stasis, mosaic attenuation, and interstitial thickening.
- Vascular enlargement and compression atelectasis were also frequently observed.
- Less common findings included air trapping, emphysema, consolidation, nodules, bronchiectasis, and scarring.
Conclusions:
- Acute aortic dissection can present with a variety of pulmonary imaging findings on CT.
- These pulmonary findings may have clinical significance and warrant further investigation.
- Understanding these associated findings can aid in comprehensive diagnosis and patient management.
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