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CT angiography for depiction of complications after the Bentall procedure

Sara Boccalini1, Laurens E Swart1, Jos A Bekkers2

  • 1Department of Radiology, Erasmus Medical Centre, Rotterdam, The Netherlands.

The British Journal of Radiology
|July 27, 2018
PubMed

Insights

Computed tomography (CT) angiography with ECG-gating improves visualization of complications after Bentall procedures, enhancing diagnosis and reducing the need for other imaging methods. Positron emission tomography combined with CT angiography aids in detecting infections.

Area of Science:

  • Cardiovascular Surgery
  • Diagnostic Imaging
  • Radiology

Background:

  • The Bentall procedure involves composite replacement of the aortic valve and ascending aorta.
  • CT angiography is the primary imaging modality for assessing complications post-Bentall procedure.
  • Advances in imaging technology are enhancing diagnostic capabilities.

Purpose of the Study:

  • To provide an updated review of complications following the Bentall procedure.
  • To highlight the impact of technological advancements on complication detection and assessment.
  • To discuss the utility of combined imaging techniques for specific complications.

Main Methods:

  • Review of literature on complications after Bentall procedure.
  • Discussion of the role of CT angiography, particularly with ECG-gating.
  • Exploration of the combined use of positron emission tomography and CT angiography.

Main Results:

  • ECG-gating in CT angiography allows for clearer visualization of the aortic valve and ascending aorta.
  • Improved detection of previously undetectable complications and more precise assessment of known ones.
  • Combined PET-CT offers new insights for suspected infections post-procedure.

Conclusions:

  • ECG-gated CT angiography is crucial for comprehensive evaluation of Bentall procedure complications.
  • Combined PET-CT imaging enhances the diagnostic accuracy for suspected infections.
  • The complexity of the procedure necessitates ongoing vigilance for diverse and multiple complications.

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