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Thoracic aortic imaging without angiography.

J H Sanders, S Malave, H L Neiman

    Archives of Surgery (Chicago, Ill. : 1960)
    |November 1, 1979
    PubMed
    Summary
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    Computerized tomography (CT) effectively images the thoracic aorta, diagnosing dissections and aneurysms. This non-invasive method aids in evaluating mediastinal disease and related aortic pathology.

    Area of Science:

    • Radiology
    • Cardiovascular Imaging
    • Thoracic Surgery

    Background:

    • Angiography has traditionally been used for thoracic aorta imaging.
    • Non-invasive imaging modalities are sought for evaluating mediastinal disease and aortic pathology.

    Purpose of the Study:

    • To evaluate the utility of computerized tomography (CT) in the initial assessment of thoracic aortic pathology.
    • To determine the accuracy of CT in diagnosing conditions like aortic dissection and aneurysm.

    Main Methods:

    • Computerized tomography (CT) was performed on 297 patients with suspected mediastinal disease.
    • Intravenous contrast material was administered to enhance visualization of the aorta and related structures.

    Main Results:

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  • CT identified important thoracic aortic findings in 19 patients, including aortic dissection, descending thoracic aortic aneurysm, and suspected trauma.
  • CT accurately diagnosed aortic dissection and aneurysm in 13 out of 15 cases.
  • Distinguishing false lumen from mural thrombus in ascending aortic dissection proved challenging in two cases.
  • Conclusions:

    • Computerized tomography (CT) is a valuable non-invasive tool for evaluating the thoracic aorta in patients with suspected mediastinal disease.
    • CT demonstrates aortic pathology effectively, aiding in the diagnosis of dissections and aneurysms.
    • While highly accurate, CT may have limitations in differentiating certain complex aortic pathologies.