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Measurement of Pulse Propagation Velocity, Distensibility and Strain in an Abdominal Aortic Aneurysm Mouse Model
Published on: February 23, 2020
Non-invasive evaluation of thoracic aneurysms
Insights
Computed tomography (CT) effectively evaluates thoracic aorta abnormalities, differentiating conditions like aneurysms and dissections. CT is also valuable for long-term follow-up of aortic dissections and assessing ruptures.
Area of Science:
- Cardiovascular Imaging
- Diagnostic Radiology
- Thoracic Surgery
Background:
- Thoracic aorta abnormalities require accurate diagnostic methods.
- Standard chest radiographs have limitations in evaluating complex aortic pathologies.
- Computed tomography (CT) offers advanced imaging capabilities for the aorta.
Purpose of the Study:
- To assess the efficacy of contrast-enhanced computed tomography (CT) in evaluating thoracic aorta abnormalities.
- To compare CT findings with standard chest radiographs, angiography, and surgical outcomes.
- To identify distinguishing pathological features of aortic diseases using CT.
Main Methods:
- Sixty-six patients with suspected thoracic aorta abnormalities underwent CT examination.
- CT data were compared with chest radiographs, angiography, and surgical findings.
- Contrast enhancement was utilized to improve image quality and diagnostic accuracy.
Main Results:
- Contrast-enhanced CT effectively evaluated and differentiated between tortuous aorta, atherosclerotic aneurysm, and aortic dissection.
- CT identified extra-aortic masses and assessed aneurysmal rupture or leakage.
- CT demonstrated utility in long-term follow-up of aortic dissections, particularly Type III.
Conclusions:
- Computed tomography is a valuable tool for diagnosing and characterizing thoracic aorta pathologies.
- CT provides comprehensive evaluation, aiding in surgical planning and patient management.
- While angiography may be needed for intimal tear delineation, CT excels in follow-up and assessing complications.
Abstract:
Sixty-six patients with possible abnormalities of the thoracic aorta were examined by CT and the data compared with standard chest radiographs, angiography and, in most, with the surgical findings. Using contrast enhancement computed tomography was able to evaluate and differentiate between a tortuous aorta, an atherosclerotic aneurysm, and aortic dissection and extra-aortic masses. Distinguishing pathological features are discussed. In aortic dissections angiography may be necessary to delineate the site of the intimal tear. Long term follow-up of aortic dissections, especially Type III, is best done by CT. Aneurysmal rupture or leakage, as well as extension into the abdominal aorta, can easily be ascertained by this method.
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