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Non-invasive evaluation of thoracic aneurysms.
Computerized Radiology : Official Journal of the Computerized Tomography Society
|September 1, 1983
Summary
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.