Non-invasive evaluation of thoracic aneurysms

Computerized Radiology : Official Journal of the Computerized Tomography Society
|September 1, 1983
PubMed

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.

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