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[Evaluation of aortic dissection by transverse computerized tomography (CT scan)]

D Morin, P Schnyder, L Pfister

    Schweizerische Medizinische Wochenschrift
    |May 22, 1982
    PubMed
    Summary

    CT-scanning is a reliable non-invasive method for diagnosing thoracic aortic dissection. It effectively identifies key features, delineates dissection extent, and monitors disease progression after treatment.

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    Area of Science:

    • Radiology
    • Cardiovascular Imaging
    • Thoracic Surgery

    Background:

    • Aortic dissection is a life-threatening condition requiring accurate diagnosis.
    • Traditional diagnostic methods may have limitations.

    Purpose of the Study:

    • To evaluate the efficacy of CT-scanning in diagnosing and monitoring thoracic aortic dissection.
    • To identify characteristic CT findings of aortic dissection.

    Main Methods:

    • CT-scanning was performed on 20 patients with suspected thoracic aortic dissection.
    • Contrast-enhanced CT was utilized in most cases.
    • Follow-up examinations were conducted in a subset of patients.

    Main Results:

    • CT-scanning identified the false channel in 95% and intimal flap in 90% of patients.

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  • Displacement of calcifications was observed in 60% of cases.
  • Contrast opacification of the false channel was often partial and delayed.

    • Conclusions:

    • CT-scanning is a reliable non-invasive tool for diagnosing thoracic aortic dissection.
    • It accurately delineates the extent of the dissection.
    • CT allows for effective follow-up of disease evolution and treatment response.