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Related Experiment Videos

Roentgenographic findings in thoracic aortic dissection

F Earnest, J R Muhm, P F Sheedy

    Mayo Clinic Proceedings
    |January 1, 1979
    PubMed
    Summary

    Plain chest X-rays can suggest thoracic aortic dissection. Definitive diagnosis is achieved through catheterization, revealing key angiographic findings like false lumen opacification and intimal flaps, improving patient survival.

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    Investigative radiology·2001

    Area of Science:

    • Cardiology
    • Radiology
    • Vascular Surgery

    Background:

    • Thoracic aortic dissection is a life-threatening condition.
    • Early diagnosis is crucial for improving patient outcomes.

    Purpose of the Study:

    • To evaluate the diagnostic utility of plain chest films and angiography in thoracic aortic dissection.
    • To identify common angiographic findings in this condition.

    Main Methods:

    • Retrospective review of 91 confirmed cases of thoracic aortic dissection.
    • Analysis of plain chest films for suggestive abnormalities.
    • Definitive diagnosis in 52 cases using retrograde transfemoral or transaxillary catheterization.

    Main Results:

    • Plain chest films often showed suggestive abnormalities, particularly in the aortic contour when compared to previous imaging.
    • Catheterization was performed without complication in 52 cases.
    • Common angiographic findings included opacification of the false lumen, visualization of an intimal flap, and deformity of the true lumen.

    Conclusions:

    • Plain chest films can provide early diagnostic clues for thoracic aortic dissection.
    • Angiography is effective for definitive diagnosis and reveals characteristic findings.
    • Timely diagnosis and treatment are essential for enhancing survival rates in thoracic aortic dissection.

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