An extensive and diverse spectrum of diseases require thoracic aortic surgery, either in emergency need or as an elective procedure. The most important aortic pathological conditions needing treatmentare aortic dissection, intramural hematoma,penetrating ulcer,traumatic rupture,aortic aneurysm and CT angiography represent the most common method used for patient postoperative assessment. [1-3] (Fig.1-6) Postoperative imaging can be complex, as normal findings may simulate disease, and early detection of complication can prevent life-threatening conditions. So familiarity with expected CT appearance always in correlation with knowledge of surgical techniques can...

We retrospectively studied, in collaboration with cardiac surgery department of Evaggelismos General Athens Hospital, cases of more than 100 patients whounderwent thoracic aorta repair surgery, in order to review and describe normal and abnormal postoperative CT findings.Most of our patientsimaging studies, have been performedasCT Angiography or Chest CT scans, with or without intravenous contrast administration, either during early or late post-operative period. Although not a common discovery, complications subsequent an open thoracic aortic surgery, can occasionally be detected at computed tomography, even in patients with...

Our CT examinations have beenperformed using our 64-slice MDCT (Brilliance, Philips).Most of the studies were consisted of non and contrast enhanced CT angiography. When a particular question about the aortic root existed, ECG gated CT angiography was performed. Few cases of patients imaging examinations have also come to our attentions for a consultation by the surgical team. Knowledge of surgical techniques permits the differentiation between expected postoperative findings and complications. For the replacement of thoracic aorta two types aortic grafts are used, synthetic and tissue....

Recognition of the great variety of postoperative findings after open thoracic aortic surgery and understanding the implications they could represent, can significant upgrade clinical daily routine and provide best patient’s management.

Niki Lama, MD, EDiR Consultant Radiologist CT department Konstantopouleio General Athens Hospital Vasileios Patris, MD, MSc Consultant Cardiac Surgeon Cardiac Surgery Department Evaggelismos General Athens Hospital Dimitrios Fagrezos, MD, MSc Consultant Radiologist CT department Konstantopouleio General Athens Hospital Sofia Gourtsoyianni, MD, PhD Consultant Radiologist CT department Konstantopouleio General Athens Hospital Charikleia Triantopoulou, MD, PhD Head Consultant Radiologist Radiology Department Konstantopouleio General Athens Hospital Michalis Argiriou, MD, MSc, PhD Consultant Cardiac Surgeon Cardiac Surgery Department Evaggelismos General Athens Hospital Petros Maniatis, MD, PhD Head Consultant Radiologist...

1.2010ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease 96 Normal 0 false false false EN-GB X-NONE X-NONE Circulation 2010;121:e266-e369 https://doi.org/10.1161/CIR.0b013e3181d4739e 2.What is the appropriate size criterion for resection of thoracic aortic aneurysm Coady MA, Rizzo JA, Hammond GL, Mandapati D, Darr U, Kopf GS, Elefteriades JA J Thorac Cardiovasc Surg. 1997 Mar;113(3):476-91; discussion 489-91. 3.Blunt Aortic Injury David G. Neschis, M.D., Thomas M. Scalea, M.D., William R. Flinn, M.D., and Bartley P. Griffith, M.D. N Engl J Med 2008; 359:1708-1716October...