Keywords:
Cardiovascular system, Cardiac, Vascular, CT-Angiography, CT, MR-Functional imaging, Diagnostic procedure, Surgery
Authors:
A. Zhi, R. Dai, P. Zhang, S. Jiang, B. Lv; Beijing/CN
DOI:
10.26044/ecr2019/C-2883
Results
Baseline Characteristics
Among 2133 patients with type A aortic dissection or intramural hematoma,
264 patients were retrospectively diagnosed with pulmonary artery involvement,
and the detection rate was 12.38% (264 of 2133).
The age of 264 patients ranged from 28 to 90 years (mean age 57.6±11.9),
including 171 males and 93 females.
1.
CT examination results
There were 191 cases of type A aortic dissection and 73 cases of type A intramural hematoma in 264 patients.
As for the pulmonary artery involvement,
7 cases had dissection and 259 cases had hematoma.
Pulmonary artery involvement by location was distributed as 99.24% (262 of 264) of main pulmonary artery involvement,
96.59% of right pulmonary artery (255 of 264),
30.68% of peripheral branch of right pulmonary artery (81 of 264),
85.61% of left pulmonary artery (226 of 264),
and 18.18% of peripheral branch of left pulmonary artery (44 of 264).
2.
Treatment and follow-up results
All patients had a mortality rate of 36.74% (97 of 264) during hospitalization.
135 cases were treated by surgery with a mortality rate of 12.59% (17 of 135),
and 118 cases were discharged after operation (including 5 cases with paraplegia).
129 cases were treated by conservative treatment with a mortality rate of 62.01% (80 of 129).