Learning objectives
Identify through history of the disease and clinical findings of acute aortic disease.
Know the classification of Stanford, deBakey and DISSECT for acute aortic diseases.
Know the computed tomography as the first diagnostic imaging modality for aortic emergencies.
Analyze all the radiological characteristics of aortic dissections, and their complications.
Report radiological findings in a timely, accurate and clear way to have and accurate treatment.
Background
Acute aortic dissection is the aortic pathology with emergency character, often resulting in the death of the patient, it is important, the radiologist who can interpret the CT in the shortest possible time, in 10 minutes; for that, we need the diagnostic image to be fast and to be available to all emergency places, these features are the CT scan. This has a sensitivity and specificity of nearly 100%. Early diagnosis and treatment are essential for improving the prognosis
The aortic dissection is the result...
Findings and procedure details
Diagnostic imaging in acute chest pain
Chest radiography usually represents the first imaging modality performed in patients with widening of the superior mediastinum and displacement of aortic wall calcifications, in the appropiate clinical setting, may suggest the diagnosis of aortic dissection, however, these findings may be difficult to evaluate.
CT scan using helical technology is fast and easy to perform and can be obtained at any time of day and night; can cover large anatomic areas with good spatial resolution and short scan duration
Magnetic...
Conclusion
Aorticdissectionisthemostcommonacuteemergencycondition.
Know the classification for acute aortic dissection used in the hospital orworkplace.
Earlydiagnosis andtreatmentareessentialforimprovingtheprognosis.
Itisrecommendedthatthescanningfieldincludetheentireaorta andpelvicvessels.
The report must be clear, concise and organized, with everything the vascular surgeon requests in the shortest possibletime.
Personal information and conflict of interest
J. G. Del Aguila Hernández; Guatemala/GT - nothing to disclose J. Alfaro; Guatemala/GT - nothing to disclose G. Guzman; Guatemala/GT - nothing to disclose
References
Khan Ijaz. Nair Chandra. Clinical, diagnostic and management perspective of aortic dissection. Chest Journal Eur. Jul 2002; 122/1
Castañer E. Gallardo Andre. Mata. CT in non traumatic acute thoracic aortic disease: typical and atypical features and complications. RSNA radiographics 2003; 23; S93-S110
Bonomo, Lorenzo. Di Fabio, Francesca. Larici Anna. Non-traumatic thoracic emergencies: acute chest pain: diagnostic strategies. Eur Radiol (2002) 12:1872-1885 DOI 10.1007/s00330-002-1483-2
Carmen Sebastia. Esther Pallisa. Sergui Quiroga. Aortic dissection: diagnosis and follow up with helicoidal CT. RSNA Radiographics. 1999; 19:45-60
Weissleder. Wittenberg. Harisinghani....