Coronary ostial involvement in acute aortic dissection: detection with 64-slice cardiac CT.
Name:
Publisher version
Affiliation
Department of Radiology, Cardiac CT/MRI Program, St. Vincent's University, Hospital, Elm Park, Dublin 4, Ireland. ronan@ronanryan.comIssue Date
2012-02-01T10:30:08ZMeSH
Acute DiseaseAdult
Aneurysm, Dissecting/*radiography
Aortic Aneurysm/*radiography
Cardiac-Gated Imaging Techniques/*methods
Coronary Angiography/*methods
Humans
Male
Tomography, X-Ray Computed/*methods
Metadata
Show full item recordCitation
Clin Imaging. 2009 Nov-Dec;33(6):471-3.Journal
Clinical imagingDOI
10.1016/j.clinimag.2009.03.010PubMed ID
19857809Abstract
A 41-year-old man collapsed after lifting weights at a gym. Following admission to the emergency department, a 64-slice cardiac computed tomography (CT) revealed a Stanford Type A aortic dissection arising from a previous coarctation repair. Multiphasic reconstructions demonstrated an unstable, highly mobile aortic dissection flap that extended proximally to involve the right coronary artery ostium. Our case is an example of the application of electrocardiogram-gated cardiac CT in directly visualizing involvement of the coronary ostia in acute aortic dissection, which may influence surgical management.Language
engISSN
1873-4499 (Electronic)0899-7071 (Linking)