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    Coronary ostial involvement in acute aortic dissection: detection with 64-slice cardiac CT.

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    Authors
    Ryan, E Ronan
    Martos, Ramon
    O'Neill, Ailbhe
    Mc Creery, Charles
    Dodd, Jonathan D
    Affiliation
    Department of Radiology, Cardiac CT/MRI Program, St. Vincent's University, Hospital, Elm Park, Dublin 4, Ireland. ronan@ronanryan.com
    Issue Date
    2012-02-01T10:30:08Z
    MeSH
    Acute Disease
    Adult
    Aneurysm, Dissecting/*radiography
    Aortic Aneurysm/*radiography
    Cardiac-Gated Imaging Techniques/*methods
    Coronary Angiography/*methods
    Humans
    Male
    Tomography, X-Ray Computed/*methods
    
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    Citation
    Clin Imaging. 2009 Nov-Dec;33(6):471-3.
    Journal
    Clinical imaging
    URI
    http://hdl.handle.net/10147/207519
    DOI
    10.1016/j.clinimag.2009.03.010
    PubMed ID
    19857809
    Abstract
    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
    eng
    ISSN
    1873-4499 (Electronic)
    0899-7071 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.clinimag.2009.03.010
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