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Congress: ECR25
Poster Number: C-26789
Type: Poster: EPOS Radiologist (scientific)
DOI: 10.26044/ecr2025/C-26789
Authorblock: T. Buthpur, N. Moorthi, M. Meraj, P. Ruddarraju; Hyderabad/IN
Disclosures:
Tejaswini Buthpur: Nothing to disclose
Nln Moorthi: Nothing to disclose
Md Meraj: Nothing to disclose
Pratyusha Ruddarraju: Nothing to disclose
Keywords: Arteries / Aorta, Cardiovascular system, Vascular, CT, CT-Angiography, CT-High Resolution, Computer Applications-Virtual imaging, Contrast agent-intravenous, Acute, Arteriosclerosis, Dissection
Purpose To describe the various imaging findings in aortic dissection in a case series of 25 cases. To study the types of aortic dissection on presentation and to correlate them with post management prognosis. To describe the various complications associated with dissection at the time of presentation and in post operative phase.
Read more Methods and materials Acute aortic syndromes include three life-threatening pathologies: acute aortic dissection, intramural hematoma and penetrating aortic ulcer. The incidence of aortic dissection is around 5-30 cases per 1 million people per year, with a mortality rate as high as 30%.25 patients who presented to the ER with complaints about acute dissection were taken for CT angiography for diagnosis, on a 128 slice machine, 5 mm axial reconstructions and coronal, sagittal and oblique MPRs were done.A non-enhanced scan of the thoracic aorta...
Read more Results Out of the 25 cases, Five of them were dissection with aneurysms and one was a case of Takayasu’s arteritis. Nine cases are of Stanford type A and have undergone surgical intervention, while one case deteriorated due to aortic rupture.16 cases are of Stanford type B and based on the extent of involvement and stability of the patient are managed conservatively with medical treatment, endovascular repair or surgical intervention. Complications may be present at initial presentation in up to 30% of...
Read more Conclusion CT angiography plays a pivotal role in the diagnosis of aortic dissection, its types and in deciding the line of management of this life-threatening emergency. It is also significant in post-operative follow-up and to know the prognosis of the patient
Read more References RadioGraphics article, Mar 1 2021https://doi.org/10.1148/rg.2021200138 CT in Nontraumatic Acute Thoracic Aortic Disease: Typical and Atypical Features and Complications. E. Casta?er et al, Radiographics 2003; 23:S93- S110 T.T. Tsai et al. Acute Aortic Syndromes. Circulation 2005;112;3802-3813 D. Mukherjee et al. Aortic Dissection. An Update. Current Problems in Cardiology 2005;30:287-325 Y. von Kodolitsch et al. Intramural Hematoma of the AortaPredictors of Progression to Dissection and Rupture. Circulation. 2003;107:1158-1163 S. Willoteaux et al. Imaging of aortic dissection by helical CT. Eur Radiol, 2004;14:1999?2008
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