Incorrect Diagnosis of Type A Aortic Dissection Attributed to Motion Artifact During Computed Tomographic Angiography

2017 ◽  
Vol 9 (9) ◽  
pp. 254-257
Author(s):  
Jeremy M. Bennett ◽  
Bantayehu Sileshi
2015 ◽  
Vol 10 (4) ◽  
pp. 31-35 ◽  
Author(s):  
Murad F. Bandali ◽  
Muhammed A. Hatem ◽  
Jehangir J. Appoo ◽  
Stuart J. Hutchison ◽  
Jason K. Wong

2013 ◽  
Vol 37 (5) ◽  
pp. 755-759 ◽  
Author(s):  
Junichiro Nakagawa ◽  
Osamu Tasaki ◽  
Yoshiyuki Watanabe ◽  
Takeo Azuma ◽  
Mitsuo Ohnishi ◽  
...  

2016 ◽  
Vol 20 (2) ◽  
pp. 117 ◽  
Author(s):  
S. Yu. Boldyrev ◽  
V. I. Kaleda ◽  
A. M. Trishina ◽  
Z. E. Tekueva ◽  
E. S. Dumanyan ◽  
...  

<p>Bleeding after surgery for acute aortic dissection in patients who receive antithrombotic therapy for incorrect diagnosis of acute coronary syndrome is a serious challenge for the surgical team. In this setting, additional control of bleeding may be achieved by using a modified Cabrol shunt. In this report we present our experience in acute Type A aortic dissection surgery.</p>


Aorta ◽  
2016 ◽  
Vol 04 (02) ◽  
pp. 72-73 ◽  
Author(s):  
Alan Chou ◽  
Bulat Ziganshin ◽  
John Elefteriades

AbstractContrast-enhanced computed tomography (CT) is an effective tool for assessment of thoracic aortic disease in the modern era. Here, we describe a case of Type A aortic dissection incidentally detected by CT in a 63-year old man. Upon more precise imaging with electrocardiography (ECG)-gated CT, the dissection vanished, revealing it to be an aortic motion artifact. This report highlights the importance of motion artifacts mimicking a dissection flap. CT imaging gated with ECG can distinguish a dissection flap from an artifact.


2002 ◽  
Vol 9 (5) ◽  
pp. 579-582 ◽  
Author(s):  
Girma Tefera ◽  
Sandra Carr ◽  
John Hoch ◽  
Charles W. Acher ◽  
William D. Turnipseed

Purpose: To report a challenging case of infrarenal abdominal aortic aneurysm (AAA) treated with a commercial stent-graft in the face of thoracoabdominal aortic dissection. Case Report: A 73-year-old patient was admitted because of acute descending thoracic and abdominal aortic dissection. He was also found to have an 8-cm infrarenal AAA. After initial medical management of the acute aortic dissection, the patient underwent endoluminal AAA repair with an AneuRx stent-graft. The completion angiogram showed that the graft was deployed in the false lumen; this complication was treated with fenestration of the intimal flap, establishing flow through both lumens. The patient's recovery was uneventful, and he was discharged on the fourth postoperative day. Follow-up at 1 year with computed tomographic angiography documented a stable descending thoracic aorta with a suggestion of a type II endoleak and no change in the aneurysm volume. Conclusions: This case illustrates the feasibility of endograft repair of infrarenal AAA with a modular stent-graft in the presence of aortic dissection extending below the renal arteries.


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