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Date Published: 08/10/2021
Online Published: 14/10/2021
Abstract Views: 320
Views PDF: 274
DOI: https://doi.org/10.47972/vjcts.v34i.618
Issue
Vol. 34
Section
Research Article
How to Cite
Dong, V. Q., Thinh, D. D., Hoan, T. C., Chau, N. M., & Thuy, N. T. (2021). Value of multidetector computed tomography in the diagnosis of aortic dissection at E hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 34, 71-78. https://doi.org/10.47972/vjcts.v34i.618

Value of multidetector computed tomography in the diagnosis of aortic dissection at E hospital

Vu Quoc Dong, Do Duc Thinh, Tran Cong Hoan, Nguyen Minh Chau, Nguyen Tran Thuy

Main Article Content

Abstract

Objective: The study aims to evaluate some imaging features and value of multidetector computed tomography in the diagnosis of aortic dissection compared with surgery and intervention orientation at E hospital.Subjects and methods: Prospective and retrospective analysis of clinical data and multidetector computed tomography features in 33 patients with aortic dissection at Cardiology Center, E Hospital from February 2020 to June 2021.Results: In the study, there were 33 patients with aortic dissection, the age group from 61-70 accounted for the most, the mean age (62.21±11.42). Male patients accounted for mainly 75.76%. Clinical symptoms and complications were more prominent in the type A aortic dissection group, especially symptoms of chest pain, hypertension, and acute cardiac tamponade. The most common imaging features on computed tomography are endothelium septum (96.96%), pseudovascular lumen diameter>true lumen (96.96%), bird beak sign (96.96%), poor contrast enhancement of the false lumen (80%), and calcification of the lumen (51.51%). The diagnostic value of CT for type A aortic dissection has a sensitivity of 92.9% and a specificity of 100%.Conclusions: Multidetector computed tomography showed high value when describing the characteristics of aortic dissection lesions and good type discrimination to help guide surgery and intervention.

Article Details

Keywords

aortic dissection, multidetector computer tomography, intramural hematoma, endothelial untussusception, hybrid surgery

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