Article Sidebar

PDF
Date Published: 14/10/2021
Abstract Views: 295
Views PDF: 233
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

References

1.HiratzkaLF(2010). ACCF/AHA/AATS/ACR/ASA/SCA/SCAI. Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease. Circulation, 121, e266-e369.
2. Braverman AC (2010). Acute Aortic Dissection - Clinician Update. Circulation, 122, 184-8.
3. Castañer E, Andreu M, Gallardo X, et al (2003). CT in nontraumatic acute thoracic aortic disease: typical and atypical features and complications. RadioGraphics, 23 spec, 93-110.
4. M.A. McMahon và C.A.Squirrell (2010). Multidectector CT of aortic dissection: a pictorial review. Radiolographics, 30 (2), 445-460.
5. Song JK, Kim HS, Song JM, et al (2002). Outcomes of medically treated patients with aortic intramural hematoma. Am J Med, 113, 181-7.
6. M.C.Shiau, M.C. Godoy, P.M. de Groot et al (2010). Thoracic aorta: Acute syndromes. Applied Radiology, 39(1),6.
7 . Pape LA, Awais M, Woznicki EM, et al (2015). Presentation, diagnosis, and outcomes of acute aortic dissection. J Am Coll Cardiol, 66(4), 350-358
8. Hoàng Thị Phương Nhung và Đinh Thu Hương(2012). Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và điều trị nội khoa phình tách động mạch chủ cấp tại bệnh viện Tim mạch Việt Nam từ tháng 1/2011 đến tháng 6/2011, Tạp chí Y học Việt Nam, tháng 11- số 1/2012, 12-17.
9. Vũ Ngọc Tú(2016) nghiên cứu đặc điểm bệnh lý và kết quả điều trị phẫu thuật lóc tách động mạch chủ cấp tính loại A-stanfod tại bệnh viện hữu nghị Việt Đức. Luận án tiến sỹ, trường đại học Y Hà Nội.
10. Nguyễn Ngọc Tân(2014). Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả sớm sau phẫu thuật tách động mạch chủ Stanford A. Luận văn thạc sỹ, trường đại học Y Hà Nội.
11. LePage M, Quint LE, Sonnad SS, et al (2001). Aortic dissection: CT features that distinguish true lumen from false lumen. Americal Joural of Roentgenol, 177, 207-211.
12. Clinical features and prognosis of patients with acute aortic dissection in China Lujing Zhao, Yanfen Chai, and Zhigang Li Author information Article notes Copyright and License information Disclaimer
13. Erbel R, Aboyans V, Boileau C, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and 14 Treatment of Aortic Diseases of the European Society of Cardiology (ESC) [J]. Eur Heart J 2014; 35: 2873–2926. [PubMed] [Google Scholar]
14.Clinical features and prognosis of patients with acute aortic dissection in China Lujing Zhao, Yanfen Chai, and Zhigang Li Author information Article notes Copyright and License information Disclaimer
15. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases, Raimund Erbel, Victor Aboyans et all.
16. Diagnostic Testing in Acute Aortic Dissection Siobhan Coyle • Tadgh Moriarty • Laura Melody • Damien Ryan Published online: 19 April 2014 Springer Science+Business Media New York 2014.
17.Echocardiography in Acute Aortic Syndromes Dorota Sobczyk, in New Approaches to Aortic Diseases from Valve to Abdominal Bifurcation, 2018
18. Bavaria J, Vallabhajosyula P, Moeller P, Szeto W, Desai N, Pochettino A. Hybrid approaches in the treatment of aortic arch aneurysms: Postoperative and midterm outcomes. The Journal of Thoracic and Cardiovascular Surgery. 2013;145(3):S85-S90. doi:10.1016/j.jtcvs.2012.11.044
19. Frank J Criado. A percutaneous technique for preservation of arch branch patency during thoracic endovascular aortic repair (TEVAR): retro- grade catheterization and stenting. J Endovasc Ther. 2007;14(1):54-58. doi:https:// doi.org/10.1583/06-2010.1.