EURORAD ESR

Case 1336

Traumatic dissection of the aortic isthmus treated with an intravascular stent

Author(s)
Cademartiri F, Salamousas BV, Luccichenti G, Pavone P
 
Patient
female, 63 year(s)
 
 
  • Published 11.09.2003
  • DOI 10.1594/EURORAD/CASE.1336
  • Section Cardiovascular
  • Case Type Clinical Cases
  • Difficulty Senior
  • Views 19057
  • Language(s)
  • Figure 1
    Spiral CT performed at admission for diagnosis
     

    At the level of the aortic arch there are no evident signs of dissection.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT performed at admission for diagnosis;

    Slightly caudal slice which demonstrates an intimal flap in the ventral portion of the aortic isthmus.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT performed at admission for diagnosis;

    Axial slice at the level of the tracheal carina which shows the intimal flap.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT performed at admission for diagnosis;

    At the level of the main pulmonary artery a minimal intimal flap is still evident.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT performed at admission for diagnosis;
     
     
  • Figure 2
    Coventional DSA performed for the positioning of the stent
     

    The panoramic view shows the correspondence to the spiral CT diagnosis. An enlargement of the ventral portion on the aortic isthmus is present.

     
    Area of Interest: unknown; Imaging Technique: Coventional DSA performed for the positioning of the stent;

    Measurement in preparation for stent positioning.

     
    Area of Interest: unknown; Imaging Technique: Coventional DSA performed for the positioning of the stent;

    The angiographic control after the positioning of the stent. No evidence of residual dissection or pseudoaneurysmal dilatation.

     
    Area of Interest: unknown; Imaging Technique: Coventional DSA performed for the positioning of the stent;
     
     
  • Figure 3
    Spiral CT scan performed after endovascular treatment
     

    The aortic arch is normal.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT scan performed after endovascular treatment;

    The isthmus is normal.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT scan performed after endovascular treatment;

    The beginning of the descending aorta is normal.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT scan performed after endovascular treatment;

    The oblique sagittal MPR shows the success of the procedure.

     
    Area of Interest: unknown; Imaging Technique: Spiral CT scan performed after endovascular treatment;
     
     
At the level of the aortic arch there are no evident signs of dissection.
 
Slightly caudal slice which demonstrates an intimal flap in the ventral portion of the aortic isthmus.
 
Axial slice at the level of the tracheal carina which shows the intimal flap.
 
At the level of the main pulmonary artery a minimal intimal flap is still evident.
 
The panoramic view shows the correspondence to the spiral CT diagnosis. An enlargement of the ventral portion on the aortic isthmus is present.
 
Measurement in preparation for stent positioning.
 
The angiographic control after the positioning of the stent. No evidence of residual dissection or pseudoaneurysmal dilatation.
 
The aortic arch is normal.
 
The isthmus is normal.
 
The beginning of the descending aorta is normal.
 
The oblique sagittal MPR shows the success of the procedure.
 
 
 
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