Is Computed Tomography the Gold Standard in Aortic Dissection?

Multidetector computed tomography scanning is still the gold standard for diagnosis of acute aortic syndromes.

Computed Tomography of Aortic Wall Calcifications in Aortic Dissection Patients

OBJECTIVES To investigate the frequency of aortic calcifications at the outer edge of the false lumen and the frequency of fully circular aortic calcifications in a consecutive series of patients with aortic dissection who underwent contrast-enhanced CT. METHODS The study population compromised of 69 consecutive subjects aged 60 years and older with a contrast-enhanced CT scan demonstrating a...

Computed tomography: the investigation of choice for aortic dissection?

Computed tomography has become established as complementary to aortography in the investigation of patients with suspected aortic dissection. Two cases of dissecting aneurysm are reported in which extensive aortography failed to show evidence of dissection. In both cases dissection was demonstrated by computed tomography. The diagnosis was confirmed in one case at operation and in the other cas...

Computed Tomography Imaging Artifact Simulating Type A Aortic Dissection.

Contrast-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 impo...

Resolution of iatrogenic aortic dissection illustrated by computed tomography.

An 83-year-old man with known history of known coronary artery disease (prior coronary artery bypass surgery and percutaneous coronary intervention), hypertension, and hypercholesterolemia presented with ongoing exertional angina and dyspnea despite medical therapy. A dipyridamole rubidium-82 stress test showed moderate-sized ischemia in the inferior and inferolateral territory. An echocardiogr...