Document Detail


Acute aortic syndrome: a 'last glance' before incision.
MedLine Citation:
PMID:  20515919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute aortic syndrome (AAS) (aortic dissection, intramural aortic haematoma, or penetrating atherosclerotic ulcer) is a surgical emergency. Computed tomography (CT) is the reference technique for the diagnosis of this critical situation. However, a few reports of false-positive images leading to unnecessary interventions have been published. It is important to recognize and understand the pitfalls in the CT diagnosis of AAS. We describe the case of a 76-year-old man with clinical signs of AAS and a CT-scan compatible with a diagnosis of aortic intra-mural haematoma, leading to emergency surgery. The peroperative findings revealed a normal aortic wall with the presence of an unusual pericardial recess at the right side of the aorta.
Authors:
Guillaume Lebreton; Pierre-Yves Litzler; Jean-Paul Bessou; Fabien Doguet
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-01
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  357-9     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, 1, rue de Germont, 76000 Rouen, France. guillaumelebreton@live.fr
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aneurysm, Dissecting / radiography*,  surgery,  ultrasonography
Aortic Aneurysm / radiography*,  surgery,  ultrasonography
Aortic Diseases / radiography*,  surgery,  ultrasonography
Aortography / methods*
Diagnostic Errors*
Echocardiography, Transesophageal
False Positive Reactions
Hematoma / radiography*,  surgery,  ultrasonography
Humans
Male
Predictive Value of Tests
Sternotomy
Syndrome
Tomography, X-Ray Computed*
Ulcer / radiography*,  surgery,  ultrasonography
Unnecessary Procedures
Vascular Surgical Procedures
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2010 Sep;11(3):359   [PMID:  20719914 ]
Interact Cardiovasc Thorac Surg. 2010 Sep;11(3):359   [PMID:  20719915 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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