| Acute aortic syndrome: a 'last glance' before incision. | |
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MedLine Citation:
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PMID: 20515919 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Guillaume Lebreton; Pierre-Yves Litzler; Jean-Paul Bessou; Fabien Doguet |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-06-01 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 11 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-19 Completed Date: 2010-12-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 357-9 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, 1, rue de Germont, 76000 Rouen, France. guillaumelebreton@live.fr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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