Document Detail

Contrast-fluid level in the inferior vena cava (IVC niveau sign) in patients with acute type A aortic dissection: computed tomography findings during acute cardiac tamponade.
MedLine Citation:
PMID:  20512545     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this study was to report a new computed tomography (CT) finding in acute cardiac tamponade: a contrast-fluid level in the hepatic inferior vena cava (IVC) during an arterial dominant phase CT study (IVC niveau sign) in patients with acute type A aortic dissection. MATERIALS AND METHODS: We retrospectively reviewed CT studies with the diagnosis of proximal aortic dissection (Stanford type A) with acute cardiac tamponade. There were 12 patients enrolled in the study (6 women, 6 men; mean age 66 years). A total of 62 patients were selected as a control chronic pericardial effusion group to compare with the acute cardiac tamponade group. RESULTS: Among the 12 patients with acute cardiac tamponade, the IVC niveau sign was seen in 7 (58%). In the control chronic pericardial effusion group (n = 62), we identified the IVC niveau sign in only one patient (1.6%). There was a significant difference in the presence of the IVC niveau sign between the acute cardiac tamponade and chronic pericardial effusion groups (P < 0.0001). CONCLUSION: The presence of the IVC niveau sign suggests acute cardiac tamponade in patients with acute type A aortic dissection.
Eijun Sueyoshi; Tsugumi Imamura; Ichiro Sakamoto; Masataka Uetani; Yohjiro Matsuoka
Related Documents :
758715 - Noninvasive radionuclide assessment of cardiac function in patients with peripheral vas...
15845665 - The surgical patient with brugada syndrome: a four-case clinical experience.
22441385 - Microbiological challenges in the diagnosis of chronic q fever.
20491895 - Brugada-like cardiac disease in myotonic dystrophy type 2: report of two unrelated pati...
22940475 - Neuropsychological correlates of the p300 in patients with alzheimer's disease.
10471885 - Sinonasal lymphoma.
Publication Detail:
Type:  Journal Article     Date:  2010-05-29
Journal Detail:
Title:  Japanese journal of radiology     Volume:  28     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  278-82     Citation Subset:  IM    
Department of Radiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acute Disease
Aged, 80 and over
Aneurysm, Dissecting / radiography*
Aortic Aneurysm / radiography*
Cardiac Tamponade / radiography*
Chi-Square Distribution
Contrast Media / pharmacokinetics*
Middle Aged
Retrospective Studies
Tomography, Spiral Computed / methods*
Vena Cava, Inferior / radiography*
Reg. No./Substance:
0/Contrast Media

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

Previous Document:  High prevalence of vertebral artery tortuosity of Loeys-Dietz syndrome in comparison with Marfan syn...
Next Document:  Dosimetric comparison of field in field intensity-modulated radiotherapy technique with conformal ra...