Diagnosis of traumatic rupture of the thoracic aorta using dynamic rapid sequence axial computerized tomography.
The use of intravenous contrast enhanced rapid sequence (dynamic) computerized tomography (CT) of the chest led to the successful diagnosis and treatment of traumatic rupture of the thoracic aorta in three patients. Early diagnosis of this often fatal injury may result in a favorable outcome; and in the hemodynamically stable patient with multisystem injury a well-performed CT may preclude the use of more invasive techniques. When aortic disruption is suspected, dynamic rapid sequence axial CT of the chest may not only exclude but also confirm the diagnosis, in addition to accurately detecting other major intrathoracic injuries.
Bloom
A I
AI
Department of Radiology, Hadassah University Hospital, Jerusalem, Israel.
Sasson
T
T
Rivkind
A
A
Pikarski
A
A
Bar-Ziv
J
J
D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries*; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000209:etiology; D001027:Aortography; D003287:Contrast Media; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007483:Iothalamic Acid / Q000031:analogs & derivatives; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; D007483:Iothalamic Acid; C002587:ioxitalamic acid