Coronary ostial involvement in acute aortic dissection: detection with 64-slice cardiac CT.
A 41-year-old man collapsed after lifting weights at a gym. Following admission to the emergency department, a 64-slice cardiac computed tomography (CT) revealed a Stanford Type A aortic dissection arising from a previous coarctation repair. Multiphasic reconstructions demonstrated an unstable, highly mobile aortic dissection flap that extended proximally to involve the right coronary artery ostium. Our case is an example of the application of electrocardiogram-gated cardiac CT in directly visualizing involvement of the coronary ostia in acute aortic dissection, which may influence surgical management.
Department of Radiology, Cardiac CT/MRI Program, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. ronan@ronanryan.com
E Ronan
ER
Ryan
Ramon
R
Martos
Ailbhe
A
O'Neill
Charles
C
Mc Creery
Jonathan D
JD
Dodd
D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging*; D055424:Cardiac-Gated Imaging Techniques / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*