Abstract
An: 2018, Nr.1, Articol Nr. 3
Title: 

COMPUTED TOMOGRAPHY AND MICROSCOPICAL INDICATORS OF THE TRUE OR FALSE LUMEN IN AORTIC DISSECTION

Authors: 

      A.T. Gheorghe, Luciana Dragulescu, G. Lupu, Laura Stroică, Gabriela Popescu, Al.G. Lupu - University of Medicine and Pharmacy “Carol Davila” Bucharest, Department of Anatomy
      COMPUTED TOMOGRAPHY AND MICROSCOPICAL INDICATORS OF THE TRUE OR FALSE LUMEN IN AORTIC DISSECTION (Abstract): Cardiovascular emergencies have one of the worst prognosis for a patient. In the acute stages they can lead to death in a matter of minutes. Aortic dissection is no exception from the rule, thus it must be quickly diagnosed and treated. Studies have shown that helical computed tomography (CT) has a specificity and sensibility of nearly 100% in detecting acute aortic dissection. Once diagnosed, there are a couple of steps that need to be solved: the first one would be separating the dissection in one that requires surgical repair or one in which medical management would be enough. This is obtained using either the Stanford classification or DeBakey classification, both assessing the level at which the aorta was affected (ascending aorta, aortic arch or descending aorta beyond the left subclavian artery). In the next step, the radiologist must determine the luminal origins of vessel braches in patients who may need surgical repair. As an imaging method, helical CT is useful in follow-up of postoperative complications, aneurysms of the true and false lumen and monitoring ischemic complications of abdominal branch vessels. The purpose of this article is to present certain CT imaging indicators that can detect the true or false lumen in an aortic dissection, with the help of microscopic anatomy knowledge.
Key words: AORTA, HELICAL CT, STANDFORD CLASSIFICATION
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