Extended use of computed tomography in the management of complex aortic problems: A learning experience Larry R. Williams, M.D. *, William R. Flinn,

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Presentation transcript:

Extended use of computed tomography in the management of complex aortic problems: A learning experience Larry R. Williams, M.D. *, William R. Flinn, M.D., James S.T. Yao, M.D., Ph.D., Robert L. Vogelzang, M.D., Maurice Roth, M.D., Walter J. McCarthy, M.D., John J. Bergan, M.D. Journal of Vascular Surgery Volume 4, Issue 3, Pages 264-271 (September 1986) DOI: 10.1016/0741-5214(86)90196-5 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 CT scan demonstrates disruption of aortic wall and contained retroperitoneal rupture. Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Aortogram of patient shown in Fig. 1. indicates no evidence of aneurysm leakage or disruption. Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Thoracic aortogram yields normal findings in patient with suspected infrarenal abdominal aortic aneurysm. Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 CT scan demonstrates chronic aortic dissection with opacification of true lumen (open arrow) and dissecting hematoma (solid arrow) at level of descending thoracic aorta. Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 CT shows large pseudoaneurysm at proximal aortic anastomosis. Note extensive thrombus within the pseudoaneurysm (arrows) Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Aortogram of patient shown in Fig. 5. shows occlusion of right limb of aortobifemoral graft and no obvious abnormality at proximal anastomosis. Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 CT scan shows significant intraluminal thrombus in normal-sized aorta as a source of distal embolization. Journal of Vascular Surgery 1986 4, 264-271DOI: (10.1016/0741-5214(86)90196-5) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions