Background: Correct recognition, description, and classification of acetabular fractures are essential for efficient patient triage and treatment. The most widely used is the system of Judet and Letournel, which includes five elementary and five associated fractures. The aim of the work is to elucidate the role of MDCT in detection, classification and follow up of acetabular fractures. Patients and methods: 30 patients having acetabular fractures. Ages ranged between 20 and 75 years (mean age 45); there were 25 males and 5 females. Observational retrospective study of the previous CT scans done for the acetabular fractures. Results: In our study, 16 of patients (53.3%), were with left sided acetabular fracture. Eight of them were with right sided acetabular fracture (26.7%) and Six of them with bilateral acetabular fractures (20%). The common cause of acetabular fracture was Road traffic accidents (80%), then falling from height (20%). The most common types of fracture were posterior wall and both column (20%) according to C.T. According to AP conventional radiography; six cases of acetabular fracture were diagnosed, the other twenty four cases were accurately diagnosed by C.T. Conclusion: Radiography Technically easy, quick, portable, not degraded by streak artifact, may be technically suboptimal because of patient condition and body habitus, not as sensitive as CT for depicting fractures. SO, all cases with Acetabular fractures should be evaluated by means of trans-axial CT and additional MPR. The use of appropriate standard MPR views shortens the time required to produce the reformats and thereby maximizes the benefit gained.
Background: CABG surgery is the standard care in the treatment of advanced coronary artery disease. Assessment of the status of the grafts after CABG surgery is an important issue. Recently, MDCT has gained rapid acceptance as a diagnostic cardiac imaging modality, allowing assessment of coronary bypass graft patency with high spatial resolution. Aim: Evaluate the role of (MDCT) in assessment of CABG. Patients and methods: In this prospective study, 30 patients after coronary artery bypass graft surgery are included. The 30 patients were examined by ECG gated MDCT coronary angiography in CT unit in radiology department of national heart institute between (October 2018 to April 2019). Results: The study included 30 patients with prior CABG surgery. Mean age was 61 +/-6.9 years with male gender predominance represented 86 % (26 patients). The evaluable grafts were 75 grafts. The most common used grafts were the venous grafts represented 59 %( 44 grafts) while arterial grafts represented 41% (31 grafts).The most common landing site of arterial grafts was LAD (with incidence 84%), while the most common landing site of venous grafts was RCA(with incidence 39%). Conclusion: MDCT coronary angiography is a potentially safe, non-invasive modality in assessment of coronary artery bypass grafts in post-CABG patients.
Background: Background: Ebstein's anomaly is an uncommon clinical syndrome accounting for approximately 0.5% of congenital heart disease (CHD) patients. It is defined as a congenital displacement of the posterior and septal leaflets of the tricuspid valve towards the right ventricular apex which results in atrialization of a part of the right ventricle. Aim and objectives: Review the pathological spectrum of Ebstein´s Anomaly in adults, illustrate by MR the morphologic aspects of EA. Discuss MR Findings of right ventricular overload including right ventricular dimension, paradoxical ventricular septal motion. Emphasize the role of MR in the assessment of ventricular and valvular function. Demonstrate the use of delayed contrast-enhanced MR to rule out segments of myocardial dysplasia, Subjects and Methods: The present study involved twenty patients who were previously diagnosed for assessment and treatment of Ebstein's anomaly. The clinical records and surgical details of all identified patients were examined, and Participants were selected from the outpatients in National Heart Institute, Giza, Egypt. Results: results of the study revealed that Ebstein`s anomaly severely affecting tricuspid regurge since 75% of patients (15 of 20) were affected while only one patient (5%) suffered of mild regurge and four patients (20%) suffered of moderate regurge, Conclusion: The diagnosis of Ebstein'sanomaly is usually based on echo findings; however, cardiac magnetic resonance imaging(CMR) can add useful information enabling a detailed visualization of cardiac abnormality, as well as a method of accurate physiological evaluation. CMR, in conjunction with echocardiography, offers a comprehensive non-invasive evaluation either for surgical management or ongoing follow-up of these patients.
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