A case report of a normal aorta misdiagnosed as type A dissection by modern multidetector computed tomography

Hamilton, M.C.K.; Nightingale, Angus K; Masey, S; Stuart, Graham; Angelini, Gianni D; Hopkins, R; McGann, Garrett

doi:10.1007/s00330-010-1748-0

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…It is emphasized that high index of clinical suspicion and early imaging studies (MSCT and/or TEE) may lead to early recognition and hence proper timely surgical intervention to improve outcome and prognosis. Recently, using 32-slice MSCT scanning, a false diagnosis of type A-AD in a pregnant woman having a normal aorta has been reported [33] . Electrocardiography: In the series of Evangelista et al, normal ECG without ST-T segment changes was found in 38% of patients [30] .…”

Section: Diagnostic Modalitiesmentioning

confidence: 99%

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Said¹

2017

IJCC

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Abstract:Aim: To describe iatrogenic and spontaneous presentations of acute aortic dissection (AAD) type A. Method: We report two cases of male patients with iatrogenic non-fatal and spontaneous fatal acute aortic dissection type A. Results: Two male patients are discussed with different aetiology of acute aortic dissection type A. The first patient of 68-years-old, having progressive angina pectoris developed iatrogenic acquired AAD secondary to diagnostic procedure of coronary angiography. Emergent surgical procedure was performed. The second patient of 66-years-old, with known history of aortic dissection type B, presented with acute chest and back pain. The condition was misdiagnosed for acute pulmonary embolism followed by sudden death. Autopsy findings are discussed. Conclusions: Iatrogenic acute aortic dissection type A is a rare complication of routine coronary angiography which requires emergent surgical intervention. Spontaneous AAD may be erroneously seen for acute pulmonary embolism

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Section: Diagnostic Modalitiesmentioning

confidence: 99%

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Said¹

2017

IJCC

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MDCT in diagnosing acute aortic syndromes: reviewing common and less common CT findings

et al. 2011

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Nontraumatic acute thoracic aortic syndromes (AAS) describe a spectrum of life-threatening aortic pathologies with significant implications on diagnosis, therapy and management. In this context, multidetector computed tomography (MDCT) is the gold standard due to its intrinsic diagnostic value; its performance approaches 100% sensitivity and specificity, and it is accepted as a first-line modality for suspected acute aortic disease. MDCT allows early recognition and characterisation of acute aortic syndromes as well as the presence of any associated complications - findings that are essential for optimising treatment and improving clinical outcomes. Although classic CT findings have long been known, other unusual signs are continually reported in the medical literature. We reviewed the classic and less common CT findings, correlating them with pathophysiology, timing and management options, to achieve a definite and timely diagnostic and therapeutic definition.

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Electrocardiography-gated CT for acute aortic syndrome: quantifying the potential impact of subspecialty national recommendations on emergency general radiology reporting

et al. 2022

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A case report of a normal aorta misdiagnosed as type A dissection by modern multidetector computed tomography

Abstract: Computed tomography (CT) is generally considered the investigation of choice to exclude acute aortic syndrome. We report an important potentially disastrous misdiagnosis using a modern 32 slice multidetector CT system.

Cited by 5 publications

References 4 publications

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

MDCT in diagnosing acute aortic syndromes: reviewing common and less common CT findings

Electrocardiography-gated CT for acute aortic syndrome: quantifying the potential impact of subspecialty national recommendations on emergency general radiology reporting

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