CT angiographic analysis of patients with aortic aneurysm
Journal Title: Medpulse International Journal of Radiology - Year 2018, Vol 8, Issue 3
Abstract
Background: Multidetector computed tomographic (CT) angiography is routinely performed for the diagnosis and evaluation of thoracic aortic aneurysms. It demonstrates not only the lumen of an aneurysm, but CT angiography also demonstrates the wall and contents of an aneurysm, including thrombus. Aim: To analyze CT angiographic features of patients with aortic aneurysm. Material and Methods: A total of 50 patients presenting with sign and symptoms of aortic diseases or incidental detection of aortic disease in asymptomatic patients were included. In present study, 16 patients (32%) had aortic aneurysms. CT angiography was performed with 128-slice PHILIPS ingenuity core CT scanner. Images were processed using Intellispace portal software. Results: In present study, 16 patients (32%) had aortic aneurysms. 93.25% patients had true aneurysm, while 6.75% patients had pseudo or false aneurysm. 3 patients had saccular aneurysm, while 13 patients had fusiform aneurysms. 87.5% patients (14 out of 16) had single aneurysm and 12.5% patients (2 out of 16) had multiple aneurysms. 11 patients (68.75%) had involvement of thoracic aorta. 4 (25%) patients had involvement of abdominal aorta. Conclusion: Accurate identification of location, appearance and cause of both common and uncommon aortic aneurysms is essential for prompt and accurate diagnosis. Multidetector CT angiography is routinely used to evaluate the spectrum of thoracic aortic aneurysm.
Authors and Affiliations
Ameet Panchmahalkar, Mangesh Warkad
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