Abstract
Traumatic rupture of the thoracic aorta is a justifiably feared condition. Some authors have proposed the use of computed tomography as a non-invasive means of diagnosis. We report two cases where computed tomographic scans were misinterpreted, leading to erroneous diagnoses and inappropriate referrals. The pitfalls of using a cross-sectional imaging technique to diagnose a transverse lesion and the relative ease and accuracy of aortography are discussed.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brooks A. P., Olson L. K., Shackford S. R. Computed tomography in the diagnosis of traumatic rupture of the thoracic aorta. Clin Radiol. 1989 Mar;40(2):133–138. doi: 10.1016/s0009-9260(89)80071-6. [DOI] [PubMed] [Google Scholar]
- Miller F. B., Richardson J. D., Thomas H. A., Cryer H. M., Willing S. J. Role of CT in diagnosis of major arterial injury after blunt thoracic trauma. Surgery. 1989 Oct;106(4):596–603. [PubMed] [Google Scholar]
- Morgan P. W., Goodman L. R., Aprahamian C., Foley W. D., Lipchik E. O. Evaluation of traumatic aortic injury: does dynamic contrast-enhanced CT play a role? Radiology. 1992 Mar;182(3):661–666. doi: 10.1148/radiology.182.3.1535878. [DOI] [PubMed] [Google Scholar]
- PARMLEY L. F., MATTINGLY T. W., MANION W. C., JAHNKE E. J., Jr Nonpenetrating traumatic injury of the aorta. Circulation. 1958 Jun;17(6):1086–1101. doi: 10.1161/01.cir.17.6.1086. [DOI] [PubMed] [Google Scholar]
- Richardson P., Mirvis S. E., Scorpio R., Dunham C. M. Value of CT in determining the need for angiography when findings of mediastinal hemorrhage on chest radiographs are equivocal. AJR Am J Roentgenol. 1991 Feb;156(2):273–279. doi: 10.2214/ajr.156.2.1898798. [DOI] [PubMed] [Google Scholar]
- Treasure T. Imaging the dissected aorta. Br Heart J. 1993 Dec;70(6):497–498. doi: 10.1136/hrt.70.6.497. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Treasure T., Raphael M. J. Investigation of suspected dissection of the thoracic aorta. Lancet. 1991 Aug 24;338(8765):490–495. doi: 10.1016/0140-6736(91)90556-5. [DOI] [PubMed] [Google Scholar]


