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Case Reports
Coronary ostial involvement in acute aortic dissection: detection with 64-slice cardiac CT.
- E Ronan Ryan, Ramon Martos, Ailbhe O'Neill, Charles Mc Creery, and Jonathan D Dodd.
- Department of Radiology, Cardiac CT/MRI Program, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. ronan@ronanryan.com
- Clin Imaging. 2009 Nov 1;33(6):471-3.
AbstractA 41-year-old man collapsed after lifting weights at a gym. Following admission to the emergency department, a 64-slice cardiac computed tomography (CT) revealed a Stanford Type A aortic dissection arising from a previous coarctation repair. Multiphasic reconstructions demonstrated an unstable, highly mobile aortic dissection flap that extended proximally to involve the right coronary artery ostium. Our case is an example of the application of electrocardiogram-gated cardiac CT in directly visualizing involvement of the coronary ostia in acute aortic dissection, which may influence surgical management.
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