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J Thorac Cardiovasc Surg 2005;130:587-588
© 2005 The American Association for Thoracic Surgery

Brief Communication

Acute aortic dissection with coronary ostium involvement and aortic valve regurgitation: Three-dimensional visualization with multislice computed tomography

Gudrun Maria Feuchtner, MD a , * , Thomas Schachner, MD c , Guy Friedrich, MD b , Herwig Antretter, MD c , Johannes Bonatti, MD c , Dieter zur Nedden, MD a

a Department of Radiology II, Medical University Innsbruck, Innsbruck, Austria
b Department of Cardiology, Medical University Innsbruck, Innsbruck, Austria
c Department of Cardiac Surgery, Medical University Innsbruck, Innsbruck, Austria

Received for publication March 1, 2005; accepted for publication March 23, 2005.

* Address for reprints: Gudrun Maria Feuchtner, MD, Department of Radiology II, Medical University Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria (Email: Gudrun.Feuchtner@uibk.ac.at).

The first 20% of the full text of this article appears below.


Figure 1
Dr Feuchtner


A 67-year-old man was transferred to the emergency department with severe chest pain and signs of cardiac decompensation. The electrocardiogram (ECG) showed marked ST-segment depression in leads II, III, aVF, and V2-V6, suggesting acute anterior and true posterior myocardial ischemia. Cardiac enzymes and troponin T levels were normal on admission. The patient had a history of endovascular stent graft placement in the ascending aorta and the aortic arch 3 years ago.

Multislice computed tomographic (MSCT) angiography of the thoracic aorta and coronary arteries with a latest-generation 16-row MSCT scanner (Sensation 16, Siemens Medical Solutions) was performed immediately (collimation, 16 x 0.75 mm; gantry rotation time, 0.42 second).

MSCT demonstrated an acute type A . . . [Full Text of this Article]




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