To define usefulness of computed tomography of thoracic aorta to group of haemodinamicaly stable patients with chest pain and prior exclusion of acute coronary syndrome and pulmonary emboli.
At the beginning of 19 th century aorta was considered as main source of cardiovascular pain.
But throughout 20 th century due to epidemic of coronary artery disease,
clinicians started to neglect aorta as main cause of chest pain in favor of myocardial ischemia.
Aortic dissection was part of triple rule out,
without taking into account other diseases of aorta.
As times goes by,
technology breakthrough and numerous investigations led to mindset change at 21th century by introducing new-old...
Findings and procedure details
We performed retrospective study of the electrocardiogram (ECG) gated CT aortographies of group of patients complain of chest pain.
Exclusion criteria for enrollment to the study were high likelihood of myocardial ischemia and pulmonary embolism,
which was detected by abnormal laboratory and ECG-findings.
We analyzed examinations of 71 patients.
We performed ECG-gated CT aortography with bolus-tracking technique and region of interest (ROI) placed at mid portion of ascending aorta.
Imaging of aortopathy is of great help in initial diagnosis,
monitoring and detection of potential lethal complications.
Its great use is in tamely stratification of patients and rightful clinician decision-making.
Taking into consideration largest diameter of aorta in association with predisposing diseases,
CT aortography helps in assessing when to apply medical or surgical treatment.
MD Radiologist Center of radiology and MRI, Clinical center of Serbia,
RS e-mail: firstname.lastname@example.org
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