What question did this study set out to answer?

To assess whether ulcerlike projections visible during thoracic aortography serve as early precursor signs of thoracic aortic dissection.

October 1, 1980American Journal of Roentgenology

Ulcerlike projections: a precursor angiographic sign to thoracic aortic dissection

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Population

2 patients with ulcerlike outpouchings in the ascending aorta

Design

Case_series

Authors

JTJaime TisnadoVirginia Commonwealth University Medical Center CChoSamsung Medical Center MBMC Beachley

Discussion

Member takes

Implication

May prompt closer aortographic surveillance for dissection; hypothesis-generating from two cases and requires prospective validation.

Key Points

To assess whether ulcerlike projections visible during thoracic aortography serve as early precursor signs of thoracic aortic dissection.
Analyzed clinical, radiographic, and angiographic findings in two patients presenting with ulcerlike outpouchings of contrast material in the ascending aorta.
Performed serial multi-projection thoracic aortograms and correlated imaging findings with surgical inspection and histopathologic examination of resected aortic specimens.
Serial thoracic aortograms in one patient documented the direct progression of a small ascending aortic ulcer into a full classic aortic dissection.
Surgical and histopathologic examination confirmed dissecting hematomas in both cases, with lesions visible in only select angiographic projections.

Structured PICO

Population

2 patients with ulcerlike outpouchings in the ascending aorta

Intervention

Thoracic aortography

Outcome

Evolution and confirmation of aortic dissection

Ulcerlike projections on thoracic aortography may serve as an early precursor sign of thoracic aortic dissection, potentially allowing for earlier diagnosis and treatment.

Cite This Study

Tisnado et al. (1980) studied this question.

synapsesocial.com/papers/6a76fa2bdf493903fd1e9277 https://doi.org/10.2214/ajr.135.4.719

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Ulcerlike projections: a precursor angiographic sign to thoracic aortic dissection

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Ulcerlike projections: a precursor angiographic sign to thoracic aortic dissection

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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