ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Mario N. Gomes
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gomes, M. N.
Right arrow Articles by Hufnagel, C. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gomes, M. N.
Right arrow Articles by Hufnagel, C. A.

Ann Thorac Surg 1979;27:479-488
© 1979 The Society of Thoracic Surgeons

Articles

Abdominal Aortic Aneurysms: Diagnostic Review and New Technique

Mario N. Gomes, M.D.*, Dieter Schellinger, M.D., Charles A. Hufnagel, M.D.

Departments of Surgery and Radiology, Georgetown University Medical Center, Washington, DC

* Address reprint requests to Dr. Gomes, Division of Cardiovascular Surgery, Georgetown University Hospital, 3800 Reservoir Rd, NW, Washington, DC 20007

A new technique of computed tomography (CT) applied to the diagnosis of abdominal aortic aneurysms is described, and the experience in 58 patients is reviewed. In all instances the abdominal aorta was clearly demonstrated, even when wall calcification was absent.

A series of 37 patients with abdominal aortic aneurysm underwent evaluation by physical examination, abdominal roentgenograms, and ultrasonic and CT scanning. Measurements of the transverse diameter at the point of maximal dilatation were compared with the measurements made at operation. CT not only confirmed the diagnosis in all patients but the measurements obtained by this technique were the most accurate, correlating extremely well with the true dimensions of the aneurysm. The addition of contrast enhancement to CT scanning allowed clear delineation of the aortic lumen and intraaneurysmal thrombus, not possible with any other method, including ultrasonography.

This technique appears useful as a screening procedure and in the differential diagnosis of a tortuous abdominal aorta. Patients with a small aortic dilatation can be followed accurately by scanning.




This article has been cited by other articles:


Home page
 Arch SurgHome page
W. C. Krupski, A. Bass, D. W. Thurston, R. B. Dilley, and E. F. Bernstein
Utility of Computed Tomography for Surveillance of Small Abdominal Aortic Aneurysms: Preliminary Report
Arch Surg, October 1, 1990; 125(10): 1345 - 1350.
[Abstract] [PDF]

Home page
 Arch SurgHome page
G. Pillari, J. B. Chang, J. Zito, J. R. Cohen, K. Gersten, A. Rizzo, and A. M. Bach
Computed Tomography of Abdominal Aortic Aneurysm: An In Vivo Pathological Report With a Note on Dynamic Predictors
Arch Surg, June 1, 1988; 123(6): 727 - 732.
[Abstract] [PDF]

Home page
 Arch SurgHome page
W. C. Lineaweaver, F. Clore, and R. H. Alexander
Computed Tomographic Diagnosis of Acute Aortoiliac Catastrophes
Arch Surg, August 1, 1982; 117(8): 1095 - 1097.
[Abstract] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
J. S.P. Chiu
Abdominal Aortic Aneurysms: Results From a Community Hospital
Vascular and Endovascular Surgery, July 1, 1982; 16(4): 260 - 267.
[Abstract] [PDF]

Home page
 Arch SurgHome page
L. M. Taylor Jr, R. J. Van Kolken, G. M. Baur, and J. M. Porter
Precise Diagnosis of Aortic Anastomotic Aneurysm by Computed Tomographic Scan
Arch Surg, September 1, 1981; 116(9): 1209 - 1211.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1979 by The Society of Thoracic Surgeons.