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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
| Journals - Article | |
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| Česky / Czech version | Čes. Radiol., 55, 2001, No. 5, p. 287-290 |
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Global Diagnosis of
Aortic Dissection Using Imaging Methods
Křivánek J., Chochola M., Vařejka P., Vondráček V., Ouhrabková R., Komárková J., Keclík, R., Votrubová J., Mašek M., Hříbalová J.: Radiodiagnostická klinika VFN a 1. LF UK, Praha, přednosta doc. MUDr. Jan Daneš, CSc. II. interní klinika VFN a 1. LF UK, Praha, přednosta prof. MUDr. Michael Aschermann, CSc. Klinika kardiovaskulární chirurgie VFN a 1. LF UK, Praha, přednosta prof. MUDr. Ivan Vaněk, DrSc. Radiodiagnostické oddělení, Nemocnice Kladno, primářka MUDr. Radka Ouhrabková, CSc. |
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Summary: During the last five years the authors examined a total of 75 patients with the clinical diagnosis of
dissecting aneurysm of the aorta. The diagnosis was confirmed in 46 cases and 30 patients were
subsequently operated.
To assess the correct diagnosis by means of imaging methods the authors used the following pattern:
1. Transoesophageal echocardiography, 2. Aortal angiography, 3. CT with i.v. administration of
a contrast substance by means of a pressure syringe, 4. MRI.
It was not necessary in all instances to make all the mentioned examinations. In urgent situations
and when the finding was clear, the patients were operated only on the basis of echocardiography.
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