Pre- and postoperative CT and MR in pseudoaneurysms of the heart
Pseudoaneurysms of the heart have a propensity to rupture and surgery is indicated. Usually in these cases diagnostic imaging is based on angiographic and/or echocardiographic studies. We have attempted to determine in pre- and postoperative studies the value of CT and ECG-gated MRI in patients with...
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| Veröffentlicht in: | Journal of computer assisted tomography 1992-05, Vol.16 (3), p.401-409 |
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| container_title | Journal of computer assisted tomography |
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| creator | DUVERNOY, O WIKSTRÖM, G MANNTING, F LARSSON, S. G ANDREN, B DUBIEL, T |
| description | Pseudoaneurysms of the heart have a propensity to rupture and surgery is indicated. Usually in these cases diagnostic imaging is based on angiographic and/or echocardiographic studies. We have attempted to determine in pre- and postoperative studies the value of CT and ECG-gated MRI in patients with pseudoaneurysm. Seven patients with a pseudoaneurysm and/or dyskinesia of the posterolateral or diaphragmatic wall of the left ventricle were investigated with CT and/or ECG-gated MR studies, in addition to angiography, echocardiography, and radionuclide studies, prior to cardiac surgery. Postoperative follow-up studies with CT in six and MR in five patients were also carried out. Both CT and ECG-gated MRI allowed us to visualize the neck and CT also confirmed the communication between the cavities with or without demonstrating the conduit. In addition, disruption of the epicardial fat layer by the pseudoaneurysm was seen on both CT and MR, and the presence of intrapericardial adhesions was visualized on MR. Finally, CT and MRI, in postoperative follow-up studies, may indicate a myocardial discontinuity adjacent to the surgical patch. |
| doi_str_mv | 10.1097/00004728-199205000-00011 |
| format | Article |
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Both CT and ECG-gated MRI allowed us to visualize the neck and CT also confirmed the communication between the cavities with or without demonstrating the conduit. In addition, disruption of the epicardial fat layer by the pseudoaneurysm was seen on both CT and MR, and the presence of intrapericardial adhesions was visualized on MR. Finally, CT and MRI, in postoperative follow-up studies, may indicate a myocardial discontinuity adjacent to the surgical patch.</description><identifier>ISSN: 0363-8715</identifier><identifier>EISSN: 1532-3145</identifier><identifier>DOI: 10.1097/00004728-199205000-00011</identifier><identifier>PMID: 1592922</identifier><identifier>CODEN: JCATD5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiology. 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G</creatorcontrib><creatorcontrib>ANDREN, B</creatorcontrib><creatorcontrib>DUBIEL, T</creatorcontrib><title>Pre- and postoperative CT and MR in pseudoaneurysms of the heart</title><title>Journal of computer assisted tomography</title><addtitle>J Comput Assist Tomogr</addtitle><description>Pseudoaneurysms of the heart have a propensity to rupture and surgery is indicated. Usually in these cases diagnostic imaging is based on angiographic and/or echocardiographic studies. We have attempted to determine in pre- and postoperative studies the value of CT and ECG-gated MRI in patients with pseudoaneurysm. Seven patients with a pseudoaneurysm and/or dyskinesia of the posterolateral or diaphragmatic wall of the left ventricle were investigated with CT and/or ECG-gated MR studies, in addition to angiography, echocardiography, and radionuclide studies, prior to cardiac surgery. Postoperative follow-up studies with CT in six and MR in five patients were also carried out. Both CT and ECG-gated MRI allowed us to visualize the neck and CT also confirmed the communication between the cavities with or without demonstrating the conduit. In addition, disruption of the epicardial fat layer by the pseudoaneurysm was seen on both CT and MR, and the presence of intrapericardial adhesions was visualized on MR. Finally, CT and MRI, in postoperative follow-up studies, may indicate a myocardial discontinuity adjacent to the surgical patch.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Endocardial and cardiac valvular diseases</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Aneurysm - diagnosis</subject><subject>Heart Aneurysm - epidemiology</subject><subject>Heart Aneurysm - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Period</subject><subject>Preoperative Care</subject><subject>Retrospective Studies</subject><subject>Sweden - epidemiology</subject><subject>Tomography, X-Ray Computed</subject><issn>0363-8715</issn><issn>1532-3145</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFtLwzAUx4Moc04_gpAH8S2aW5PmTRneYKLIfC5pc8Iq7VqTVti3N25TA4ecy_9c-CGEGb1i1Ohrmp7UPCfMGE6zFJFkjB2gKcsEJ4LJ7BBNqVCC5Jplx-gkxo-k0ELICZqwzHDD-RTdvAYg2K4d7rs4dD0EO9RfgOfLbfL5Dddr3EcYXWfXMIZNbCPuPB5WgFdgw3CKjrxtIpzt_xl6v79bzh_J4uXhaX67IJXgdCCe6jIdop13wKzPlSqZK4WB5EkvqTJc0JIr5TRYZ5XivPS6st46ZqwFMUOXu7l96D5HiEPR1rGCpklndWMsNDcqkzlPwnwnrEIXYwBf9KFubdgUjBY_8IpfeMUfvGILL7We73eMZQvuv3FHK9Uv9nUbK9v4YNdVHf9kmZTMCCm-Ac4adhw</recordid><startdate>199205</startdate><enddate>199205</enddate><creator>DUVERNOY, O</creator><creator>WIKSTRÖM, G</creator><creator>MANNTING, F</creator><creator>LARSSON, S. 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Vascular system</topic><topic>Endocardial and cardiac valvular diseases</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Aneurysm - diagnosis</topic><topic>Heart Aneurysm - epidemiology</topic><topic>Heart Aneurysm - surgery</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Period</topic><topic>Preoperative Care</topic><topic>Retrospective Studies</topic><topic>Sweden - epidemiology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DUVERNOY, O</creatorcontrib><creatorcontrib>WIKSTRÖM, G</creatorcontrib><creatorcontrib>MANNTING, F</creatorcontrib><creatorcontrib>LARSSON, S. 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G</au><au>ANDREN, B</au><au>DUBIEL, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre- and postoperative CT and MR in pseudoaneurysms of the heart</atitle><jtitle>Journal of computer assisted tomography</jtitle><addtitle>J Comput Assist Tomogr</addtitle><date>1992-05</date><risdate>1992</risdate><volume>16</volume><issue>3</issue><spage>401</spage><epage>409</epage><pages>401-409</pages><issn>0363-8715</issn><eissn>1532-3145</eissn><coden>JCATD5</coden><abstract>Pseudoaneurysms of the heart have a propensity to rupture and surgery is indicated. Usually in these cases diagnostic imaging is based on angiographic and/or echocardiographic studies. We have attempted to determine in pre- and postoperative studies the value of CT and ECG-gated MRI in patients with pseudoaneurysm. Seven patients with a pseudoaneurysm and/or dyskinesia of the posterolateral or diaphragmatic wall of the left ventricle were investigated with CT and/or ECG-gated MR studies, in addition to angiography, echocardiography, and radionuclide studies, prior to cardiac surgery. Postoperative follow-up studies with CT in six and MR in five patients were also carried out. Both CT and ECG-gated MRI allowed us to visualize the neck and CT also confirmed the communication between the cavities with or without demonstrating the conduit. In addition, disruption of the epicardial fat layer by the pseudoaneurysm was seen on both CT and MR, and the presence of intrapericardial adhesions was visualized on MR. Finally, CT and MRI, in postoperative follow-up studies, may indicate a myocardial discontinuity adjacent to the surgical patch.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>1592922</pmid><doi>10.1097/00004728-199205000-00011</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of computer assisted tomography, 1992-05, Vol.16 (3), p.401-409 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Aged, 80 and over Biological and medical sciences Cardiology. Vascular system Endocardial and cardiac valvular diseases Female Heart Heart Aneurysm - diagnosis Heart Aneurysm - epidemiology Heart Aneurysm - surgery Humans Magnetic Resonance Imaging Male Medical sciences Middle Aged Postoperative Period Preoperative Care Retrospective Studies Sweden - epidemiology Tomography, X-Ray Computed |
| title | Pre- and postoperative CT and MR in pseudoaneurysms of the heart |
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