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John H. Sanders, Jr, MD; Salvador Malave, MD; Harvey L. Neiman, MD; John M. Moran, MD; Arthur J. Roberts, MD; Lawrence L. Michaelis, MD

Arch Surg. 1979;114(11):1326-1329.

Abstract
• Imaging of the thoracic aorta without recourse to angiography has great theoretic appeal. We have used computerized tomography (CT) in the initial evaluation of 297 patients with suspected mediastinal disease. Nineteen of this group had important findings related to the thoracic aorta: aortic dissection (six), descending thoracic aortic aneurysm (nine), suspected aortic trauma (three), and suspected false aneurysm at a coarctation repair (one). In all cases, the aorta and related pathology were readily demonstrated by CT, aided by the intravenous infusion of contrast material. In 13 of 15 cases, aortic dissection and aortic aneurysm could be accurately diagnosed. In two instances of ascending aortic dissection, it was not possible to distinguish the false lumen from mural thrombus in an atherosclerotic aneurysm.

(Arch Surg 114:1326-1329, 1979)

Author Affiliations
From the Departments of Surgery (Drs Sanders, Moran, Roberts, and Michaelis) and Radiology (Drs Malave and Neiman), Northwestern University Medical School, Chicago.

Footnotes
Accepted for publication July 23, 1979.

Read before the 27th scientific meeting of the International Cardiovascular Society, Nashville, Tenn, June 28, 1979.

Reprint requests to Division of Cardiothoracic Surgery, Northwestern University Medical School, 303 E Chicago Ave, Chicago, IL 60611 (Dr Sanders).

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