ctthorax
CT thorax / chest
see also:
Interpretation of the CT thorax scan
basic concepts
- aortic dissection
- if you don't see a dissection flap, look hard for intramural haematoma or penetrating ulcer
- trauma
- diaphragm rupture (usually on the left) is easily missed, look carefully on coronal and sagittal images
- blunt aortic injury
- arterial phase CT chest
- minimal aortic injury
- <10mm intimal flap
- conservative Rx with BP control and monitor for evolution
- severe aortic injury
- all other injuries
- BP control, Rx other life threatening injuries first then repair
- endovascular repair if aorta < 15mm and tear of the mid arch as less mortality and morbidity compared with open repair, but need to sacrifice left brachiocephalic artery so ensure adequate collaterals
ctthorax.txt · Last modified: 2017/07/07 13:53 by 127.0.0.1