The Multi-imaging Diagnostic Values of Aortic Diverticulum With the Comparison of Clinical Application
10.3969/j.issn.1000-3614.2015.07.015
- VernacularTitle:主动脉憩室的多种影像学诊断和临床应用价值的比较
- Author:
Wei LI
;
Qingjun SUN
;
Yuan TAO
;
Xiaojing MA
;
Qingfeng XIONG
;
Zhiyuan PENG
;
Xin CHEN
- Publication Type:Journal Article
- Keywords:
Right side aortic arch;
Aortic diverticulum;
Tomography;
Chest X-ray
- From:
Chinese Circulation Journal
2015;(7):675-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the multi-imaging diagnostic values, especially MSCT technology in patients with congenital aortic diverticulum with its clinical application. Methods: The MSCT ifndings in 12 patients with congenital aortic diverticulum were retrospectively analyzed. Results: There were 9 patients with right aortic arch and 1 with left aortic arch, all of them having coexisted aberrant subclavian artery which initially dilated like aneurysm by diverticulum changing (Kommerell diverticulum), and there was 1 patient with incomplete double aortic arch with atresia of left arch combining retro-esophageal aortic diverticulum (RAD) and 1 patient with ducts diverticulum. Echocardiogram only made the suggestive diagnosis of speeding up blood lfow or right aortic arch in 4 patients. While MSCT accurately displayed the diverticulum for the location, morphology and with or without other complications. The post-eroanterior chest radiograph indicated “double aortic node” as the special sign in 8 patients. The echocardiogram, X-ray and MSCT for correctly diagnosing the aortic diverticulum were as 0, 72.7% and 100% respectively. Conclusion: MSCT is a rather ideal non-invasive diagnosing method for aortic diverticulum, meanwhile X-ray could also make suggestive diagnosis; if MSCT and X-ray joint with echocardiogram examination may provide the effective supplement for valve structure and hemodynamics condition in relevant patients.
