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Acute posttraumatic thoracic aortic changes in computed tomography imaging

Acute posttraumatic thoracic aortic changes in ...

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dc.contributor.author Solińska, Anna pl
dc.contributor.author Dziurzyńska-Białek, Ewa pl
dc.contributor.author Guz, Wiesław pl
dc.contributor.author Samojedny, Antoni pl
dc.contributor.author Mierzwa-Ścisłowicz, Monika pl
dc.date.accessioned 2017-08-18T10:44:14Z
dc.date.available 2017-08-18T10:44:14Z
dc.date.issued 2014 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/43240
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title Acute posttraumatic thoracic aortic changes in computed tomography imaging pl
dc.type JournalArticle pl
dc.description.physical S28-32 pl
dc.description.additional Bibliogr. s. S32 pl
dc.abstract.en Acute traumatic aortic injury (ATAI) is a serious clinical condition in patients with multiorgan trauma. It results from motor vehicle accidents, pedestrian-automobile collisions and, less frequently, falls from height. Young men comprise the majority of patients with ATAI. In this publication we present examples of posttraumatic aortic changes identified in CT polytrauma (trauma CT) followed by CT angiography examinations performed between 2010 and 2012 in the CT and MRI Laboratory of Clinical Radiology and Diagnostic Imaging Department in Provincial Hospital No. 2 in Rzeszow. The aim of this study is to present morphological variants of posttraumatic aortic injuries and potential CT imaging pitfalls. Widened mediastinal silhouette in CT scoutview (topogram) may suggest the presence of posttraumatic lesions of thoracic aorta. In trauma CT scan, a hemorrhage may be suggested by blurring of the border between the aorta and periaortic adipose tissue, and/or increase of mediastinal adipose tissue density. Sudden change in aortic wall outlines, extravasation of blood/contrast medium outside the vessel, and/or delamination (tear) of tunica intima are likely changes visible in CT imaging after administration of contrast medium. When assessing CT examination one should keep in mind possible changes, which may mimic thoracic aortic injury, including thymic residual tissue, "ductus bump" or mediastinal hemorrhage of a different etiology. ATAI is associated with high mortality, which is directly dependent on the time from injury to implementation of treatment. A seemingly good condition of the patient should not influence the extent or rapidity of diagnostic imaging. pl
dc.subject.en angiography pl
dc.subject.en aorta pl
dc.subject.en mediastinal diseases pl
dc.subject.en multiple trauma pl
dc.description.volume 79 pl
dc.description.number Supplement pl
dc.identifier.doi 10.12659/PJR.890534 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype ReviewArticle pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska