Veenita Kamble DMRD, Abstract Co-Author: Nothing to Disclose

Barkha Keswani MD, Presenter: Nothing to Disclose

Ravi Ramakantan MD, Abstract Co-Author: Nothing to Disclose

Vidyadhar Lad MChir, Abstract Co-Author: Nothing to Disclose

Abhijit A. Raut MD, Abstract Co-Author: Nothing to Disclose

Sharad Maheshwari MD, Abstract Co-Author: Nothing to Disclose

Tejas Harish Kapadia MBBS, Abstract Co-Author: Nothing to Disclose

Jigar Aiya MBBS, DMRD, Abstract Co-Author: Nothing to Disclose

Himani Vinayak Patel, Abstract Co-Author: Nothing to Disclose

A dedicated CT protocol is mandatory to optimally assess the aorta and its branches including coronaries. Stepwise assessment of aortic dissection by a simple imaging check-list / questionnaire contributes to hasten and help surgical planning.  

Protocol for CT Imaging • ECG gated coronary angiogram including thoracic aorta    & • Non- ECG gated Aortogram including iliac & femoral arteries. 1. Diagnosis?  Aortic dissection v/s other causes of Acute Aortic Syndrome 2. Type? Type A: Involvement of Ascending Aorta +/- arch & descending thoracic aorta Type B: Descending aorta 3. Location of tear? 4. Extent of dissection? 5. Status of true and false lumen? 6. Involvement and extension of true & false lumen into ostia & branch arteries 7. Arteries supplied by true lumen for cannulation for cardio-pulmonary bypass: Right Axillary/ Left Axillary/ Right Femoral / Left Femoral 8. Danger signs?  Aortic rupture – pericardial effusion, pleural effusion, para-aortic haematoma?   Coronaries involved?   Renal malperfusion? 9. Other organ malperfusion? 10. Etiology? (Atherosclerosis/ Connective tissue disorders etc) 12. On follow up?  Dissection progression  False lumen status  Size of aortaPseudoaneurysm at the operative site?  Re-dissection   

http://abstract.rsna.org/uploads/2014/14018687/14018687_9jdz.pdf

Kamble, V, Keswani, B, Ramakantan, R, Lad, V, Raut, A, Maheshwari, S, Kapadia, T, Aiya, J, Patel, H, Aortic Dissection—Telling What Needs To Be Told.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018687.html