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Abdominal CT Angiography Before Surgery as a Predictor of Postoperative Death in Acute Aortic Dissection

Hélène Vernhet1, Jean Michel Serfaty1, Mohamad Serhal1, Eugene McFadden1, Eric Bonnefoy2, Patrice Adeleine3, Didier Revel1 and Philippe Douek1

1 Department of Thoracic and Cardiovascular Imaging, Louis Pradel Hospital, 59, Blvd. Pinel, Lyon 69394, France.
2 Surgical Intensive Care Unit, Louis Pradel Hospital, Lyon 69394, France.
3 Department of Biostatistics, Louis Pradel Hospital, Lyon 69394, France.



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  		Fig. 1A. —55-year-old man with acute type I dissection. CT angiogram shows celiac artery arising from compressed aortic true lumen.

 


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  		Fig. 1B. —55-year-old man with acute type I dissection. CT angiogram shows intimal flap in mesenteric artery and partial lower enhancement of both kidneys.

 


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  		Fig. 1C. —55-year-old man with acute type I dissection. CT angiogram shows intimal flap in right renal artery. Patient had fatal outcome.

 


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  		Fig. 2A. —63-year-old man with acute type I dissection, who presented with clinical mesenteric ischemia. CT angiogram shows compressed aortic true lumen, dissected mesenteric artery, normal enhancement of duodenum wall, and low enhancement of right kidney.

 


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  		Fig. 2B. —63-year-old man with acute type I dissection, who presented with clinical mesenteric ischemia. CT angiogram shows lack of parietal enhancement in central small-bowel loops despite normally enhanced wall in surrounding small bowel and colon.

 

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