This 69 y/o female with acute renal insuffiency and upper back pain had MRI performed. Axial fast spoiled gradient images shown above demonstrate a Type A dissecting thoracic aortic aneurysm. Involvement of the ascending aorta and the intimal flap are easily seen. Differential flow/thrombosis in the true and false lumens can also be appreciated.
  1. Roberts DA. Magnetic resonance imaging of thoracic aortic aneurysm and dissection. Semin Roentgenol 2001 Oct;36(4):295-308 PMID:11715325
  2. Summers RM, Sostman HD, Spritzer CE, Fidler JL. Fast spoiled gradient-recalled MR imaging of thoracic aortic dissection: preliminary clinical experience at 1.5 T. Magn Reson Imaging 1996;14(1):1-9 PMID:8656981
  3. Tomiguchi S, Morishita S, Nakashima R, Hara M, Oyama Y, Kojima A, Takahashi M. Usefulness of turbo-FLASH dynamic MR imaging of dissecting aneurysms of the thoracic aorta. Cardiovasc Intervent Radiol 1994 Jan-Feb;17(1):17-21 PMID:8187127
  4. Silverman JM, Raissi S, Tyszka JM, Trento A, Herfkens RJ. Phase-contrast cine MR angiography detection of thoracic aortic dissection. Int J Card Imaging 2000 Dec;16(6):461-70 PMID:11482712
  5. Nitatori T, Yokoyama K, Nakamura A, Haradome H, Hachiya J. Clinical application of single shot GRE-EPI as non-enhanced MRA (EPI-MRA) for aortic aneurysm and dissection. Radiat Med 1999 Sep-Oct;17(5):393-7 PMID:10593294
  6. O'Connell MJ, Murray JG. Value of subtraction technique in Gd-DTPA-enhanced magnetic resonance angiography of the thoracic aorta. Clin Radiol 2001 Jul;56(7):545-9 PMID:11446751
  7. Revel D, Loubeyre P, Delignette A, Douek P, Amiel M. Contrast-enhanced magnetic resonance tomoangiography: a new imaging technique for studying thoracic great vessels. Magn Reson Imaging 1993;11(8):1101-5 PMID:8271896
  8. Panting JR, Norell MS, Baker C, Nicholson AA. Feasibility, accuracy and safety of magnetic resonance imaging in acute aortic dissection. Clin Radiol 1995 Jul;50(7):455-8 PMID:7614790
  9. Solomon SL, Brown JJ, Glazer HS, Mirowitz SA, Lee JK. Thoracic aortic dissection: pitfalls and artifacts in MR imaging. Radiology 1990 Oct;177(1):223-8 PMID:2399321
  10. Grenier P, Pernes JM, Desbleds MT, DeBrux JL. Magnetic resonance imaging of aneurysms and chronic dissections of the thoracic aorta. Ann Vasc Surg 1987 Dec;1(5):534-41 PMID:3504696
  11. Hartnell GG. Imaging of aortic aneurysms and dissection: CT and MRI. J Thorac Imaging 2001 Jan;16(1):35-46 PMID:11149691
  12. Laissy JP, Blanc F, Soyer P, Assayag P, Sibert A, Tebboune D, Arrive L, Brochet E, Hvass U, Langlois J, et al. Thoracic aortic dissection: diagnosis with transesophageal echocardiography versus MR imaging. Radiology 1995 Feb;194(2):331-6 PMID:7824707
    Comment in: Radiology. 1995 Oct;197(1):314-5
  13. Deutsch HJ, Sechtem U, Meyer H, Theissen P, Schicha H, Erdmann E. Chronic aortic dissection: comparison of MR Imaging and transesophageal echocardiography. Radiology 1994 Sep;192(3):645-50 PMID:8058928
  14. Nienaber CA, Spielmann RP, von Kodolitsch Y, Siglow V, Piepho A, Jaup T, Nicolas V, Weber P, Triebel HJ, Bleifeld W. Diagnosis of thoracic aortic dissection. Magnetic resonance imaging versus transesophageal echocardiography. Circulation 1992 Feb;85(2):434-47 PMID:1735142
  15. Yamada T, Tada S, Harada J. Aortic dissection without intimal rupture: diagnosis with MR imaging and CT. Radiology 1988 Aug;168(2):347-52 PMID:3393653
  16. Anderson MW, Higgins CB. Should the patient with suspected acute dissection of the aorta have MRI, CAT scan, or aortography as the definitive study? Cardiovasc Clin 1990;21(1):293-304; discussion 305-6 PMID:2199054
  17. Pernes JM, Grenier P, Desbleds MT, de Brux JL. MR evaluation of chronic aortic dissection. J Comput Assist Tomogr 1987 Nov-Dec;11(6):975-81 PMID: 3680710
  18. Worthley SG, Helft G, Fayad ZA, Fuster V, Zaman AG, Shinnar M, Badimon JJ. Images in cardiovascular medicine. Magnetic resonance imaging and asymptomatic aortic dissection. Circulation 2000 Jun 13;101(23):2771 PMID:10851217

Use the Back or Backward button on your browser to return