Diagnostic challenge: innovative approach in use of magnetic resonance imaging in aortic aneurysm

Мұқаба

Дәйексөз келтіру

Аннотация

Here we report a case of technological innovation: the use of magnetic resonance imaging to determine surgical strategy.

Here is a 47-year-old man who underwent an magnetic resonance imaging and subsequent surgical treatment of the aortic aneurysm. Unlike echocardiography, magnetic resonance imaging enabled us to view the entire thoracic aorta. Unlike computer tomography, magnetic resonance imaging enabled us to detect changes in the aortic wall accurately. Thus, in this case, the use of magnetic resonance imaging allowed us to determine the distal resection edge. The patient`s postoperative course was unremarkable. Use of electrocardiogram-synchronized magnetic resonance imaging of thoracic aorta allows detecting structural changes of the aortic wall and its mechanical properties. It is significant that magnetic resonance imaging results of the aortic wall correlate with histologic examination.

The extent of changes in the aortic wall must be determined to accurately plan surgical treatment of patients with aortic aneurism.

Magnetic resonance imaging of the aortic wall is promising for further study in multicenter research.

Толық мәтін

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Авторлар туралы

Evgenii Kobelev

E. Meshalkin National Medical Research Center

Email: kobelev_e@meshalkin.ru
ORCID iD: 0000-0002-5901-2271
SPIN-код: 7828-9713
Ресей, Novosibirsk

Natalya Pak

E. Meshalkin National Medical Research Center

Email: n_pak@meshalkin.ru
ORCID iD: 0000-0002-7842-9881
SPIN-код: 1896-8447

MD, Cand. Sci. (Med.)

Ресей, Novosibirsk

Evgeniya Bobrikova

E. Meshalkin National Medical Research Center

Email: bobrikova_e@meshalkin.ru
ORCID iD: 0000-0001-5985-4076
SPIN-код: 6315-9772
Ресей, Novosibirsk

Wladimir Ussov

Tomsk National Research Medical Center

Email: ussov1962@yandex.ru
ORCID iD: 0000-0001-7978-5514
SPIN-код: 1299-2074

MD, Dr. Sci. (Med.), Professor

Ресей, Tomsk

Evgeniy Kliver

E. Meshalkin National Medical Research Center

Email: ee_kliver@meshalkin.ru
ORCID iD: 0000-0002-3915-3616
SPIN-код: 1511-3814

MD, Dr. Sci. (Med.)

Ресей, Novosibirsk

Dmitriy Sirota

E. Meshalkin National Medical Research Center

Email: d_sirota@meshalkin.ru
ORCID iD: 0000-0002-9940-3541
SPIN-код: 4706-7549

MD, Cand. Sci. (Med.)

Ресей, Novosibirsk

Aleksandr Chernyavskiy

E. Meshalkin National Medical Research Center

Email: a_cherniavsky@meshalkin.ru
ORCID iD: 0000-0001-9818-8678
SPIN-код: 5286-6950

MD, Dr. Sci. (Med.), Professor, Corresponding member of the Russian Academy of Sciences

Ресей, Novosibirsk

Tatyanа Bergen

E. Meshalkin National Medical Research Center

Хат алмасуға жауапты Автор.
Email: bergen_t@meshalkin.ru
ORCID iD: 0000-0003-1530-1327
SPIN-код: 5467-7347

MD, Dr. Sci. (Med.)

Ресей, Novosibirsk

Әдебиет тізімі

  1. Erbel R, Aboyans V, Boileau C. et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The task force for the diagnosis and treatment of aortic diseases of the European society of cardiology (ESC). Eur Heart J. 2014;35(41):2873–926. doi: 10.1093/eurheartj/ehu281
  2. Hiratzka LF, Bakris GL, Beckman JA, et al. Guidelines for the diagnosis and management of patients with thoracic aortic disease. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. J Am Coll Cardiol. 2010;55(14):e27–e129.
  3. Galizia MS, Bolen MA, Flamm S. MRI of the thoracic aorta. Applied Radiology. 2015;44(8):22–26. doi: 10.37549/ar2207
  4. Saliba E, Sia Y. The ascending aortic aneurysm: When to intervene? IJC Heart Vasculature. 2015;6:91–100. doi: 10.1016/j.ijcha.2015.01.009

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