Author/Editor		Možina, Hugon; Rebolj, Marija
Title		Slikovne metode v diagnostiki aortne disekcije - naše izkušnje
Translated title		Diagnostic imaging in patients with aortic dissection - our experiences
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 5. Zbornik 6. mednarodni simpozij o urgentni medicini; 1999 jun 16-19; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1999
Volume		str. 255-60
Language		slo
Abstract		Without treatment survival in patients with aortic dissection (AD) is poor. It is vital to start the treatment as soon as possible because the mortality rate is increasing 1 % per hour in patients with AD type A (ADA). We retrospectively analysed medical documentation of 29 patients treated in our institution in 1997 and 1998 under the diagnosis of acute AD to find out times necessary for definite diagnosis and treatment. ADA was found in 23pts. (73.3%) and 6 pts. (20.7%) were found to have AD type B (ADB). The clinical diagnosis of ADA was confirmed in 33.2 +- 24.2 minutes after admission to our department. In 82.6% of pts. The definite diagnosis was made with transthoracic echocardiography (TTE) in 56.5%, with transesophageal echocardiography (TTE) in 34.8%. TTE alone or TTE plus TEE were completed in 18.5+-12.5 minutes after the admission to our department. The sensitivity of TTE in the group of pts. with ADA was 56.5%, specificity 100%. The sensitivity and specificity of TEE were 100% both. We decided to perform aortography in 65.2% of cases. It was performed in 52+-19.4 min after the first diagnostic procedure. 20 (87%) patients with ADA were treated surgicaly and so was 1 patient with ADB. They were transported in surgical room in 126.4+- 83.7 min after admission to our department. Total inhospital mortality rate in patients with ADA was 30.4%, intra and postaoperatively 17.3%. All patients with ADB survived. The decision for the order of diagnostic procedures to be taken in diagnostics of AD should be made in every case individualy. Of course we must be aware of local time needs to performe available definite diagnostic procedures.
Descriptors		ANEURYSM, DISSECTING AORTOGRAPHY ECHOCARDIOGRAPHY AORTIC ANEURYSM