Atlas of Practical Applications of Cardiovascular Magnetic by Guillem Pons-Llado, Francesco Carreras

By Guillem Pons-Llado, Francesco Carreras

• Richly illustrated with over two hundred illustrations

• encompasses a thesaurus of Terms

• Very sensible and effortless consultant

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Atlas of Practical Applications of Cardiovascular Magnetic Resonance (Developments in Cardiovascular Medicine)

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Extra resources for Atlas of Practical Applications of Cardiovascular Magnetic Resonance (Developments in Cardiovascular Medicine)

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Intramural hematoma, or "dissection without rupture" occurs in up to 13% of the cases of dissection, as has been demonstrated in autopsy studies . In these cases, a thickening of the aortic wall of crescent shape or circumferential form has been observed which does not generally deform the circular shape of the aortic lumen. 14). 12). 6). In these cases the information provided by other imaging techniques, such as echocardiography or CT, may be useful, basically by detecting the presence of calcium in the inner wall of the hematoma, that identifies this wall as the true intimo-medial layer of the aorta.

Oblique sagittal plane of the aorta on GRE obtained with the orientation described in the previous figure. 39). 41). 42) Left ventricular "true" short axis: double oblique plane. 43). 41 F. 40. On tine left panel an axial plane serves as a localizer for prescribing an oblique plane oriented along the longitudinal axis of the left ventricle, in which the location of the apex and the base of the LV are taken as references. On the right the resulting vertical LV long-axis view. LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle; F.

8). However, a complete study combining the different C M R sequences available is very useful w^hen the clinical situation permits such an strategy, as in chronic dissection . An adequate protocol should include the following sequences: 1. 8). This sequence allows the identification of the presence and extension of the intimal membrane, as w^ell as an assessment of flow conditions within the false lumen. There are important technical aspects to consider when planning the obtention of an aortic angiography: one of them is to be sure that the stack covers both the ascending and descending aorta for which we can modify parameters such as sHce thickness and number of slices, although an increase in the number of slices prolongs the scan duration and, thus, the length of the breath-hold.

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