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Pain Imaging pp 171-194 | Cite as

Imaging of Vascular Thoracic Pain

  • Manuel BelgranoEmail author
  • Matilda Muça
Chapter

Abstract

Chest pain is the most common cause of first aid access in the emergency room and causes high mortality if not treated properly.

A high accuracy and efficiency of the evaluation of patients with acute chest pain is necessary; in this context, multi-slice computed tomography (MSCT) is a first-line tool for the anatomic evaluation of coronary artery disease, exclusion of pulmonary embolism, and aortic dissection. Magnetic resonance imaging is complementary to CT and is difficulty available in emergency setting.

Both techniques are the main tools to manage the patient with chest pain, and their presence is mandatory in a first-level hospital.

Keywords

CT angiography Cardiac CT Cardiac MR Dissection Aneurysm 

Supplementary material

Video 10.1

Aortic dissection; ECG-triggered CT angiography shows the typical linear filling defect within the lumen representing the intimal flap. (MOV 31666 kb)

Video 10.2

ECG-triggered CT angiography of dissected aorta reconstructed in both systolic and diastolic phases shows the intimal flap waving during the cardiac cycle changing its orientation. (MOV 790 kb)

Video 10.3

Cardiac MR shows pericardial thickening associated with late enhancement in a patient with pericarditis. (MOV 3196 kb)

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Authors and Affiliations

  1. 1.SC (UCO) Radiologia Diagnostica e Interventistica, Dipartimento di Scienze MedicheChirurgiche e della Salute - Università degli Studi di Trieste, Azienda Sanitaria Universitaria Integrata di Trieste (ASUITS)TriesteItaly

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