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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/10/17 00:08:45」(JST)

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An aortogram involves placement of a catheter in the aorta and injection of contrast material while taking x-rays of the aorta. The procedure is known as aortography. The diagnosis of aortic dissection can be made by visualization of the intimal flap and flow of contrast material in both the true lumen and the false lumen.

The aortogram was previously considered the gold standard test for the diagnosis of aortic dissection, with a sensitivity of up to 88% and a specificity of about 94%. It is especially poor in the diagnosis of cases where the dissection is due to hemorrhage within the media without any initiating intimal tear.

The advantage of the aortogram in the diagnosis of aortic dissection is that it can delineate the extent of involvement of the aorta and branch vessels and can diagnose aortic insufficiency.

The disadvantages of the aortogram are that it is an invasive procedure and it requires the use of iodinated contrast material.

In modern medicine, it has been replaced by the diagnostic tools of MRI, CT, and transesophageal echocardiography(TEE) all of which have sensitivities that exceed 90%. TEE is favored in emergent situations, as it is relatively non-invasive and a rapid procedure (more so than MRI, which can takes hours). (references needed)

External links

Aortography at the US National Library of Medicine Medical Subject Headings (MeSH)

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1. Clinical features and diagnosis of acute aortic dissection
2. 腹部大動脈瘤破裂の外科的および血管内修復 surgical and endovascular repair of ruptured abdominal aortic aneurysm
3. 大動脈峡部の外傷性破裂の経食道心エコー transesophageal echocardiography in traumatic rupture of the aortic isthmus
4. 腹部大動脈の血管内修復装置 endovascular devices for abdominal aortic repair
5. 鈍的胸部大動脈損傷 blunt thoracic aortic injury

English Journal

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome.

Natarajan B1, Ramanathan S2, Subramaniam N3, Janardhanan R4.
BMJ case reports.BMJ Case Rep.2016 Sep 2;2016. pii: bcr2016215723. doi: 10.1136/bcr-2016-215723.
Subvalvular aneurysms are the least common type of left ventricular (LV) aneurysms and can be fatal. Subaortic LV aneurysms are much rarer than submitral LV aneurysms and mostly reported in infancy. They can be congenital or acquired secondary to infections, cardiac surgery or trauma. Here, we repor
PMID 27591034

Hybrid Interventional Treatment of Iatrogenic Innominate Artery Aneurysm in a Child.

Paczkowski K1, Haponiuk I1,2, Chojnicki M1, Brzezińska-Rajszys G3.
The heart surgery forum.Heart Surg Forum.2016 Aug 23;19(4):E203-5. doi: 10.1532/hsf.1544.
An iatrogenic aneurysm of an innominate artery is an extremely rare complication, especially in children. Nevertheless, this pathology was diagnosed in a child given palliative care with chronic respiratory insufficiency and a history of encephalitis requiring permanent ventilation at home via a tra
PMID 27585203

Endovascular Management of Concomitant Thoracic and Abdominal Aortic Ruptures Resulting from Brucellosis Aortitis.

Chen SL1, Kuo IJ1, Fujitani RM1, Kabutey NK2.
Annals of vascular surgery.Ann Vasc Surg.2016 Aug 20. pii: S0890-5096(16)30659-8. doi: 10.1016/j.avsg.2016.08.007. [Epub ahead of print]
INTRODUCTION: Acute aortic symptomatology is an unusual manifestation of Brucella melitensis infection. We present a rare case of acute multifocal thoracic and abdominal aortic ruptures arising from Brucellosis aortitis managed exclusively with endovascular surgery.METHODS: A 71 year-old Hispanic ma
PMID 27554701

Japanese Journal

Inter-aorta-caval Located Tumor : A Case Report

DEMIRAG Mustafa Kemal,KAHRAMAN Hakki,ERZURUMLU Kenan,DOYURGAN Onur,GOKSU Ugur Alp,KECELIGIL Hasan Tahsin
Annals of thoracic and cardiovascular surgery 17(3), 310-312, 2011-06-01
A paraganglioma is a rare tumor that develops out of extra-adrenal chromaffin cells and pheochromocytomas originating from the adrenal medulla. Early diagnosis and surgical planning are crucial, since …
NAID 10029687205

Takayasu Arteritis with Intracranial Involvement Mimicking Epilepsy: Case Report and Review of the Literature

Bolaman Zahit,Yavasoglu Irfan,Kadikoylu Gurhan,Unubol Mustafa,Koseoglu Kutsi,Akyol Ali
Internal Medicine 50(12), 1345-1348, 2011
… An arcus aorto-abdominal aortography, performed for TA prediagnosis, revealed that the subclavian artery ended as a stump at its origin on the right and was occluded by tapering on the left. …
NAID 130000770504

A Sinus of Valsalva - Right Atrium Fistula without Aneurysm Formation

Kanzaki Yumiko,Terasaki Fumio,Fuji Shigeo,Kashiyama Tomokazu,Kaibe Shoji,Doi Yasuji,Kitaura Yasushi
Internal Medicine 49(8), 749-751, 2010
… Aortography confirmed the presence of a shunt jet from the right coronary sinus of Valsalva to the right atrium. …
NAID 130000251860

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リンク元	「aortogram」「大動脈造影」「大動脈造影法」

「aortogram」

Aortography
	Intervention
	; B. Translumbar aortography shows near-total obstruction of the femoral arteries in a patient with Monckeberg's arteriosclerosis.
ICD-9-CM	88.42
MeSH	D001027

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大動脈造影図、大動脈造影、大動脈造影法

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「大動脈造影」

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英: aortography、aortogram
関: 大動脈造影法、大動脈造影図

「大動脈造影法」

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英: aortography、aortogram
関: 大動脈造影、大動脈造影図

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