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The Importance of Angiocardiography for Visualizing the Thoracic Aorta

The Importance of Angiocardiography for Visualizing the Thoracic Aorta Abstract Angiocardiography, the intravenous method of visualizing the cardiovascular system, has been available since 1938.1,2 Strict adherence to the details of the method regularly results in opacification of the thoracic aorta.3 Aortography by left auricular,4 left ventricular,5-8 and aortic puncture and catheterization9,10 are technically more difficult and carry a greater risk and should not be used routinely. The purpose of this paper is to reiterate the practicality of angiocardiography for aortic visualization, to demonstrate how simply mediastinal tumors may be differentiated from aortic aneurysms, and to illustrate the importance of visualizing the aorta. Discovery of aortic disease is no longer of academic interest, the latest surgical triumph being resection of aortic aneurysms and replacement by grafts. Technique of Angiocardiography Angiocardiography is a roentgen method of visualizing the cardiovascular structures. It is accomplished by making a rapid injection (one and one-half seconds) of a concentrated organic iodide References 1. Robb, G. P., and Steinberg, I.: A Practical Method of Visualization of the Chambers of the Heart, the Pulmonary Circulation and the Great Blood Vessels in Man , J. Clin. Invest. 17:507, 1938. 2. Robb, G. P., and Steinberg, I.: Visualization of the Chambers of the Heart, Pulmonary Circulation and the Great Blood Vessels in Man: A Practical Method , Am. J. Roentgenol. 41:1-17, 1939. 3. Dotter, C. T., and Steinberg, I.: Angiocardiography , New York, Paul B. Hoeber, Inc., 1951. 4. Björk, V. O.: Direct Pressure Measurement in the Left Atrium, the Left Ventricle and the Aorta , Acta clin. scandinav. 107:466-476, 1954. 5. Ponsdomenech, E. R., and Beato Núñez, V.: Heart Puncture in Man for Diodrast Visualization of the Ventricular Chambers and Great Arteries: I. Its Experimental and Anatomophysiological Bases and Technique , Am. Heart J. 41:643-650, 1951.Crossref 6. Beato Núñez, V., and Ponsdomenech, E. R.: Heart Puncture: II. Cardioangiography; Clinical and Electrocardiographic Results , Am. Heart J. 41:855-863, 1951.Crossref 7. Smith, P. W.; Wilson, C. W.; Gregg, H. A., and Klassen, K. P.: Cardioangiography , J. Thoracic Surg. 28:273-280, 1954. 8. Gregg, H. A.; Smith, P. W.; Wilson, C. W., and Bull, J. W.: Cardioangiography , Radiology 65:368-372, 1955.Crossref 9. Odman, P.: Percutaneous Selective Angiography of the Main Branches of the Aorta (Preliminary Report) , Acta radiol. 45:1-14, 1956.Crossref 10. Freeman, N. E., and Miller, E. R.: Retrograde Arteriography in Diagnosis of Cardiovascular Lesions: 1. Visualization of Aneurysms and Peripheral Arteries , Ann. Int. Med. 30:330-342, 1949.Crossref 11. Dotter, C. T.; Wetchler, M. S., and Steinberg, I.: Contrast Substances for Angiocardiography: Study of Side Effects , Radiology 60:691-698, 1953.Crossref 12. Dotter, C. T.; Steinberg, I., and Temple, H. L.: Automatic Roentgen-Ray Roll-Film Magazine for Angiocardiography and Cerebral Arteriography , Am. J. Roentgenol. 62:355-358, 1949. 13. Steinberg, I.; Dubilier, W., and Evans, J. A.: New 12 Inch Roll-Film Magazine for Rapid Serial Roentgenography , Radiology 65:276-280, 1955.Crossref 14. Maniglia, R., and Gregory, J. E.: Increasing Incidence of Arteriosclerotic Aortic Aneurysms: Analysis of 6000 Autopsies , A.M.A. Arch. Path. 54:298-305, 1952. 15. Brindley, P., and Sternbridge, V. A.: Aneurysm of the Aorta: A Clinical Pathologic Study of 369 Necropsy Cases , Am. J. Path. 32:67-82, 1956. 16. Bahnson, H. T.: Definitive Treatment of Saccular Aneurysms of Aorta with Excision of Sac and Aortic Suture , Surg. Gynec. & Obst. 96:383-402, 1953. 17. De Bakey, M. E.; Cooley, D. A., and Creech, O., Jr.: Treatment of Aneurysms and Occlusive Disease of the Aorta by Resection: Analysis of 87 Cases , J. A. M. A. 157:203-208, 1955. 18. Kampmeir, R. H.: Saccular Aneurysm of the Thoracic Aorta: A Clinical Study of 633 Cases , Ann. Int. Med. 12:624-651, 1938. 19. Cranley, J. J.; Herrmann, L. G., and Preuninger, R. M.: Natural History of Aneurysms of the Aorta , A. M. A. Surg. Arch. 69:185-197, 1954. 20. Honig, E. I; Dubilier, W., and Steinberg, I.: Significance of the Buckled Innominate Artery , Ann. Int. Med. 39:74-80, 1953. 21. Goyette, E. M.; Blake, H. A.; Forsee, J. H., and Swan, H.: Traumatic Aortic Aneurysm , Circulation 10:824-828, 1954. 22. Rice, W. G., and Wittstruck, K. P.: Acute Hypertension and Delayed Traumatic Rupture of the Aorta , J. A. M. A. 147:915-917, 1951.Crossref 23. Sarot, I. A., and Lazzarini, A. A.: Resection of Aneurysm of Aortic Arch and Descending Aorta: Permanent "By-Pass" Homograft , Tr. Am. Coll. Cardiology 5:175A-175N, 1955. 24. Dotter, C. T.; Steinberg, I., and Catalano, D.: Roentgenologic Aspects of Coarctation of the Aorta , New York J. Med. 53:182-186, 1953. 25. Steinberg, I., and Finby, N.: Clinical Manifestations of the Unperforated Aortic Sinus Aneurysm , Circulation 14:115-124, 1956.Crossref 26. Steinberg, I.: Aneurysm of the Aortic Sinuses with Pseudo-Coarctation of the Aorta , Brit. Heart J. 18:85-89, 1956.Crossref 27. Lukas, D. S.; Araujo, J., and Steinberg, I.: The Syndrome of Patent Ductus Arteriosus with Reversal of Flow , Am. J. Med. 17:298-310, 1954.Crossref 28. Gasul, B. M.; Fell, E. H., and Casas, R.: The Diagnosis of Aortic Septal Defect by Retrograde Aortography: Report of a Case , Circulation 4:251-254, 1951.Crossref 29. Kjellberg, S. R.; Mannheimer, E.; Rudhe, U., and Jonsson, B.: Diagnosis of Congenital Heart Disease , Chicago, The Year Book Publishers, Inc., 1955. 30. McAfee, J. C.: Angiocardiography and Thoracic Aortography in Congenital Cardiovascular Lesions , Am. J. M. Sc. 229:549-582, 1955.Crossref 31. Caudel, S., and Ehrlich, D. E.: Venous Pressure Blood Flow During the Valsalva Experiment Including Some Clinical Applications , Am. J. Med. 15:307-315, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

The Importance of Angiocardiography for Visualizing the Thoracic Aorta

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280070033004
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Abstract

Abstract Angiocardiography, the intravenous method of visualizing the cardiovascular system, has been available since 1938.1,2 Strict adherence to the details of the method regularly results in opacification of the thoracic aorta.3 Aortography by left auricular,4 left ventricular,5-8 and aortic puncture and catheterization9,10 are technically more difficult and carry a greater risk and should not be used routinely. The purpose of this paper is to reiterate the practicality of angiocardiography for aortic visualization, to demonstrate how simply mediastinal tumors may be differentiated from aortic aneurysms, and to illustrate the importance of visualizing the aorta. Discovery of aortic disease is no longer of academic interest, the latest surgical triumph being resection of aortic aneurysms and replacement by grafts. Technique of Angiocardiography Angiocardiography is a roentgen method of visualizing the cardiovascular structures. It is accomplished by making a rapid injection (one and one-half seconds) of a concentrated organic iodide References 1. Robb, G. P., and Steinberg, I.: A Practical Method of Visualization of the Chambers of the Heart, the Pulmonary Circulation and the Great Blood Vessels in Man , J. Clin. Invest. 17:507, 1938. 2. Robb, G. P., and Steinberg, I.: Visualization of the Chambers of the Heart, Pulmonary Circulation and the Great Blood Vessels in Man: A Practical Method , Am. J. Roentgenol. 41:1-17, 1939. 3. Dotter, C. T., and Steinberg, I.: Angiocardiography , New York, Paul B. Hoeber, Inc., 1951. 4. Björk, V. O.: Direct Pressure Measurement in the Left Atrium, the Left Ventricle and the Aorta , Acta clin. scandinav. 107:466-476, 1954. 5. Ponsdomenech, E. R., and Beato Núñez, V.: Heart Puncture in Man for Diodrast Visualization of the Ventricular Chambers and Great Arteries: I. Its Experimental and Anatomophysiological Bases and Technique , Am. Heart J. 41:643-650, 1951.Crossref 6. Beato Núñez, V., and Ponsdomenech, E. R.: Heart Puncture: II. Cardioangiography; Clinical and Electrocardiographic Results , Am. Heart J. 41:855-863, 1951.Crossref 7. Smith, P. W.; Wilson, C. W.; Gregg, H. A., and Klassen, K. P.: Cardioangiography , J. Thoracic Surg. 28:273-280, 1954. 8. Gregg, H. A.; Smith, P. W.; Wilson, C. W., and Bull, J. W.: Cardioangiography , Radiology 65:368-372, 1955.Crossref 9. Odman, P.: Percutaneous Selective Angiography of the Main Branches of the Aorta (Preliminary Report) , Acta radiol. 45:1-14, 1956.Crossref 10. Freeman, N. E., and Miller, E. R.: Retrograde Arteriography in Diagnosis of Cardiovascular Lesions: 1. Visualization of Aneurysms and Peripheral Arteries , Ann. Int. Med. 30:330-342, 1949.Crossref 11. Dotter, C. T.; Wetchler, M. S., and Steinberg, I.: Contrast Substances for Angiocardiography: Study of Side Effects , Radiology 60:691-698, 1953.Crossref 12. Dotter, C. T.; Steinberg, I., and Temple, H. L.: Automatic Roentgen-Ray Roll-Film Magazine for Angiocardiography and Cerebral Arteriography , Am. J. Roentgenol. 62:355-358, 1949. 13. Steinberg, I.; Dubilier, W., and Evans, J. A.: New 12 Inch Roll-Film Magazine for Rapid Serial Roentgenography , Radiology 65:276-280, 1955.Crossref 14. Maniglia, R., and Gregory, J. E.: Increasing Incidence of Arteriosclerotic Aortic Aneurysms: Analysis of 6000 Autopsies , A.M.A. Arch. Path. 54:298-305, 1952. 15. Brindley, P., and Sternbridge, V. A.: Aneurysm of the Aorta: A Clinical Pathologic Study of 369 Necropsy Cases , Am. J. Path. 32:67-82, 1956. 16. Bahnson, H. T.: Definitive Treatment of Saccular Aneurysms of Aorta with Excision of Sac and Aortic Suture , Surg. Gynec. & Obst. 96:383-402, 1953. 17. De Bakey, M. E.; Cooley, D. A., and Creech, O., Jr.: Treatment of Aneurysms and Occlusive Disease of the Aorta by Resection: Analysis of 87 Cases , J. A. M. A. 157:203-208, 1955. 18. Kampmeir, R. H.: Saccular Aneurysm of the Thoracic Aorta: A Clinical Study of 633 Cases , Ann. Int. Med. 12:624-651, 1938. 19. Cranley, J. J.; Herrmann, L. G., and Preuninger, R. M.: Natural History of Aneurysms of the Aorta , A. M. A. Surg. Arch. 69:185-197, 1954. 20. Honig, E. I; Dubilier, W., and Steinberg, I.: Significance of the Buckled Innominate Artery , Ann. Int. Med. 39:74-80, 1953. 21. Goyette, E. M.; Blake, H. A.; Forsee, J. H., and Swan, H.: Traumatic Aortic Aneurysm , Circulation 10:824-828, 1954. 22. Rice, W. G., and Wittstruck, K. P.: Acute Hypertension and Delayed Traumatic Rupture of the Aorta , J. A. M. A. 147:915-917, 1951.Crossref 23. Sarot, I. A., and Lazzarini, A. A.: Resection of Aneurysm of Aortic Arch and Descending Aorta: Permanent "By-Pass" Homograft , Tr. Am. Coll. Cardiology 5:175A-175N, 1955. 24. Dotter, C. T.; Steinberg, I., and Catalano, D.: Roentgenologic Aspects of Coarctation of the Aorta , New York J. Med. 53:182-186, 1953. 25. Steinberg, I., and Finby, N.: Clinical Manifestations of the Unperforated Aortic Sinus Aneurysm , Circulation 14:115-124, 1956.Crossref 26. Steinberg, I.: Aneurysm of the Aortic Sinuses with Pseudo-Coarctation of the Aorta , Brit. Heart J. 18:85-89, 1956.Crossref 27. Lukas, D. S.; Araujo, J., and Steinberg, I.: The Syndrome of Patent Ductus Arteriosus with Reversal of Flow , Am. J. Med. 17:298-310, 1954.Crossref 28. Gasul, B. M.; Fell, E. H., and Casas, R.: The Diagnosis of Aortic Septal Defect by Retrograde Aortography: Report of a Case , Circulation 4:251-254, 1951.Crossref 29. Kjellberg, S. R.; Mannheimer, E.; Rudhe, U., and Jonsson, B.: Diagnosis of Congenital Heart Disease , Chicago, The Year Book Publishers, Inc., 1955. 30. McAfee, J. C.: Angiocardiography and Thoracic Aortography in Congenital Cardiovascular Lesions , Am. J. M. Sc. 229:549-582, 1955.Crossref 31. Caudel, S., and Ehrlich, D. E.: Venous Pressure Blood Flow During the Valsalva Experiment Including Some Clinical Applications , Am. J. Med. 15:307-315, 1953.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jan 1, 1957

References