Curriculum and Recommendations for Study
Cardiovascular Emergencies: Stuart Mirvis, MD

Myocardium and Pericardium Myocardial infarction Myocardial laceration Myocardial contusion Pericardial effusion - tamponade Pneumopericardium - tamponade Aorta Aortic trauma Aortic dissection Aortic aneurysm

Pulmonary Edema - various etiologies Thrombo-embolic disease Deep venous thrombosis Pulmonary embolism

Suggested Readings:

James CA. Magnetic resonance angiography in trauma. Clin Neurosci 1997;4:137-145

Harris JA, Bis KG, Glover JL, Bendick PJ, Shetty A, Brown OW. Penetrating atherosclerotic ulcers of the aorta. J Vasc Surg 1994:90-98.

Coady MA, Rizzo JA, Hammond GL, et al. Penetrating ulcer of the thoracic aorta: what is it? How do we recognize it? How do we manage it? J Vasc Surg 1998;27:1006-1015.

Gavant ML. Helical CT grading of trauamtic aortic injuries. Impact on clinical guidelines for medical and surgical management. Radiol Clin N Am 1999;37:553-574.

Akbar K, Smith DC, Bansal RC, Catalano RD. Angiography in blunt thoracic aortic injury. J Trauma 1997;42:665-669.

Fabian TC, Richardson JD, Croce MA et al. Prospective study of blunt aortic injury: Multicenter trial of the American Association for the Surgery of Trauma. J Trauma 1997;42:374-380.

Sommer T, Fehske W, Holzknecht N, et al. Aortic dissection: a comparative study of diagnosis with spiral CT, multiplanar transesophageal echocardiography, and MR imaging. Radiology 1996;199:347-352.

Wicky S, Capasso P, Meuli R et al. Spiral CT aortography: an efficient technique for the diagnosis of traumatic aortic injury. Eur Radiol 1998;8:828-833.

Patel NH, Stephens KE Jr., Mirvis SE, et al. Imaging of acute thoracic aortic injury due to blunt trauma: a review. Radiology 1998:209;335-348.

Torossov M, Singh A, Fein SA. Clinical presentation, diagnosis, and hospital outcome of patients with documented aortic dissection: the Albany Medical Center experience, 1986 - 1996. Am Heart J 1999;137:154-161.

Sebastia C, Pallisa E, Quiroga S, et al. Aortic dissection: diagnosis and follow-up with helical CT. Radiographics 1999;19:45-60.

Creasy JD, Chiles C, Routh WD, Dyer RB. Overview of traumatic injury of the thoracic aorta, Radiographics 1997;17:27-45.

Sarasin FP, Louis-Simonet M, gaspoz JM, Junod AF. Detecting acute dissection in the emergency department: time constraints and choice of the optimal diagnostic test. Ann Emerg Med 1996;28:278-288.

Duvernoy O, Coulden R, Yitterberg C. Aortic motion: a potential pitfall in CT imaging of dissection in the ascending aorta. J Comput Assist Tomogr 1995;19:569-572.

Nienaber CA, von Kodolitsch Y, Nicolas V, et al. The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. N Engl J Med 1993;328:1-9.

Fisher RG, Sanchez-Torres M, Thomas JW, Whigham CJ. Subtle and atypical injuries of the thoracic aorta and brachiocephalic vessels in blunt thoracic trauma. Radiographics 1997;17:835-839.

Fultz PJ, Melville D, Ekanei A, et al. Nontraumatic rupture of the thoracic aorta: chest radiographic features of an often unrecognized condition. AJR 1998;171:351-357.

Tennant WG, Hartnell GG, Baird RN, Horrocks M. Inflammatory aortic aneurysm: characteristic appearance on magnetic resonance imaging. Eur J Surg 1992;6:399-402.

Von Kodolitsch Y, Simic O, Nienaber CA. Aneurysms of the ascending aorta: diagnostic features and prognosis in patients with Marfan's syndrom versus hypertension. Clin Cardiol 1998;21:817-824..

Halliday KE, al-Kutoubi A. Draped aorta: CT sign of contained leak of aortic aneurysms. Radiology 1996;199:41-43.

Vogelzang RL, Sohaey R. Infected aortic aneurysm: CT appearances. J Comput Assist Tomogr 1988;12:109-112.

Van de Wal HJ, Draaisma JM, Vincent JG, Goris RJ. Rupture of the supradiaphragmatic inferior vena cava by decelerating trauma: case report. J Trauma 1990;30:111-113.

Walsh A, Snyder HS. Azygous vein laceration following a vertical deceleration injury. J Emerg Med 1992;10:35-37.

Killeen KL, Poletti PA, Shanmuganathan K, Mirvis SE. CT diagnosis of cardiac and pericardial injuries. Emerg Radiol 1999;6:339-344.

Oliver TB, Murchison JT, Reid JH. Spiral CT in acute non-cardiac chest pain. Clin Radiol 1999;54:38-45.

Flamm SD, VanDyke CW, White RD. MR imaging of the thoracic aorta. Magn Reson Imaging Clin N Am 1996;4:217-235.

Ho VB, Prince MR. Thoracic MR aortography: imaging techniques and strategies. Radiographics 1998;18:287-309.