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JACC Cardiovasc Imaging. 2014 Apr;7(4):406-24. doi: 10.1016/j.jcmg.2013.10.015.

The role of imaging in aortic dissection and related syndromes.

Author information

1
Division of Cardiovascular Medicine, Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address: rrbaliga@gmail.com.
2
University Heart Center, University of Rostock, Rostock, Germany.
3
Cardiology Division, "Cava de' Tirreni and Amalfi Coast" Hospital, Heart Department, University of Salerno, Salerno, Italy.
4
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
5
Thoracic Aortic Center and Heart Center, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts.
6
Department of Cardiology, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Germany.
7
Interventional Cardiology Unit, Ospedali Marche Nord, Pesaro, Italy.
8
Division of Cardiovascular Medicine, Ohio State University, Columbus, Ohio.
9
Frankel Cardiovascular Center, School of Public Health, University of Michigan Health System, Ann Arbor, Michigan.

Abstract

Aortic aneurysm and acute aortic syndrome are not uncommon conditions. Management of acute aortic dissection and related syndromes requires a multidisciplinary approach with input from the patient, clinician, imager, surgeon, and anesthesiologist. This requires an integrated evaluation of pathophysiology, anatomy, and severity to enable appropriate therapy. This review includes discussion of essential anatomy of the aortic valve and the aorta that determines the candidacy for surgical repair. It also includes discussion of various imaging modalities, particularly echocardiography, cardiac computed tomography, and cardiac magnetic resonance angiography. The relative benefits and demerits of each of these techniques are reviewed. This paper is intended to help guide management decisions for patients with acute aortic dissection and related syndromes.

KEYWORDS:

acute aortic syndromes; aortic dissection; aortic intramural hematoma; aortic ulcer; cardiovascular imaging

Comment in

PMID:
24742892
DOI:
10.1016/j.jcmg.2013.10.015
[Indexed for MEDLINE]
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