The Role of Imaging in Aortic Dissection and Related Syndromes

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 pathophysi...

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Bibliographic Details
Published in:JACC. Cardiovascular imaging 2014-04, Vol.7 (4), p.406-424
Main Authors: Baliga, Ragavendra R., MD, MBA, Nienaber, Christoph A., MD, PhD, Bossone, Eduardo, MD, PhD, Oh, Jae K., MD, Isselbacher, Eric M., MD, Sechtem, Udo, MD, Fattori, Rossella, MD, PhD, Raman, Subha V., MD, Eagle, Kim A., MD
Format: Article
Language:English
Subjects:
Algorithms
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - physiopathology
Aneurysm, Dissecting - surgery
Aortic Aneurysm - diagnosis
Aortic Aneurysm - physiopathology
Aortic Aneurysm - surgery
Aortography
Cardiovascular
Critical Pathways
Diagnostic Imaging - methods
Echocardiography
Humans
Magnetic Resonance Angiography
Predictive Value of Tests
Prognosis
Syndrome
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Summary: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.
ISSN:1936-878X
1876-7591
DOI:10.1016/j.jcmg.2013.10.015