The Role of Imaging in Aortic Dissection and Related Syndromes

被引：138

作者：

Baliga, Ragavendra. R. ^{[1
]}

Nienaber, Christoph A. ^{[2
]}

Bossone, Eduardo ^{[3
]}

Oh, Jae K. ^{[4
]}

Isselbacher, Eric M. ^{[5
,6
,7
]}

Sechtem, Udo ^{[8
]}

Fattori, Rossella ^{[9
]}

Raman, Subha V. ^{[10
]}

Eagle, Kim A. ^{[11
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Div Cardiovasc Med, Columbus, OH 43210 USA

[2] Univ Rostock, Univ Heart Ctr, D-18055 Rostock, Germany

[3] Univ Salerno, Heart Dept, Cava de Tirreni & Amalfi Coast Hosp, Div Cardiol, I-84100 Salerno, Italy

[4] Mayo Clin, Div Cardiovasc Dis, Rochester, MN USA

[5] Massachusetts Gen Hosp, Thorac Aort Ctr, Boston, MA 02114 USA

[6] Massachusetts Gen Hosp, Ctr Heart, Boston, MA 02114 USA

[7] Harvard Univ, Sch Med, Boston, MA USA

[8] Robert Bosch Krankenhaus Stuttgart, Dept Cardiol, Stuttgart, Germany

[9] Osped Marche Nord, Intervent Cardiol Unit, Pesaro, Italy

[10] Ohio State Univ, Div Cardiovasc Med, Columbus, OH 43210 USA

[11] Univ Michigan Hlth Syst, Sch Publ Hlth, Frankel Cardiovasc Ctr, Ann Arbor, MI USA

来源：

JACC-CARDIOVASCULAR IMAGING | 2014年 / 7卷 / 04期

关键词：

acute aortic syndromes; aortic dissection; aortic intramural hematoma; aortic ulcer; cardiovascular imaging; PENETRATING ATHEROSCLEROTIC ULCER; ANEURYSM DIAMETER MEASUREMENTS; ENHANCED MR-ANGIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; COMPUTED-TOMOGRAPHY; THORACIC AORTA; INTRAMURAL HEMATOMA; CT ANGIOGRAPHY; INTERNATIONAL REGISTRY; DIAGNOSTIC-ACCURACY;

D O I：

10.1016/j.jcmg.2013.10.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (J Am Coll Cardiol lmg 2014;7:406-24) (C) 2014 by the American College of Cardiology Foundation

引用

页码：406 / 424

页数：19

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