Multimodality Imaging of Thoracic Aortic Diseases in Adults

被引:46
作者
Bhave, Nicole M. [1 ]
Nienaber, Christoph A. [1 ]
Clough, Rachel E. [1 ]
Eagle, Kim A. [1 ]
机构
[1] Univ Michigan, Sch Med, Div Cardiovasc Med, Dept Internal Med, 1500 East Med Ctr Dr,SPC 5852, Ann Arbor, MI 48109 USA
关键词
acute aortic syndrome; computed tomographic angiography; echocardiography; magnetic resonance angiography; thoracic aortic aneurysm; WALL SHEAR-STRESS; SECTIONAL AREA/HEIGHT RATIO; ACUTE CHEST-PAIN; INTERNATIONAL REGISTRY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; COMPUTED-TOMOGRAPHY; INTRAMURAL HEMATOMA; ROOT DILATATION; MR-ANGIOGRAPHY; RHEUMATOID-ARTHRITIS;
D O I
10.1016/j.jcmg.2018.03.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In diagnosing and following patients with acute aortic syndromes and thoracic aortic aneurysms, high-quality imaging of the thoracic aorta is indispensable. Mainstay modalities for thoracic aortic imaging are echocardiography, computed tomographic angiography, and magnetic resonance angiography. For any given clinical scenario, the imaging modality and protocol chosen will have a significant impact on sensitivity and specificity for the aortic diagnosis of concern. Imaging can also provide important ancillary information regarding myocardial performance, aortic valve morphology and function, and end-organ perfusion. Surveillance of patients following thoracic aortic surgery with serial imaging studies can identify complications that may require reintervention, and imaging has played an integral role in development of new surgical and interventional methods. Emerging techniques in thoracic aortic imaging include positron emission tomography, which addresses vessel wall inflammation, and 4-dimensional magnetic resonance angiography, which illustrates flow dynamics. (C) 2018 by the American College of Cardiology Foundation.
引用
收藏
页码:903 / 919
页数:17
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