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The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome
- Source :
- The British journal of radiology. 87(1042)
- Publication Year :
- 2014
-
Abstract
- The term “acute aortic syndrome” (AAS) encompasses several non-traumatic life-threatening pathologies of the thoracic aorta presenting in patients with a similar clinical profile. These include aortic dissection, intramural haematoma and penetrating atherosclerotic ulcers. These different pathological entities can be indistinguishable on clinical grounds alone and may be confused with other causes of chest pain, including myocardial infarction. Multidetector-row CT (MDCT) is the current modality of choice for imaging AAS with a sensitivity and specificity approaching 100%. Early diagnosis and accurate radiological classification is associated with improved clinical outcomes in AAS. We review the characteristic radiological features of the different pathologies that encompass AAS and highlight the vital role of MDCT in determining the management of these life-threatening conditions.
- Subjects :
- medicine.medical_specialty
Chest Pain
Aortic Diseases
Aorta, Thoracic
Review Article
Chest pain
Sensitivity and Specificity
Diagnosis, Differential
Aortic aneurysm
Aneurysm
medicine.artery
Multidetector Computed Tomography
medicine
Thoracic aorta
Humans
Radiology, Nuclear Medicine and imaging
Myocardial infarction
cardiovascular diseases
Ulcer
Acute aortic syndrome
Aortic dissection
Hematoma
business.industry
General Medicine
Equipment Design
Syndrome
medicine.disease
Aortic Aneurysm
Aortic Dissection
cardiovascular system
Radiology
Differential diagnosis
medicine.symptom
business
Subjects
Details
- ISSN :
- 1748880X
- Volume :
- 87
- Issue :
- 1042
- Database :
- OpenAIRE
- Journal :
- The British journal of radiology
- Accession number :
- edsair.doi.dedup.....41c96ea46039e0895301c4d968b38426