MDCT Evaluation of Acute Aortic Syndrome

Radiologic Clinics of North America

Volumn 48, Issue 1, 2010, Pages 67-83

  Yoo, Seung Min ^a   Lee, Hwa Yeon ^b   White, Charles S ^c  

^a Pochon CHA Medical University   (South Korea)

^b Chung Ang University College of Medicine   (South Korea)

^c UNIVERSITY OF MARYLAND   (United States)

Author keywords

Acute aortic syndrome; Aortic dissection; Intramural hematoma; Multidetector CT (MDCT); Penetrating atherosclerotic ulcer

Indexed keywords

FIBRINOLYTIC AGENT; HEPARIN; IODINATED CONTRAST MEDIUM;

ACUTE AORTIC SYNDROME; AORTA ANEURYSM; AORTA DISEASE; AORTA DISSECTION; AORTA FLOW; AORTA RUPTURE; AORTA VALVE REGURGITATION; CLINICAL FEATURE; CLINICAL PROTOCOL; COMORBIDITY; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; DIAGNOSTIC ACCURACY; DIAGNOSTIC ERROR; DIAGNOSTIC VALUE; DISEASE ACTIVITY; DISEASE COURSE; DISEASE PREDISPOSITION; DRUG BLOOD LEVEL; ELECTROCARDIOGRAPHY; FALSE ANEURYSM; GATED IMAGING; HEMATOMA; HUMAN; HYPERTENSION; IMAGE DISPLAY; IMAGE QUALITY; MARFAN SYNDROME; MEDICATION ERROR; MORTALITY; MULTIDETECTOR COMPUTED TOMOGRAPHY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOGENESIS; PATHOPHYSIOLOGY; PRIORITY JOURNAL; PROGNOSIS; RADIATION ATTENUATION; RADIATION DOSE; RADIATION EXPOSURE; REVIEW; STENT; SYMPTOM; THORAX PAIN; THORAX RADIOGRAPHY; TRANSTHORACIC ECHOCARDIOGRAPHY;

ACUTE DISEASE; ANEURYSM, DISSECTING; AORTA, THORACIC; AORTIC ANEURYSM, THORACIC; AORTIC DISEASES; AORTIC RUPTURE; ELECTROCARDIOGRAPHY; HEMATOMA; HUMANS; SYNDROME; TOMOGRAPHY, X-RAY COMPUTED; ULCER;

EID: 71049124005     PISSN: 00338389     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.rcl.2009.09.006     Document Type: Review

References (62)

1. Hirst Jr. A.E., Johns Jr. V.J., and Kime Jr. S.W. Dissecting aneurysms of the aorta: a review of 505 cases. Medicine 37 (1958) 217-279
2. Viljanen T. Diagnostic difficulties in aortic dissection. Retrospective study of 89 surgically treated patients. Ann Chir Gynaecol 75 (1986) 328-332
3. Klompas M. Does this patient have an acute thoracic aortic dissection?. JAMA 287 (2002) 2262-2272
4. Hagan P.G., Nienaber C.A., Isselbacher E.M., et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA 283 (2000) 897-903
5. Abcarian P.W., Sweet J.D., Watabe J.T., et al. Role of a quantitative D-dimer assay in determining the need for CT angiography of acute pulmonary embolism. AJR Am J Roentgenol 182 (2004) 1377-1381
6. Macura K.J., Corl F.M., Fishman E.K., et al. Pathogenesis in acute aortic syndromes: aortic dissection, intramural hematoma, and penetrating atherosclerotic aortic ulcer. AJR Am J Roentgenol 181 (2003) 309-316
7. Chiles C., and Carr J.J. Vascular diseases of the thorax: evaluation with multidetector CT. Radiol Clin North Am 43 (2005) 543-569
8. Roberts W.C. Aortic dissection: anatomy, consequences, and causes. Am Heart J 101 (1981) 195-214
9. Larson E.W., and Edwards W.D. Risk factors for aortic dissection: a necropsy study of 161 cases. Am J Cardiol 53 (1984) 849-855
10. Murdoch J.L., Walker B.A., Halpern B.L., et al. Life expectancy and causes of death in the Marfan syndrome. N Engl J Med 286 (1972) 804-808
11. Matter S.G., Kumar A.G., and Lumsden A.B. Vascular complications in Ehlers-Danlos syndrome. Am Surg 60 (1994) 827-831
12. Rogers F.B., Osler T.M., and Shackford S.R. Aortic dissection after trauma: case report and review of the literature. J Trauma 41 (1996) 906-908
13. Rashid J., Eisenberg M.J., and Topol E.J. Cocaine-induced aortic dissection. Am heart J 132 (1996) 1301-1304
14. Pumphrey C.W., Fay T., and Weir I. Aortic dissection during pregnancy. Br Heart J 55 (1986) 106-108
15. Khan I.A., and Nair C.K. Clinical, diagnostic, and management perspectives of aortic dissection. Chest 122 (2002) 311-328
16. von Kodolitsch Y., Schwartz A.G., and Nienaber C.A. Clinical prediction of acute aortic dissection. Arch Intern Med 160 (2000) 2977-2982
17. Manghat N.E., Morgan-Hughes G.J., and Roobottom C.A. Multi-detector row computed tomography: imaging in acute aortic syndrome. Clin Radiol 60 12 (2005) 1256-1267
18. Bhalla S., and West O.C. CT of nontraumatic thoracic aortic emergencies. Semin Ultrasound CT MR 26 (2005) 281-304
19. Salvolini L., Renda P., Fiore D., et al. Acute aortic syndromes: role of multi-detector row CT. Eur J Radiol 65 (2008) 350-358
20. Batra P., Bigoni B., Manning J., et al. Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics 20 (2000) 309-320
21. Castaner E., Andreu M., Gallardo X., et al. CT in nontraumatic acute thoracic aortic disease: typical and atypical features and complications. Radiographics 23 (2003) S93-110
22. Johnson T.R., Nikolaou K., Wintersperger B.J., et al. Optimization of contrast material administration for electrocardiogram-gated computed tomographic angiography of the chest. J Comput Assist Tomogr 31 (2007) 265-271
23. Roos J.E., Willmann J.K., Weishaupt D., et al. Thoracic aorta: motion artifact reduction with retrospective and prospective electrocardiography-assisted multi-detector row CT. Radiology 222 (2002) 271-277
24. Morgan-Hughes G.J., Marshall A.J., and Roobottom C.A. Refined computed tomography of the thoracic aorta: the impact of electrocardiographic assistance. Clin Radiol 58 (2003) 581-588
25. Yoshida S., Akiba H., Tamakawa M., et al. Thoracic involvement of type A aortic dissection and intramural hematoma: diagnostic accuracy-comparison of emergency helical CT and surgical findings. Radiology 228 (2003) 430-435
26. Hayter R.G., Rhea J.T., Small A., et al. Suspected aortic dissection and other aortic disorders: multi-detector row CT in 373 cases in the emergency setting. Radiology 238 (2006) 841-852
27. Fattori R., Napoli G., Lovato L., et al. Descending thoracic aortic diseases: stent-graft repair. Radiology 229 (2003) 176-183
28. Therasse E., Soulez G., Giroux M.F., et al. Stent-graft placement for the treatment of thoracic aortic diseases. Radiographics 25 (2005) 157-173
29. Iezzi R., Cotroneo A.R., Marano R., et al. Endovascular treatment of thoracic aortic diseases: Follow-up and complications with multi-detector computed tomography angiography. Eur J Radiol 65 (2008) 365-376
30. Williams D.M., Lee D.Y., Hamilton B.H., et al. The dissected aorta: part III. Anatomy and radiologic diagnosis of branch-vessel compromise. Radiology 203 (1997) 37-44
31. Lepage M.A., Quint L.E., Sonnad S.S., et al. Aortic dissection: CT features that distinguish true lumen from false lumen. AJR Am J Roentgenol 177 (2001) 207-211
32. Williams D.M., Joshi A., Dake M.D., et al. Aortic cobwebs: an anatomic marker identifying the false lumen in aortic dissection-imaging and pathologic correlation. Radiology 190 (1994) 167-174
33. Kapoor V., Ferris J.V., Fuhrman C.R., et al. Intimomedial rupture: a new CT finding to distinguish true from false lumen in aortic dissection. AJR Am J Roentgenol 183 (2004) 109-112
34. Park K.H., Lim C., Choi J.H., et al. Prevalence of aortic intimal defect in surgically treated acute type A intramural hematoma. Ann Thorac Surg 86 (2008) 1494-1500
35. Beauchesne L.M., Veinot J.P., Brais M.P., et al. Acute aortic intimal tear without a mobile flap mimicking an intramural hematoma. J Am Soc Echocardiogr 16 (2003) 285-288
36. Berdat P.A., and Carrel T. Aortic dissection limited to the ascending aorta mimicking intramural hematoma. Eur J Cardiothorac Surg 15 (1999) 108-109
37. Neri E., Capannini G., Carone E., et al. Evolution toward dissection of an intramural hematoma of the ascending aorta. Ann Thorac Surg 68 (1999) 1855-1856
38. Vilacosta I., and Román J.A. Acute aortic syndrome. Heart 85 (2001) 365-368
39. Sueyoshi E., Matsuoka Y., Imada T., et al. New development of an ulcerlike projection in aortic intramural hematoma: CT evaluation. Radiology 224 (2002) 536-541
40. Jang Y.M., Seo J.B., Lee Y.K., et al. Newly developed ulcer-like projection (ULP) in aortic intramural haematoma on follow-up CT: is it different from the ULP seen on the initial CT?. Clin Radiol 63 (2008) 201-206
41. Eyler W.R., and Clark M.D. Dissecting aneurysms of the aorta: roentgen manifestations including a comparison with other types of aneurysms. Radiology 85 (1965) 1047-1057
42. Nienaber C.A., von Kodolitsch Y., Petersen B., et al. Intramural hemorrhage of the thoracic aorta. Diagnostic and therapeutic implications. Circulation 92 (1995) 1465-1472
43. Krinsky G.A., Rofsky N.M., DeCorato D.R., et al. Thoracic aorta: comparison of gadolinium-enhanced three-dimensional MR angiography with conventional MR imaging. Radiology 202 (1997) 183-193
44. Coady M.A., Rizzo J.A., and Elefteriades J.A. Pathologic variants of thoracic aortic dissections: penetrating atherosclerotic ulcers and intramural hematomas. Cardiol Clin 17 (1999) 637-657
45. Shon D.W., Jung J.W., Oh B.H., et al. Should ascending aortic intramural hematoma be treated surgically?. Am J Cardiol 87 (2001) 1024-1026
46. Song J.M., Kim H.S., Song J.K., et al. Usefulness of the initial noninvasive imaging study to predict the adverse outcomes in the medical treatment of acute type A aortic intramural hematoma. Circulation 108 Suppl II (2003) II324-II328
47. Evangelista A., Dominguez R., Sebastia C., et al. Long-term follow-up of aortic intramural hematoma: predictors of outcome. Circulation 108 (2003) 583-589
48. Sueyoshi E., Matsuoka Y., Sakamoto I., et al. Fate of intramural hematoma of the aorta: CT evaluation. J Comput Assist Tomogr 21 (1997) 931-938
49. Hayashi H., Matsuoka Y., Sakamoto I., et al. Penetrating atherosclerotic ulcer of the aorta: imaging features and disease concept. Radiographics 20 (2000) 995-1005
50. Quint L.E., William D.M., Francis I.R., et al. Ulcerlike lesions of the aorta: imaging features and natural history. Radiology 218 (2001) 719-723
51. Hirris J.A., Bis K.G., Glover J.L., et al. Penetrating atherosclerotic ulcers of the aorta. J Vasc Surg 19 (1994) 90-98
52. Ganaha F., Miller D.C., Sugimoto K., et al. Prognosis of aortic intramural hematoma with or without penetrating atherosclerotic ulcer: a clinical and radiological analysis. Circulation 106 (2002) 342-348
53. Cho K.R., Stanson A.W., Potter D.D., et al. Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch. J Thorac Cardiovasc Surg 127 (2004) 1393-1401
54. Coady M.A., Rizzo J.A., Hammond G.L., et al. Penetrating ulcer of the thoracic aorta: what is it? How do we recognize it? How do we manage it?. J Vasc Surg 27 (1998) 1006-1015
55. Jean J., Waite S., and White C.S. Nontraumatic thoracic emergencies. Radiol Clin North Am 44 (2006) 273-293
56. Takakuwa K.M., and Halpern E.J. Evaluation of a "triple rule-out" coronary CT angiography protocol: use of 64-section CT in low-to-moderate risk emergency department patients suspected of having acute coronary syndrome. Radiology 248 (2008) 438-446
57. Lee H.Y., Yoo S.M., and White C.S. Coronary CT angiography in emergency department patients with acute chest pain: triple rule-out protocol versus dedicated coronary CT angiography. Int J Cardiovasc Imaging 25 (2009) 319-326
58. Picano E. Sustainability of medical imaging. BMJ 328 (2004) 578-580
59. Coady M.A., Rizzo J.A., and Elefteriades J.A. Developing surgical intervention criteria for thoracic aortic aneurysms. Cardiol Clin 17 (1999) 827-839
60. Scott R.A., Tisi P.V., Ashton H.A., et al. Abdominal aortic aneurysm rupture rates: a 7-year follow-up of the entire abdominal aortic aneurysm population detected by screening. J Vasc Surg 28 (1998) 124-128
61. Gonsalves C.F. The hyperattenuating crescent sign. Radiology 211 (1999) 37-38
62. Thurnher S.A., and Grabenwoger M. Endovascular treatment of thoracic aortic aneurysms: a review. Eur Radiol 12 (2002) 1370-1387