NDLI: MDCT evaluation of acute aortic syndrome (AAS).

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Valente, Tullio Rossi, Giovanni Lassandro, Francesco Rea, Gaetano Marino, Maurizio Muto, Maurizio Molino, Antonio Scaglione, Mariano
Description	Country affiliation: Italy Author Affiliation: Valente T ( 1 Department of Diagnostic Imaging, Section of General Radiology, Azienda Ospedali dei Colli, Naples, Italy.); Rossi G ( 1 Department of Diagnostic Imaging, Section of General Radiology, Azienda Ospedali dei Colli, Naples, Italy.); Lassandro F ( 1 Department of Diagnostic Imaging, Section of General Radiology, Azienda Ospedali dei Colli, Naples, Italy.); Rea G ( 1 Department of Diagnostic Imaging, Section of General Radiology, Azienda Ospedali dei Colli, Naples, Italy.); Marino M ( 1 Department of Diagnostic Imaging, Section of General Radiology, Azienda Ospedali dei Colli, Naples, Italy.); Muto M ( 1 Department of Diagnostic Imaging, Section of General Radiology, Azienda Ospedali dei Colli, Naples, Italy.); Molino A ( 2 Department of Pneumology, Section of Respiratory Diseases, University of Naples Federico II c/o Monaldi Hospital, Naples, Italy.); Scaglione M ( 3 Department of Diagnostic Imaging, Presidio Ospedaliero 'Pineta Grande', Caserta, Italy.)
Abstract	Non-traumatic acute thoracic aortic syndromes (AAS) describe a spectrum of life-threatening aortic pathologies with significant implications on diagnosis, therapy and management. There is a common pathway for the various manifestations of AAS that eventually leads to a breakdown of the aortic intima and media. Improvements in biology and health policy and diffusion of technology into the community resulted in an associated decrease in mortality and morbidity related to aortic therapeutic interventions. Hybrid procedures, branched and fenestrated endografts, and percutaneous aortic valves have emerged as potent and viable alternatives to traditional surgeries. In this context, current state-of-the art multidetector CT (MDCT) is actually the gold standard in the emergency setting because of its intrinsic diagnostic value. Management of acute aortic disease has changed with the increasing realization that endovascular therapies may offer distinct advantages in these situations. This article provides a summary of AAS, focusing especially on the MDCT technique, typical and atypical findings and common pitfalls of AAS, as well as recent concepts regarding the subtypes of AAS, consisting of aortic dissection, intramural haematoma, penetrating atherosclerotic ulcer and unstable aortic aneurysm or contained aortic rupture. MDCT findings will be related to pathophysiology, timing and management options to achieve a definite and timely diagnostic and therapeutic definition. In the present article, we review the aetiology, pathophysiology, clinical presentation, outcomes and therapeutic approaches to acute aortic syndromes.
File Format	HTM / HTML
ISSN	00071277
Issue Number	1061
Volume Number	89
Journal	The British Journal of Radiology
Language	English
Publisher	BIR Publications
Publisher Date	2016-01-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Multidetector Computed Tomography Acute Disease Complications Humans Aortic Aneurysm Review Plaque, Atherosclerotic Syndrome Journal Article Hematoma Ulcer Aortography Discipline Radiology Aneurysm, Dissecting Aortic Diseases
Content Type	Text
Resource Type	Article

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