Abstract
Acute aortic pathologies include acute aortic syndrome (aortic dissection, intramural hematoma, penetrating aortic ulcer), impending rupture, aortic aneurysm rupture and aortic trauma. Acute aortic syndrome, aortic aneurysm rupture and aortic trauma are life-threatening conditions requiring prompt diagnosis and treatment. The basic imaging modality for "acute aorta" is CT angiography with typical findings for these aortic pathologies. Based on the CT, it is possible to classify aortic diseases and anatomical classifications are essential for the planning of treatment. Currently, endovascular treatment is the method of choice for acute diseases of the descending thoracic aorta and is increasingly indicated for patients with ruptured abdominal aortic aneurysms.
Highlights
Acute aortic syndrome (aortic dissection, intramural hematoma, penetrating aortic ulcer), impending rupture, aortic rupture and aortic trauma are life-threatening conditions requiring early diagnosis and treatment
Acute aortic syndrome, impending rupture, aortic rupture and aortic trauma are life-threatening conditions requiring early diagnosis and treatment
CT findings If we evaluate CT angiography, it is necessary to assess carefully the native scans and subsequent CT angiography
Summary
Acute aortic syndrome (aortic dissection, intramural hematoma, penetrating aortic ulcer), impending rupture, aortic rupture and aortic trauma are life-threatening conditions requiring early diagnosis and treatment. Complications of IMH include aortic dissection in 28-47%, aneurysm/pseudoaneurysm or rupture in 20-45% (periaortic hematoma, hemothorax, hemomediastinum, hemopericardium), pericardial effusion and pleural effusion[23].
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Schedule a callMore From: Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia
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