Abstract
Acute aortic emergencies are life-threatening conditions that may require urgent surgical or interventional management. Imaging plays an important role in the diagnosis and planning of the management, and timely intervention helps in reducing mortality and morbidity.
Highlights
Acute aortic syndrome (AAS) is a spectrum of life-threatening aortic diseases consisting of aortic dissection (AD), intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU).[1]
Acute aortic syndrome is often part of a large clinical group of patients presenting with acute chest pain to the emergency room and often difficult to distinguish initially from other causes such as myocardial infarction, pulmonary embolism, and so on
As the risk and clinical profile of patients with AD and IMH are similar, unenhanced computed tomography (CT) is recommended, prior to a contrast study, in patients suspected with AAS and blunt chest trauma
Summary
Acute aortic syndrome (AAS) is a spectrum of life-threatening aortic diseases consisting of aortic dissection (AD), intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU).[1]. Acute aortic syndrome (AAS) is a spectrum of life-threatening aortic diseases consisting of aortic dissection (AD), intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU).[1] Acute aortic syndrome is often part of a large clinical group of patients presenting with acute chest pain to the emergency room and often difficult to distinguish initially from other causes such as myocardial infarction, pulmonary embolism, and so on. Clinical presentation and histological findings of the three entities are similar, typically presenting with acute onset of chest pain and histologically characterised by disruption of the aortic media.[2] Diagnosis based upon clinical symptoms and physical examination alone is not possible.
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