What Is the Ideal Imaging Strategy for Diagnosing AAA, Abdominal Aortic Dissection, and Aortic Rupture?

  • Bennett A. MyersEmail author


The best imaging modality for diagnosis and preoperative management of abdominal aortic pathology is computed tomography angiography (CTA) due to its ability to quickly and accurately map the aneurysm or dissection, identifying location, size, and other involved arterial branches. Ultrasound is the imaging modality of choice for rapid bedside diagnosis of abdominal aortic aneurysm in the emergency setting. It is also used for surveillance of known aneurysmal disease. Diagnostic studies should not delay operative management in patients with strong clinical suspicion for aortic rupture, especially if the patient is hemodynamically unstable and has a previous diagnosis of aortic aneurysm and/or dissection.


Aortic dissection Abdominal aortic aneurysm Aortic rupture Computed tomography Ultrasound Magnetic resonance imaging Radiography Angiography 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Emergency MedicineUniversity of Maryland School of MedicineBaltimoreUSA

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