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The Current Optimal Imaging Modality for Evaluating Acute Aortic Syndromes

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Thoracic Aortic Diseases

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References

  1. Vilacosta I, Roman JA. Acute aortic syndrome. Heart 2001; 85:365–368.

    Article  PubMed  CAS  Google Scholar 

  2. Van der Loo B, Jenni R. Acute aortic syndrome: proposal for a novel classification. Heart 2003; 89:928.

    Article  PubMed  Google Scholar 

  3. von Kodolitsch Y, Nienaber CA, Dieckmann C, Schwartz AG, Hofmann T, Brekenfeld C, Nicolas V, Berger J, Meinertz T. Chest radiography for the diagnosis of acute aortic syndrome. Am J Med 2004; 116:73–77.

    Article  Google Scholar 

  4. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, Evangelista A, Fattori R, Suzuki T, Oh JK, Moore AG, Malouf JF, Pape LA, Gaca C, Sechtem U, Lenferink S, Deutsch HJ, Diedrichs H, Marcos y Robles J, Llovet A, Gilon D, Das SK, Armstrong WF, Deeb GM, Eagle KA. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000; 283:897–903.

    Article  PubMed  CAS  Google Scholar 

  5. Moore AG, Eagle KA, Bruckman D, Moon BS, Malouf JF, Fattori R, Evangelista A, Isselbacher EM, Suzuki T, Nienaber CA, Gilon D, Oh JK. Choice of computed tomography, transesophageal echocardiography, magnetic resonance imaging, and aortography in acute aortic dissection: In ternational Registry of Acute Aortic Dissection (IRAD). Am J Cardiol 2002; 89:1235–1238.

    Article  PubMed  Google Scholar 

  6. Hirst AE Jr, Johns VJ Jr, Kime SW Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine 1958;37:217–279.

    PubMed  Google Scholar 

  7. Yoshida S, Akiba H, Tamakawa M, Yama N, Hareyama M, Morishita K, Abe T. Thoracic involvement of type A aortic dissection and intramural hematoma: diagnostic accuracy-comparison of emergency helical CT and surgical findings. Radiology 2003; 228:430–435.

    PubMed  Google Scholar 

  8. Nienaber CA, von Kodolitsch Y, Nicolas V, Siglow V, Piepho A, Brockhoff C, Koschyk DH, Spielmann RP. The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. N Engl J Med 1993; 328:1–9.

    Article  PubMed  CAS  Google Scholar 

  9. Cigarroa JE, Isselbacher EM, DeSanctis RW, Eagle KA. Diagnostic imaging in the evaluation of suspected aortic dissection. Old standards and new directions. N Engl J Med 1993; 328:35–43.

    Article  PubMed  CAS  Google Scholar 

  10. Sharma U, Ghai S, Paul SB, Gulati MS, Bahl VK, Rajani M, Mukhopadhyay S. Helical CT evaluation of aortic aneurysms and dissection: a pictorial essay. Clin Imaging 2003; 27:273–280.

    Article  PubMed  Google Scholar 

  11. Prokop M. Multislice CT angiography. Eur J Radiol 2000;36:86–96.

    Article  PubMed  CAS  Google Scholar 

  12. Rubin GD. MDCT imaging of the aorta and peripheral vessels. Eur J Radiol 2003; 45:S42–49.

    Article  PubMed  Google Scholar 

  13. Willoteaux S, Lions C, Gaxotte V, Negaiwi Z, Beregi JP. Imaging of aortic dissection by helical computed tomography (CT). Eur Radiol 2004; 14:1999–2008.

    Article  PubMed  Google Scholar 

  14. Hartnell GG. Imaging of aortic aneurysms and dissection: CT and MRI. J Thorac Imaging 2001; 16:35–46.

    Article  PubMed  CAS  Google Scholar 

  15. Pereles FS, McCarthy RM, Baskaran V, Carr JC, Kapoor V, Krupinski EA, Finn JP. Thoracic aortic dissection and aneurysm: evaluation with nonenhanced true FISP MR angiography in less than 4 minutes. Radiology 2002;223:270–274.

    PubMed  Google Scholar 

  16. Sommer T, Fehske W, Holzknecht N, Smekal AV, Keller E, Lutterbey G, Kreft B, Kuhl C, Gieseke J, Abu-Ramadan D, Schild H. Aortic dissection: a comparative study of diagnosis with spiral CT, multiplanar transesophageal echocardiography, and MR imaging. Radiology 1996; 199:347–352.

    PubMed  CAS  Google Scholar 

  17. Silvey SV, Stoughton TL, Pearl W, Collazo WA, Belbel RJ. Rupture of the outer partition of aortic dissection during transesophageal echocardiography. Am J Cardiol 1991;68:286–287.

    Article  PubMed  CAS  Google Scholar 

  18. Mehta RH, Bossone E, Evangelista A, O’Gara PT, Smith DE, Cooper JV, Oh JK, Januzzi JL, Hutchison S, Gilon D, Pape LA, Nienaber CA, Isselbacher EM, Eagle KA. Inter national Registry of Acute Aortic Dissection Investigators. Acute type B aortic dissection in elderly patients: clinical features, outcomes, and simple risk stratification rule. Ann Thorac Surg 2004; 77:1622–1628.

    Article  PubMed  Google Scholar 

  19. Khan IA, Nair CK. Clinical, diagnostic, and management perspectives of aortic dissection. Chest 2002; 122:311–328.

    Article  PubMed  Google Scholar 

  20. Rizzo RJ, Aranki SF, Aklog L, Couper GS, Adams DH, Collins JJ Jr, Kinchla NM, Allred EN, Cohn LH. Rapid noninvasive diagnosis and surgical repair of acute ascending aortic dissection. Improved survival with less angiography. J Thorac Cardiovasc Surg 1994; 108:567–574.

    PubMed  CAS  Google Scholar 

  21. Kern MJ, Serota H, Callicoat P, Deligonul U, Lee WH, Aguirre F, Lew B, Barner H, Willman V. Use of coronary arteriography in the preoperative management of patients undergoing urgent repair of the thoracic aorta. Am Heart J 1990; 119:143–148.

    Article  PubMed  CAS  Google Scholar 

  22. Miller JS, Lemaire SA, Coselli JS. Evaluating aortic dissection: when is coronary angiography indicated? Heart 2000; 83:615–616.

    Article  PubMed  CAS  Google Scholar 

  23. Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management: part I: from etiology to diagnostic strategies. Circulation 2003; 108:628–635.

    Article  PubMed  Google Scholar 

  24. Fallenberg M, Juergens KU, Wichter T, Scheld HH, Fischbach R. Coronary artery aneurysm and type-A aortic dis section demonstrated by retrospectively ECG-gated multislice spiral CT. Eur Radiol 2002; 12:201–204.

    Article  PubMed  Google Scholar 

  25. Vernhet H, Serfaty JM, Serhal M, McFadden E, Bonnefoy E, Adeleine P, Revel D, Douek P. Abdominal CT angiography before surgery as a predictor of postoperative death in acute aortic dissection. AJR Am J Roentgenol 2004; 182:875–879.

    PubMed  Google Scholar 

  26. Williams DM, Lee DY, Hamilton BH, Marx MV, Narasimham DL, Kazanjian SN, Prince MR, Andrews JC, Cho KJ, Deeb GM. The dissected aorta: part III. Anatomy and radiologic diagnosis of branch-vessel compromise. Radiology 1997; 203:37–44.

    PubMed  CAS  Google Scholar 

  27. Gaxotte V, Cocheteux B, Haulon S, Vincentelli A, Lions C, Koussa M, Willoteaux S, Asseman P, Prat A, Beregi JP. Relationship of intimal flap position to endovascular treatment of malperfusion syndromes in aortic dissection. J Endovasc Ther 2003; 10:719–727.

    Article  PubMed  Google Scholar 

  28. Markl M, Draney MT, Hope MD, Levin JM, Chan FP, Alley MT, Pelc NJ, Herfkens RJ. Time-resolved 3-dimensional velocity mapping in the thoracic aorta: visualization of 3-directional blood flow patterns in healthy volunteers and patients. J Comput Assist Tomogr 2004; 28:459–468.

    Article  PubMed  Google Scholar 

  29. Nitatori T, Yokoyama K, Hachiya J, Yoshino A, Yamakami N, Katase S, Ichikawa T. Fast dynamic MRI of aortic dissection: flow assessment by subsecondal imaging. Radiat Med 1999; 17:9–14.

    PubMed  CAS  Google Scholar 

  30. Dake MD, Kato N, Mitchell RS, Semba CP, Razavi MK, Shimono T, Hirano T, Takeda K, Yada I, Miller DC. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med. 1999; 340:1546–1552.

    Article  PubMed  CAS  Google Scholar 

  31. Quint LE, Platt JF, Sonnad SS, Deeb GM, Williams DM. Aortic intimal tears: detection with spiral computed tomography. J Endovasc Ther 2003; 10:505–510.

    Article  PubMed  Google Scholar 

  32. Yamada T, Tada S, Harada J. Aortic dissection without intimal rupture: diagnosis with MR imaging and CT. Radiology 1988; 168:347–352.

    PubMed  CAS  Google Scholar 

  33. Mohr-Kahaly S, Erbel R, Kearney P, Puth M, Meyer J. Aortic intramural hemorrhage visualized by transesophageal echocardiography: findings and prognostic implications. J Am Coll Cardiol 1994; 23:658–664.

    Article  PubMed  CAS  Google Scholar 

  34. Sueyoshi E, Matsuoka Y, Imada T, Okimoto T, Sakamoto I, Hayashi K. New development of an ulcerlike projection in aortic intramural hematoma: CT evaluation. Radiology 2002; 224:536–541.

    PubMed  Google Scholar 

  35. Murray JG, Manisali M, Flamm SD, et al. Intramural hematoma of the thoracic aorta: MR image findings and their prognostic implications. Radiology 1997; 204:349–355.

    PubMed  CAS  Google Scholar 

  36. Kaji S, Nishigami K, Akasaka T, et al. Prediction of progression or regression of type A aortic intramural hematoma by computed tomography. Circulation 1999; 00:II281–286.

    CAS  Google Scholar 

  37. Ganaha F, Miller DC, Sugimoto K, et al. Prognosis of aortic intramural hematoma with and without penetrating atherosclerotic ulcer: a clinical and radiological analysis. Circulation 2002; 106:342–348.

    Article  PubMed  Google Scholar 

  38. Cambria RP. Regarding “Analysis of predictive factors for progression of type B aortic intramural hematoma with computed tomography”. J Vase Surg 2002; 35:1295–1296.

    Google Scholar 

  39. Muluk SC, Kaufman JA, Torchiana DF, Gertler JP, Cambria RP. Diagnosis and treatment of thoracic aortic intramural hematoma. J Vase Surg 1996; 24:1022–1029.

    Article  CAS  Google Scholar 

  40. Stanson AW, Kazmier FJ, Hollier LH, et al. Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations. Ann Vase Surg 1986;1:15–23.

    CAS  Google Scholar 

  41. Hayashi H, Matsuoka Y, Sakamoto I, Sueyoshi E, Okimoto T, Hayashi K, Matsunaga N. Penetrating atherosclerotic ulcer of the aorta: imaging features and disease concept. Radiographics 2000; 20:995–1005.

    PubMed  CAS  Google Scholar 

  42. Rubinowitz AN, Krinsky GA, Lee VS. Intramural hematoma of the ascending aorta secondary to descending thoracic aortic penetrating ulcer: findings in two patients. J Comput Assist Tomogr 2002; 26:613–616.

    Article  PubMed  Google Scholar 

  43. Maraj R, Rerkpattanapipat P, Jacobs LE, Makornwattana P, Kotler MN. Meta-analysis of 143 reported cases of aortic intramural hematoma. Am J Cardiol 2000; 86:664–668.

    Article  PubMed  CAS  Google Scholar 

  44. Nienaber CA, von Kodolitsch Y, Petersen B, et al. Intramural hemorrhage of the thoracic aorta. Diagnostic and therapeutic implications. Circulation 1995; 92:1465–1472.

    PubMed  CAS  Google Scholar 

  45. Song JK, Kim HS, Kang DH, et al. Different clinical features of aortic intramural hematoma versus dissection involving the ascending aorta. J Am Coll Cardiol 2001;37:1604–1610.

    Article  PubMed  CAS  Google Scholar 

  46. von Kodolitsch Y, Csosz SK, Koschyk DH, Schalwat I, Loose R, Karck M, Dieckmann C, Fattori R, Haverich A, Berger J, Meinertz T, Nienaber CA. Intramural hematoma of the aorta: predictors of progression to dissection and rupture. Circulation 2003; 107:1158–1163.

    Article  Google Scholar 

  47. Kurimoto Y, Morishita K, Kawaharada N, Fukada J, Asai Y, Abe T. Initial management of acute type-a aortic dissection with a thrombosed false lumen: a retrospective cohort study. Surg Today 2004; 34:652–657.

    Article  PubMed  Google Scholar 

  48. Robbins RC, McManus RP, Mitchell RS, et al. Management of patients with intramural hematoma of the thoracic aorta. Circulation 1993; 88:1–10.

    Google Scholar 

  49. Harris JA, Bis KG, Glover JL, Bendick PJ, Shetty A, Brown OW. Penetrating atherosclerotic ulcers of the aorta. J Vase Surg 1994; 19:90–98.

    CAS  Google Scholar 

  50. Kazerooni EA, Bree RL, Williams DM. Penetrating atherosclerotic ulcers of the descending thoracic aorta: evaluation with CT and distinction from aortic dissection. Radiology 1992; 183:759–765.

    PubMed  CAS  Google Scholar 

  51. Levy JR, Heiken JP, Gutierrez FR. Imaging of penetrating atherosclerotic ulcers of the aorta. AJR Am J Roentgenol 1999; 73:151–154.

    Google Scholar 

  52. Tittle SL, Lynch RJ, Cole PE, Singh HS, Rizzo JA, Kopf GS, Elefteriades JA. Midterm follow-up of penetrating ulcer and intramural hematoma of the aorta. J Thorac Cardiovasc Surg 2002; 123:1051–1059.

    Article  PubMed  Google Scholar 

  53. Kos X, Bouchard L, Otal P, Chabbert V, Chemla P, Soula P, Meites G, Joffre F, Rousseau H. Stent-graft treatment of penetrating thoracic aortic ulcers. J Endovasc Ther 2002; 9:II25–31.

    Article  PubMed  Google Scholar 

  54. Schoder M, Grabenwoger M, Holzenbein T, Domanovits H, Fleischmann D, Wolf F, Cejna M, Lammer J. Endovascular stent-graft repair of complicated penetrating atherosclerotic ulcers of the descending thoracic aorta. J Vase Surg 2002; 36:720–726.

    Google Scholar 

  55. Yucel EK, Steinberg FL, Egglin TK, Geller SC, Waltman AC, Athanasoulis CA. Penetrating aortic ulcers: diagnosis with MR imaging. Radiology 1990; 177:779–781.

    PubMed  CAS  Google Scholar 

  56. Vilacosta I, San Roman JA, Aragoncillo P, Ferreiros J, Mendez R, Graupner C, Batlle E, Serrano J, Pinto A, Oyonarte JM. Penetrating atherosclerotic aortic ulcer: documentation by transesophageal echocardiography. J Am Coll Cardiol 1998; 32:83–89

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Service Central de Radiologie et Imagerie Médicale, CHU — Scrim, BP 217, 38043, Grenoble 9, France

    Frederic Thony

  2. Department of Radiology, Rangueil University Hospital, I av J. Poulhes - TSA 50032, 31059, Toulouse Cedex 9, France

    Philippe Otal

  3. Service de Radiologie, CHU Montpied, BP 69, 63003, Clermont-Ferrand, France

    Louis Boyer

Authors
  1. Frederic Thony
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  2. Philippe Otal
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  3. Louis Boyer
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Editor information

Editors and Affiliations

  1. Department of Radiology, Rangueil University Hospital, 1 av J. Poulhes — TSA 50032, 31059, Toulouse CEDEX 9, France

    Hervé Rousseau

  2. Cardiovascular and Thoracic Surgery Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-Philippe Verhoye

  3. Radiology and Medical Imaging Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-François Heautot

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Thony, F., Otal, P., Boyer, L. (2006). The Current Optimal Imaging Modality for Evaluating Acute Aortic Syndromes. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_28

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  • DOI: https://doi.org/10.1007/3-540-38309-3_28

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