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Acute Aortic Syndrome in Adults: Evidence-Based Emergency Imaging

  • Larry A. LatsonJr.
  • Jill E. Jacobs
Chapter
Part of the Evidence-Based Imaging book series (Evidence-Based Imag.)

Abstract

The term “acute aortic syndrome” (AAS) encompasses a variety of different but related conditions, including aortic dissection (AD), acute intramural hematoma (IMH), penetrating atherosclerotic ulcer (PAU), and frank aortic rupture. This chapter will review the pathophysiology and epidemiology of AAS and then discuss the most commonly utilized imaging modalities for diagnosis of AAS (CT and MR angiography, echocardiography) and some of the newer imaging technologies used to enhance these standard modalities. Finally, the “triple-rule-out” exam, which aims to evaluate the aorta, the coronary arteries, and the pulmonary arteries in a single exam, is discussed, and evidence is reviewed regarding its utility in the emergency setting.

Keywords

Acute aortic syndrome Aortic dissection Acute intramural hematoma Penetrating atherosclerotic ulcer Aortic rupture Triple rule out CT angiography MR angiography Emergency imaging Evidence-based imaging 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of RadiologyNew York University School of MedicineNew YorkUSA

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