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Related Experiment Video

Updated: Jul 7, 2026

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging

Published on: December 9, 2021

CT imaging for acute aortic syndrome.

Andrew D Smith¹, Paul Schoenhagen

¹Radiology Institute, Cleveland Clinic, OH 44195, USA.

Cleveland Clinic Journal of Medicine

|February 2, 2008

Summary

Acute aortic syndrome, a group of dangerous conditions, can be diagnosed using cardiac-gated multidetector computed tomography (CT). This imaging technique accurately identifies the specific cause of acute chest pain in patients with acute aortic syndrome.

Area of Science:

Cardiovascular Imaging
Thoracic Surgery
Emergency Medicine

Background:

Acute aortic syndrome encompasses several life-threatening conditions including aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, and unstable thoracic aneurysm.
These diverse pathologies share overlapping clinical presentations, primarily acute chest pain, making differentiation challenging.
Timely and accurate diagnosis is critical for appropriate management and improved patient outcomes.

Purpose of the Study:

To evaluate the diagnostic accuracy of contrast-enhanced, cardiac-gated multidetector computed tomography (CT) in identifying the specific cause of acute aortic syndrome.
To highlight the utility of multidetector CT in differentiating between various acute aortic syndromes presenting with chest pain.

Main Methods:

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Published on: September 8, 2023

A review of patients presenting with symptoms suggestive of acute aortic syndrome.

Utilization of contrast-enhanced, cardiac-gated multidetector computed tomography (CT) as the primary diagnostic imaging modality.

Analysis of CT findings to confirm the specific underlying cause of the acute aortic syndrome.

Main Results:

Contrast-enhanced, cardiac-gated multidetector computed tomography (CT) demonstrated high accuracy in diagnosing the specific etiology of acute aortic syndrome.
The imaging modality effectively distinguished between acute aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, and unstable thoracic aneurysm.
CT imaging provided crucial information for guiding immediate therapeutic decisions.

Conclusions:

Contrast-enhanced, cardiac-gated multidetector computed tomography (CT) is a highly effective and accurate tool for the etiological diagnosis of acute aortic syndrome.
This imaging technique is essential for differentiating clinically indistinguishable causes of acute chest pain related to aortic pathology.
Multidetector CT facilitates prompt and appropriate management strategies for patients with acute aortic syndrome.