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Acute aortic syndromes: current status

Carole A Ridge1, Diana E Litmanovich

  • 1*Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland †Section of Thoracic Imaging, Beth Israel Deaconess Medical Center, Boston, MA.

Journal of Thoracic Imaging
|April 9, 2015
PubMed

Insights

Acute aortic syndromes, including aortic dissection and intramural hematoma, are now viewed as a disease spectrum. Advances in imaging and management are crucial for thoracic radiologists.

Area of Science:

  • Cardiovascular Imaging
  • Thoracic Radiology
  • Aortic Diseases

Background:

  • Acute aortic syndrome (AAS) encompasses aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer.
  • Traditionally viewed as distinct entities, recent developments suggest AAS components lie on a disease spectrum.

Purpose of the Study:

  • To review recent advancements in acute aortic syndromes.
  • To highlight the implications of these developments for thoracic radiologists.

Main Methods:

  • Review of current literature on acute aortic syndromes.
  • Focus on imaging optimization and evolving management strategies.

Main Results:

  • A paradigm shift in understanding AAS as a spectrum of aortic disease.
  • Improvements in aortic imaging quality and radiation dose reduction.
  • Integration of surgical and endovascular treatment approaches.

Conclusions:

  • Thoracic radiologists must adapt to the spectrum concept of AAS.
  • Optimized imaging and understanding of management are key for accurate diagnosis and patient care.
  • The review emphasizes the evolving role of radiologists in managing AAS.

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