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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
- Aortic dissection (AoD)
Definitions
- Blood enters media of aortic wall through intimal defect and splits wall longitudinally
- Stanford classification
- Type A (60%): Involves ascending aorta, ± descending aorta
- Surgical treatment
- Type B (40%): Excludes ascending aorta; involves descending aorta &/or aortic arch
- Medical management
- Type A (60%): Involves ascending aorta, ± descending aorta
- DeBakey classification
- Type I: Involves ascending aorta, aortic arch, and descending aorta
- Type II: Involves ascending aorta
- Type III: Involves descending aorta distal to left subclavian artery
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Di Eusanio M et al: Clinical presentation, management, and short-term outcome of patients with type A acute dissection complicated by mesenteric malperfusion: observations from the International Registry of Acute Aortic Dissection. J Thorac Cardiovasc Surg. 145(2):385-390, 2013
- Rogers AM et al: Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection. Circulation. 123(20):2213-8, 2011
- Liu Q et al: Three-dimensional contrast-enhanced MR angiography of aortic dissection: a pictorial essay. Radiographics. 27(5):1311-21, 2007
- García A et al: MR angiographic evaluation of complications in surgically treated type A aortic dissection. Radiographics. 26(4):981-92, 2006
- Bortone AS et al: Endovascular treatment of thoracic aortic disease: four years of experience. Circulation. 110(11 Suppl 1):II262-7, 2004
- Batra P et al: Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 20(2):309-20, 2000
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
- Aortic dissection (AoD)
Definitions
- Blood enters media of aortic wall through intimal defect and splits wall longitudinally
- Stanford classification
- Type A (60%): Involves ascending aorta, ± descending aorta
- Surgical treatment
- Type B (40%): Excludes ascending aorta; involves descending aorta &/or aortic arch
- Medical management
- Type A (60%): Involves ascending aorta, ± descending aorta
- DeBakey classification
- Type I: Involves ascending aorta, aortic arch, and descending aorta
- Type II: Involves ascending aorta
- Type III: Involves descending aorta distal to left subclavian artery
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Di Eusanio M et al: Clinical presentation, management, and short-term outcome of patients with type A acute dissection complicated by mesenteric malperfusion: observations from the International Registry of Acute Aortic Dissection. J Thorac Cardiovasc Surg. 145(2):385-390, 2013
- Rogers AM et al: Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection. Circulation. 123(20):2213-8, 2011
- Liu Q et al: Three-dimensional contrast-enhanced MR angiography of aortic dissection: a pictorial essay. Radiographics. 27(5):1311-21, 2007
- García A et al: MR angiographic evaluation of complications in surgically treated type A aortic dissection. Radiographics. 26(4):981-92, 2006
- Bortone AS et al: Endovascular treatment of thoracic aortic disease: four years of experience. Circulation. 110(11 Suppl 1):II262-7, 2004
- Batra P et al: Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 20(2):309-20, 2000
