Intimal tear of abdominal aorta (inferior to diaphragm) with blood/clot separating intima and media, creating 2 distinct lumina
IMAGING
General Features
Ultrasonographic Findings
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Reporting Tips
Selected References
Nauta FJ et al: Update in the management of type B aortic dissection. Vasc Med. 21(3):251-63, 2016
Guirguis-Blake JM et al: Ultrasonography screening for abdominal aortic aneurysms: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 160(5):321-9, 2014
Roger VL et al: Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation. 125(1):e2-e220, 2012
Criado FJ: Aortic dissection: a 250-year perspective. Tex Heart Inst J. 38(6):694-700, 2011
McMahon MA et al: Multidetector CT of aortic dissection: A pictorial review. Radiographics. 30(2):445-60, 2010
Jonker FH et al: Dissection of the abdominal aorta. Current evidence and implications for treatment strategies: a review and meta-analysis of 92 patients. J Endovasc Ther. 16(1):71-80, 2009
Fojtik JP et al: The diagnosis of aortic dissection by emergency medicine ultrasound. J Emerg Med. 32(2):191-6, 2007
Trimarchi S et al: Acute abdominal aortic dissection: insight from the International Registry of Acute Aortic Dissection (IRAD). J Vasc Surg. 46(5):913-919, 2007
Hirsch AT et al: ACC/AHA 2005 Practice guidelines for the management of patients with peripheral arterial disease: a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines: endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 113(11):e463-654, 2006
U.S. Preventive Services Task Force: Screening for abdominal aortic aneurysm: recommendation statement. Ann Intern Med. 142(3):198-202, 2005
Farber A et al: Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options. J Vasc Surg. 36(2):205-10, 2002
Hagan PG et al: The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 283(7):897-903, 2000
Thomas EA et al: Duplex ultrasound of the abdominal aorta--a neglected tool in aortic dissection. Clin Radiol. 42(5):330-4, 1990
Conrad MR et al: Real time ultrasound in the diagnosis of acute dissecting aneurysm of the abdominal aorta. AJR Am J Roentgenol. 132(1):115-6, 1979
Winsberg F et al: Continuous ultrasound "B" scanning of abdominal aortic aneurysms. Am J Roentgenol Radium Ther Nucl Med. 121(3):626-33, 1974
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Abbreviations
Abdominal aortic dissection (AAD)
Definitions
Intimal tear of abdominal aorta (inferior to diaphragm) with blood/clot separating intima and media, creating 2 distinct lumina
IMAGING
General Features
Ultrasonographic Findings
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Reporting Tips
Selected References
Nauta FJ et al: Update in the management of type B aortic dissection. Vasc Med. 21(3):251-63, 2016
Guirguis-Blake JM et al: Ultrasonography screening for abdominal aortic aneurysms: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 160(5):321-9, 2014
Roger VL et al: Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation. 125(1):e2-e220, 2012
Criado FJ: Aortic dissection: a 250-year perspective. Tex Heart Inst J. 38(6):694-700, 2011
McMahon MA et al: Multidetector CT of aortic dissection: A pictorial review. Radiographics. 30(2):445-60, 2010
Jonker FH et al: Dissection of the abdominal aorta. Current evidence and implications for treatment strategies: a review and meta-analysis of 92 patients. J Endovasc Ther. 16(1):71-80, 2009
Fojtik JP et al: The diagnosis of aortic dissection by emergency medicine ultrasound. J Emerg Med. 32(2):191-6, 2007
Trimarchi S et al: Acute abdominal aortic dissection: insight from the International Registry of Acute Aortic Dissection (IRAD). J Vasc Surg. 46(5):913-919, 2007
Hirsch AT et al: ACC/AHA 2005 Practice guidelines for the management of patients with peripheral arterial disease: a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines: endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 113(11):e463-654, 2006
U.S. Preventive Services Task Force: Screening for abdominal aortic aneurysm: recommendation statement. Ann Intern Med. 142(3):198-202, 2005
Farber A et al: Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options. J Vasc Surg. 36(2):205-10, 2002
Hagan PG et al: The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 283(7):897-903, 2000
Thomas EA et al: Duplex ultrasound of the abdominal aorta--a neglected tool in aortic dissection. Clin Radiol. 42(5):330-4, 1990
Conrad MR et al: Real time ultrasound in the diagnosis of acute dissecting aneurysm of the abdominal aorta. AJR Am J Roentgenol. 132(1):115-6, 1979
Winsberg F et al: Continuous ultrasound "B" scanning of abdominal aortic aneurysms. Am J Roentgenol Radium Ther Nucl Med. 121(3):626-33, 1974
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