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Aortic Dissection
Suhny Abbara, MD, FACR, FSCCT; Naveen M. Kulkarni, MD; Prabhakar Rajiah, MBBS, MD, FRCR, FSCMR
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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

            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

                                            1. Baliyan V et al: Acute aortic syndromes and aortic emergencies. Cardiovasc Diagn Ther. 8(Suppl 1):S82-96, 2018
                                            2. 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):385-90, 2013
                                            3. Clough RE et al: A new imaging method for assessment of aortic dissection using four-dimensional phase contrast magnetic resonance imaging. J Vasc Surg. 55(4):914-23, 2012
                                            4. Amano Y et al: Time-resolved three-dimensional magnetic resonance velocity mapping of chronic thoracic aortic dissection: a preliminary investigation. Magn Reson Med Sci. 10(2):93-9, 2011
                                            5. 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
                                            6. McMahon MA et al: Multidetector CT of aortic dissection: A pictorial review. Radiographics. 30(2):445-60, 2010
                                            7. Liu Q et al: Three-dimensional contrast-enhanced MR angiography of aortic dissection: a pictorial essay. Radiographics. 27(5):1311-21, 2007
                                            8. García A et al: MR angiographic evaluation of complications in surgically treated type A aortic dissection. Radiographics. 26(4):981-92, 2006
                                            9. Bortone AS et al: Endovascular treatment of thoracic aortic disease: four years of experience. Circulation. 110(11 Suppl 1):II262-7, 2004
                                            10. Batra P et al: Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 20(2):309-20, 2000
                                            Related Anatomy
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                                            Related Differential Diagnoses
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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

                                                      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

                                                                                      1. Baliyan V et al: Acute aortic syndromes and aortic emergencies. Cardiovasc Diagn Ther. 8(Suppl 1):S82-96, 2018
                                                                                      2. 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):385-90, 2013
                                                                                      3. Clough RE et al: A new imaging method for assessment of aortic dissection using four-dimensional phase contrast magnetic resonance imaging. J Vasc Surg. 55(4):914-23, 2012
                                                                                      4. Amano Y et al: Time-resolved three-dimensional magnetic resonance velocity mapping of chronic thoracic aortic dissection: a preliminary investigation. Magn Reson Med Sci. 10(2):93-9, 2011
                                                                                      5. 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
                                                                                      6. McMahon MA et al: Multidetector CT of aortic dissection: A pictorial review. Radiographics. 30(2):445-60, 2010
                                                                                      7. Liu Q et al: Three-dimensional contrast-enhanced MR angiography of aortic dissection: a pictorial essay. Radiographics. 27(5):1311-21, 2007
                                                                                      8. García A et al: MR angiographic evaluation of complications in surgically treated type A aortic dissection. Radiographics. 26(4):981-92, 2006
                                                                                      9. Bortone AS et al: Endovascular treatment of thoracic aortic disease: four years of experience. Circulation. 110(11 Suppl 1):II262-7, 2004
                                                                                      10. Batra P et al: Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 20(2):309-20, 2000