Biomedical papers - Ahead of Print

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. X:X | 10.5507/bp.2016.060

Acute aorta, overview of acute CT findings and endovascular treatment options

Marie Cernaa,b, Martin Kochera, Rohit Philip Thomasc
a Department of Radiology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic,
b Department of Technical Disciplines in Health Care, Faculty of Health Care, University of Presov, Slovak Republic
c Institute of Diagnostic and Interventional Radiology, Klinikum Oldenburg, Oldenburg, Germany

Acute aortic pathologies include acute aortic syndrome (aortic dissection, intramural hematoma, penetrating aortic ulcer), impending rupture, aortic aneurysm rupture and aortic trauma. Acute aortic syndrome, aortic aneurysm rupture and aortic trauma are life-threatening conditions requiring prompt diagnosis and treatment. The basic imaging modality for "acute aorta" is CT angiography with typical findings for these aortic pathologies. Based on the CT, it is possible to classify aortic diseases and anatomical classifications are essential for the planning of treatment. Currently, endovascular treatment is the method of choice for acute diseases of the descending thoracic aorta and is increasingly indicated for patients with ruptured abdominal aortic aneurysms.

Keywords: acute aortic syndrome, aortic dissection, intramural hematoma, penetrating aortic ulcer, aortic aneurysm rupture, CT angiography, endovascular treatment

Received: June 15, 2016; Accepted: November 28, 2016; Prepublished online: January 2, 2017


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