title: The role of imaging in aortic dissection and related syndromes.
abstract: Aortic aneurysm and acute aortic syndrome are not uncommon conditions. Management of acute aortic dissection and related syndromes requires a multidisciplinary approach with input from the patient, clinician, imager, surgeon, and anesthesiologist. This requires an integrated evaluation of pathophysiology, anatomy, and severity to enable appropriate therapy. This review includes discussion of essential anatomy of the aortic valve and the aorta that determines the candidacy for surgical repair. It also includes discussion of various imaging modalities, particularly echocardiography, cardiac computed tomography, and cardiac magnetic resonance angiography. The relative benefits and demerits of each of these techniques are reviewed. This paper is intended to help guide management decisions for patients with acute aortic dissection and related syndromes.
authors.affiliation: Division of Cardiovascular Medicine, Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address: rrbaliga@gmail.com.
authors.forename: Ragavendra R
authors.initials: RR
authors.lastname: Baliga
authors.affiliation: University Heart Center, University of Rostock, Rostock, Germany.
authors.forename: Christoph A
authors.initials: CA
authors.lastname: Nienaber
authors.affiliation: Cardiology Division, "Cava de' Tirreni and Amalfi Coast" Hospital, Heart Department, University of Salerno, Salerno, Italy.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Bossone
authors.affiliation: Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
authors.forename: Jae K
authors.initials: JK
authors.lastname: Oh
authors.affiliation: Thoracic Aortic Center and Heart Center, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Isselbacher
authors.affiliation: Department of Cardiology, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Germany.
authors.forename: Udo
authors.initials: U
authors.lastname: Sechtem
authors.affiliation: Interventional Cardiology Unit, Ospedali Marche Nord, Pesaro, Italy.
authors.forename: Rossella
authors.initials: R
authors.lastname: Fattori
authors.affiliation: Division of Cardiovascular Medicine, Ohio State University, Columbus, Ohio.
authors.forename: Subha V
authors.initials: SV
authors.lastname: Raman
authors.affiliation: Frankel Cardiovascular Center, School of Public Health, University of Michigan Health System, Ann Arbor, Michigan.
authors.forename: Kim A
authors.initials: KA
authors.lastname: Eagle
mesh_terms: D000465:Algorithms; D000784:Aortic Dissection / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D001027:Aortography; D019091:Critical Pathways; D003952:Diagnostic Imaging / Q000379:methods*; D004452:Echocardiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D011237:Predictive Value of Tests; D011379:Prognosis; D013577:Syndrome
keywords: acute aortic syndromes; aortic dissection; aortic intramural hematoma; aortic ulcer; cardiovascular imaging