title: Aortic emergencies-diagnosis and treatment: a pictorial review.
abstract: OBJECTIVE
  To demonstrate the various presentations of acute aortic pathology and to present diagnostic and therapeutic approaches.
  
  
  METHODS
  Diagnostic imaging is the key to the reliable diagnosis of acute aortic pathology with multi-slice computed tomography angiography (CTA) as the fastest and most robust modality. Endovascular aortic repair (EVAR) with stent grafts and open surgical repair are therapeutic approaches for aortic pathology.
  
  
  RESULTS
  CTA is reliable in diagnosing and grading aortic trauma, measuring aortic diameter in aortic aneurysms and detecting vascular wall pathology in acute aortic syndrome and aortic inflammation. CTA enables planning the optimal therapeutic approach. Stent graft implantation and/or an open surgical approach can address vascular wall pathology and exclude aortic aneurysms.
  
  
  CONCLUSIONS
  Aortic emergencies have to be detected quickly. CTA is the imaging method of choice and helps to decide whether elective, urgent or emergent treatment is necessary with EVAR and open surgical repair as the main treatment approaches.
  
  
  CONCLUSIONS
  • To present aortic pathology caused by trauma • To present acute aortic syndrome (aortic dissection, intramural haematoma and penetrating ulcers) • To present symptomatic and ruptured aortic aneurysm • To present infection (mycotic aneurysms/aorto-duodenal fistulae) or iatrogenic injury of the aorta • To understand different presentations for treatment planning (EVAR and open surgery).
authors: Institute for Diagnostic and Interventional Radiology, Academic Teaching Hospital LKH Feldkirch, Carinagasse 47, 6800, Feldkirch, Austria.
authors: Esther
authors: E
authors: Voitle
authors: Wolfgang
authors: W
authors: Hofmann
authors: Manfred
authors: M
authors: Cejna
references: Eur J Vasc Endovasc Surg. 2013 Aug;46(2):175-90
references: 23721817
references: Eur J Vasc Endovasc Surg. 2011 Jan;41 Suppl 1:S1-S58
references: 21215940
references: World J Surg. 2011 Jul;35(7):1671-8
references: 21541801
references: Eur Heart J. 2014 Nov 1;35(41):2873-926
references: 25173340
references: Cardiol Clin. 1999 Nov;17(4):637-57
references: 10589337
references: J Vasc Surg. 2013 Mar;57(3):684-690.e1
references: 23182152
references: Semin Ultrasound CT MR. 2012 Jun;33(3):222-34
references: 22624967
references: J Endovasc Ther. 2011 Aug;18(4):491-6
references: 21861735
references: Radiographics. 2009 Jan-Feb;29(1):197-209
references: 19168845
references: Insights Imaging. 2014 Jun;5(3):281-93
references: 24789068
references: Eur Radiol. 2011 Jul;21(7):1397-405
references: 21331596
references: J Endovasc Ther. 2008 Aug;15(4):441-8
references: 18729556
references: J Vasc Surg. 2009 Jun;49(6):1403-8
references: 19497498
references: BMJ. 2014 Jan 13;348:f7661
references: 24418950
references: Circulation. 2013 Jan 1;127(1):e6-e245
references: 23239837
references: Clin Radiol. 2014 May;69(5):e207-10
references: 24565646
references: J Vasc Surg. 2012 Jan;55(1):47-54
references: 22130426
references: J Vasc Surg. 2014 Feb;59(2):334-41
references: 24342065
references: J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S154-8
references: 23260456
references: J Vasc Surg. 2011 Jan;53(1):187-92
references: 20974523
references: Ann Vasc Surg. 2010 May;24(4):433-40
references: 19932948
references: Eur J Vasc Endovasc Surg. 2009 Dec;38(6):659-65
references: 19800821
references: Eur J Vasc Endovasc Surg. 2007 Jul;34(1):66-73
references: 17324593
references: J Cardiovasc Surg (Torino). 2014 Apr;55(2):151-9
references: 24670823
references: Circulation. 2010 Apr 6;121(13):e266-369
references: 20233780
references: Radiographics. 2003 Oct;23 Spec No:S93-110
references: 14557505
references: Circulation. 2011 Sep 13;124(11 Suppl):S174-8
references: 21911809
references: J Endovasc Ther. 2011 Jun;18(3):280-8
references: 21679062
references: J Am Coll Cardiol. 2012 Sep 18;60(12):1043-52
references: 22883632
references: Emerg Med Clin North Am. 2003 Nov;21(4):817-45
references: 14708810
references: Radiographics. 2007 Mar-Apr;27(2):497-507
references: 17374865
references: J Trauma Acute Care Surg. 2014 Feb;76(2):510-6
references: 24458059
references: Eur Radiol. 2013 Nov;23 (11):2988-95
references: 23722899
references: Heart. 2001 Apr;85(4):365-8
references: 11250953
references: Circulation. 2005 Mar 1;111(8):1063-70
references: 15710757
references: J Am Coll Cardiol. 2013 Apr 23;61(16):1661-78
references: 23500232
references: Circulation. 2003 Sep 9;108 Suppl 1:II300-6
references: 12970250
references: Circulation. 2002 Jul 16;106(3):342-8
references: 12119251