Harris GE Siemens
CTisUS Sponsers
Chest

Acute Aortic Syndrome

  • Includes:
    • Penetrating atherosclerotic ulcer
    • Acute thoracic aortic injury
    • Intramural hematoma
    • Dissection
    • Aneurysmal leakage
  • "End diastolic diameter 95% confidence levels were 2.5-3.7 cm for the aortic root, 2.1-3.5 cm for the ascending aorta, and 1.7-2.6 cm for the descending thoracic aorta."

    Assessment of the thoracic aorta by multidetector computed tomography: Age and sex specific reference values in adults without evident cardiovascular disease
    Lin FY et al.
    J Cardiovasc Comput Tomogr (2008) 2, 298-308
  • "Aortic diameters were significantly greater at end systole than end diastole (mean difference 1.9 ± 1.2 mmfor ascending aorta and 1.3 ± 1.8 for descending thoracic aorta. P < 0.001)."

    Assessment of the thoracic aorta by multidetector computed tomography: Age and sex specific reference values in adults without evident cardiovascular disease
    Lin FY et al.
    J Cardiovasc Comput Tomogr (2008) 2, 298-308
  • Intramural Hematoma: MDCT Findings

    - High CT attenuation on non contrast CT scans
    - Focal ulcer usually present
    - More common in descending aorta but occurs in ascending aorta as well
  • Congenital Anomalies of the Thoracic Aorta

    - Sequestration
    - Vascular rings
    - Coarctation of the aorta
    - Abberrant vessels
    - Right sided arch and associated anomalies