Chung Jonathan H, Ghoshhajra Brian B, Rojas Carlos A, Dave Bhavika R, Abbara Suhny
Department of Radiology, Massachusetts General Hospital, Boston, MA 02114, USA.
Radiol Clin North Am. 2010 Mar;48(2):249-64, vii. doi: 10.1016/j.rcl.2010.02.001.
Patients with thoracic aortic diseases may be completely asymptomatic (as in thoracic aortic aneurysms) or present acutely with severe chest pain (as in acute aortic dissections). Thoracic aortic disease is often occult until a life-threatening complication occurs or the disease is discovered incidentally on imaging. Multidetector-row computed tomography (MDCT) can be used to diagnose various acute and chronic abnormalities of the aorta, including aortic aneurysms, aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, traumatic aortic transection, and congenital malformations. This article reviews the MDCT appearance of various thoracic aortic diseases.
胸主动脉疾病患者可能完全没有症状（如胸主动脉瘤），或急性发作时出现严重胸痛（如急性主动脉夹层）。胸主动脉疾病通常隐匿，直到出现危及生命的并发症或在影像学检查时偶然发现。多排螺旋计算机断层扫描（MDCT）可用于诊断主动脉的各种急性和慢性异常，包括主动脉瘤、主动脉夹层、壁内血肿、穿透性动脉粥样硬化溃疡、创伤性主动脉横断和先天性畸形。本文综述了各种胸主动脉疾病的MDCT表现。
