Department of Radiology, Hull Royal Infirmary, Hull, UK.
Clin Radiol. 2013 Jul;68(7):741-8. doi: 10.1016/j.crad.2013.03.001. Epub 2013 Apr 11.
Acute aortic syndrome (AAS) is a constellation of potentially life-threatening acute aortic diseases. The spectrum includes penetrating atherosclerotic ulcer, intramural haematoma, dissection, and unstable thoracic aneurysm. AAS cannot be reliably diagnosed clinically and multidetector computed tomography (MDCT) has revolutionized the diagnosis and management of this group of conditions in the acute setting due to its availability, speed, and accuracy. The purpose of this review is to illustrate key MDCT findings of AAS. Imaging techniques, radiological findings, and common pitfalls are also discussed.
急性主动脉综合征(AAS)是一组潜在危及生命的急性主动脉疾病。其范围包括穿透性粥样硬化性溃疡、壁内血肿、夹层和不稳定的胸主动脉瘤。由于其可用性、速度和准确性,多排螺旋 CT(MDCT)在急性情况下改变了这一组疾病的诊断和治疗方式,使得 AAS 在临床上无法可靠地诊断。本文的目的是说明 AAS 的 MDCT 关键表现。还讨论了成像技术、影像学发现和常见的误区。