Song Jae-Kwan
Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
J Cardiol. 2014 Sep;64(3):153-61. doi: 10.1016/j.jjcc.2014.05.005. Epub 2014 Jul 3.
Acute aortic syndrome is a relatively recent clinical entity. Non-invasive imaging methods, such as computed tomography and transesophageal echocardiography, have contributed significantly to the diagnosis of variant forms of classic aortic dissection, which have become important disease entities in acute aortic syndrome. Imaging findings may result in risk stratification and application of different treatment options, providing a rational approach to achieve a better outcome of this syndrome. This review will focus on the imaging characteristics of two important variant forms of classic aortic dissection, intramural hematoma and incomplete dissection, and the role of imaging methods in the evaluation of differences in the hemodynamic status of false lumens that contributes to patient prognosis.
急性主动脉综合征是一种相对较新的临床病症。非侵入性成像方法，如计算机断层扫描和经食管超声心动图，对经典主动脉夹层变异形式的诊断有显著贡献，这些变异形式已成为急性主动脉综合征中的重要疾病实体。成像结果可导致风险分层并应用不同的治疗方案，为改善该综合征的预后提供合理方法。本综述将重点关注经典主动脉夹层的两种重要变异形式，即壁内血肿和不完全夹层的成像特征，以及成像方法在评估假腔血流动力学状态差异中对患者预后的作用。
