Ridge Carole A, Litmanovich Diana E
*Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland †Section of Thoracic Imaging, Beth Israel Deaconess Medical Center, Boston, MA.
J Thorac Imaging. 2015 May;30(3):193-201. doi: 10.1097/RTI.0000000000000155.
The term acute aortic syndrome comprises aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer. The most recent developments in acute aortic syndromes include (1) a change in the mindset that each entity is pathologically distinct, with a shift toward considering the acute aortic syndromes as points along a spectrum of aortic disease, (2) the optimization of aortic imaging quality and radiation dose, and (3) surgical or endovascular management. This review article focuses on how these developments pertain to thoracic radiologists.
术语“急性主动脉综合征”包括主动脉夹层、壁内血肿和穿透性动脉粥样硬化溃疡。急性主动脉综合征的最新进展包括:(1)观念的转变,即不再认为每种病变在病理上是截然不同的,而是倾向于将急性主动脉综合征视为主动脉疾病谱系中的不同点;(2)主动脉成像质量和辐射剂量的优化;(3)手术或血管内治疗。这篇综述文章重点关注这些进展与胸放射科医生的关系。