Cerna Marie, Kocher Martin, Thomas Rohit Philip
Department of Radiology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic.
Department of Technical Disciplines in Health Care, Faculty of Health Care, University of Presov, Slovak Republic.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2017 Mar;161(1):14-23. doi: 10.5507/bp.2016.060. Epub 2017 Jan 2.
Acute aortic pathologies include acute aortic syndrome (aortic dissection, intramural hematoma, penetrating aortic ulcer), impending rupture, aortic aneurysm rupture and aortic trauma. Acute aortic syndrome, aortic aneurysm rupture and aortic trauma are life-threatening conditions requiring prompt diagnosis and treatment. The basic imaging modality for "acute aorta" is CT angiography with typical findings for these aortic pathologies. Based on the CT, it is possible to classify aortic diseases and anatomical classifications are essential for the planning of treatment. Currently, endovascular treatment is the method of choice for acute diseases of the descending thoracic aorta and is increasingly indicated for patients with ruptured abdominal aortic aneurysms.
急性主动脉病变包括急性主动脉综合征（主动脉夹层、壁内血肿、穿透性主动脉溃疡）、即将破裂、主动脉瘤破裂和主动脉创伤。急性主动脉综合征、主动脉瘤破裂和主动脉创伤均为危及生命的疾病，需要及时诊断和治疗。“急性主动脉”的基本影像学检查方法是CT血管造影，其对这些主动脉病变具有典型表现。基于CT，可以对主动脉疾病进行分类，而解剖学分类对于治疗方案的规划至关重要。目前，血管内治疗是降主动脉急性疾病的首选方法，对于腹主动脉瘤破裂患者也越来越适用。
