Garrana Sherief, Martínez-Jiménez Santiago
Department of Radiology, University of Missouri in Kansas City (UMKC), St Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO 64111, USA.
Department of Radiology, St Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO 64111, USA.
Radiol Clin North Am. 2019 Jan;57(1):213-231. doi: 10.1016/j.rcl.2018.08.005. Epub 2018 Oct 31.
Various disease processes may affect the ascending thoracic aorta, aortic arch, and/or descending thoracic aorta, including aneurysms, dissections, intramural hematomas, penetrating atherosclerotic ulcers, and aortic transection/rupture. Many of those conditions require surgical intervention for repair. Multiple open and endovascular techniques are used for treatment of thoracic aortic pathology. It is imperative that the cardiothoracic radiologist have a thorough knowledge of the surgical techniques available, the expected postoperative imaging findings, and the complications that may occur to accurately diagnose life-threatening pathology when present, and avoid common pitfalls of misinterpreting normal postoperative findings as pathologic conditions.
多种疾病过程可累及胸段升主动脉、主动脉弓和/或胸段降主动脉,包括动脉瘤、夹层、壁内血肿、穿透性动脉粥样硬化溃疡以及主动脉横断/破裂。其中许多情况需要手术干预进行修复。多种开放手术和血管内技术用于治疗胸主动脉病变。心胸放射科医生必须全面了解可用的手术技术、术后预期的影像表现以及可能发生的并发症,以便在出现危及生命的病变时能够准确诊断,并避免将正常术后表现误判为病理状况的常见陷阱。