Selvaraj Andrew, Francis Niroshan, Harky Amer, Goli Giridhara, Bashir Mohamad
Department of Cardiac Surgery, Barts Heart Centre, St. Bartholomew's Hospital, London, EC1A 7BE UK.
Department of Vascular Surgery, Countess of Chester Hospital, Chester, CH2 1UL UK.
Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):67-71. doi: 10.1007/s12055-018-0710-7. Epub 2018 Aug 10.
Aortitis is a pathological term that refers to the inflammation of one or more layers of the aortic wall. It is associated with a wide spectrum of inflammatory diseases of infectious and non-infectious origins, and often present with vague clinical findings and non-specific laboratory results that can model other entities. As a result, aortitis may not form part of the initial workup and appropriate treatment can be delayed or missed. Therefore, imaging modalities are required to assess for inflammation and structural changes in the aorta to support or exclude the diagnosis of aortitis. This review presents current literature on the imaging modalities utilized in the diagnosis and management of aortitis, which surgeons and physicians should be familiar with for providing optimal patient care.
主动脉炎是一个病理学术语，指主动脉壁一层或多层的炎症。它与多种具有感染性和非感染性病因的炎症性疾病相关，且常表现出模糊的临床症状和非特异性实验室检查结果，这些结果可能与其他病症相似。因此，主动脉炎可能不会成为初始检查的一部分，适当的治疗可能会延迟或被漏诊。所以，需要借助影像学检查手段来评估主动脉的炎症和结构变化，以支持或排除主动脉炎的诊断。本综述介绍了目前用于主动脉炎诊断和治疗的影像学检查手段的相关文献，外科医生和内科医生应熟悉这些内容，以便为患者提供最佳治疗。
