Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications.

Thoracic aortic pathology encompasses a spectrum of life-threatening conditions that demand prompt diagnosis and intervention. Significant advancements in surgical management, including open repair, endovascular aortic repair, and hybrid techniques, have markedly enhanced patient outcomes. However, these procedures necessitate meticulous imaging follow-up to identify potential complications. Computed tomography angiography remains the gold standard for evaluating aortic pathology, guiding surgical planning, and monitoring postoperative changes. A thorough understanding of the characteristic imaging features associated with various aortic surgical techniques is crucial for precise assessment, enhancing postoperative surveillance, and optimizing patient management. Distinguishing between surgical complications and postoperative findings is vital to prevent misdiagnosis. This review examines the imaging characteristics of thoracic aortic diseases and their corresponding surgical interventions, emphasizing the differentiation between expected postoperative findings and true pathological conditions. This approach aims to facilitate accurate diagnosis and effective management of complications, ultimately improving patient care.