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2014 ; 87
(1042
): 20140354
Nephropedia Template TP
gab.com Text
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English Wikipedia
The role of multidetector-row CT in the diagnosis, classification and management
of acute aortic syndrome
#MMPMID25083552
Abbas A
; Brown IW
; Peebles CR
; Harden SP
; Shambrook JS
Br J Radiol
2014[Oct]; 87
(1042
): 20140354
PMID25083552
show ga
The term "acute aortic syndrome" (AAS) encompasses several non-traumatic
life-threatening pathologies of the thoracic aorta presenting in patients with a
similar clinical profile. These include aortic dissection, intramural haematoma
and penetrating atherosclerotic ulcers. These different pathological entities can
be indistinguishable on clinical grounds alone and may be confused with other
causes of chest pain, including myocardial infarction. Multidetector-row CT
(MDCT) is the current modality of choice for imaging AAS with a sensitivity and
specificity approaching 100%. Early diagnosis and accurate radiological
classification is associated with improved clinical outcomes in AAS. We review
the characteristic radiological features of the different pathologies that
encompass AAS and highlight the vital role of MDCT in determining the management
of these life-threatening conditions.