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Deprecated: Implicit conversion from float 243.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Br+J+Radiol 2014 ; 87 (1042): ä Nephropedia Template TP
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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): ä PMID25083552show 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.