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Acquired disease of the thoracic aorta

Background

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease
Circulation 2010; 121(13): e266-e369
https://doi.org/10.1161/CIR.0b013e3181d4739e 

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging
Endorsed by the Society of Cardiovascular Computed Tomography and Society for Cardiovascular Magnetic Resonance
J Am Soc Echocardiogr 2015;28:119-82.
http://dx.doi.org/10.1016/j.echo.2014.11.015 

2014 ESC Guidelines on the diagnosis and treatment of aortic diseases
Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult
The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC)
European Heart Journal 2014; 35: 2873-2926
https://doi.org/10.1093/eurheartj/ehu281 

CT and MRI in Diseases of the Aorta
Diana Litmanovich1, Alexander A. Bankier, Luce Cantin, Vassilios Raptopoulos and Phillip M. Boiselle
AJR 2009 194(4): 928-940
https://www.ajronline.org/doi/full/10.2214/AJR.08.2166 

CT and MRI Assessment of the Aortic Root and Ascending Aorta
Laura A. Freeman, Phillip M. Young, Thomas A. Foley, Eric E. Williamson, Charles J. Bruce, Kevin L. Greason
AJR. 2013 200: W581-W592
https://www.ajronline.org/doi/10.2214/AJR.12.9531 

Unenhanced MR Angiography: Techniques and Clinical Applications in Patients with Chronic Kidney Disease
Satoru Morita, Ai Masukawa, Kazufumi Suzuki, Masami Hirata, Shinya Kojima, Eiko Ueno
Radiographics 2011 31(2):
https://doi.org/10.1148/rg.312105075

Aortic Aneurysm

General Information

Diagnosis and management issues in thoracicaortic aneurysm
AM Booher, KA Eagle
Am Heart J 2011; 162:38-46.
https://doi.org/10.1016/j.ahj.2011.04.010 

Screening Chest Computed Tomography is indicated in All Patients with Abdominal Aortic Aneurysm
Danielle Dombrowski, Graham W. Long, Jonathan Chan, O. William Brown,
Ann Vasc Surg 2020; 65: 190–195.
https://doi.org/10.1016/j.avsg.2019.11.029 

Increased  Aortic  Diameters  on  Multidetector  Computed  Tomographic  Scan  Are  Independent  Predictors  of  Incident  Adverse  Cardiovascular  Events The  Framingham  Heart  Study
Saadia Qazi, Joseph M. Massaro, Michael L. Chuang, Ralph B. D’Agostino, Sr., Udo Hoffmann,   Christopher J. O’Donnell, 
Circ Cardiovasc Imaging.  2017 10(12): 1-8
https://doi.org/10.1161/CIRCIMAGING.117.006776 

Computed Tomography Angiography of Thoracic Aortic Aneurysms
Robert Liotta, Aamer Chughtai, Prachi P. Agarwal
Seminars in Ultrasound, CT and MRI 33: 235-246
https://doi.org/10.1053/j.sult.2011.11.003 

Multidetector CT of Thoracic Aortic Aneurysms
Prachi P. Agarwal, Aamer Chughtai, Frederick R. K. Matzinger, Ella A. Kazerooni
Radiographics March-April 2009 29:537-552
https://doi.org/10.1148/rg.292075080 

Syndromic

Marfans

Imaging of Marfan Syndrome: Multisystemic Manifestations
Hong Il Ha, Joon Beom Seo, Sang Hoon Lee, Joon-Won Kang, Hyun Woo Goo, Tae-Hwan Lim, and Myung Jin Shin
Radiographics July-August 2007 27:989-1004
https://doi.org/10.1148/rg.274065171 

Cardiovascular Magnetic Resonance in Marfan syndrome
Helen Dormand, Raad H. Mohiaddin
J Cardiovasc Magn Reson. 2013; 15(1): 33
https://dx.doi.org/10.1186%2F1532-429X-15-33 

Ehlers-Danlos

Clinical and Genetic Features of Ehlers–Danlos Syndrome Type IV, the Vascular Type
Melanie Pepin, Ulrike Schwarze, Andrea Superti-Furga, Peter H. Byers
N Engl J Med 2000; 342:673-680 March 9, 2000
DOI: 10.1056/NEJM200003093421001 

Vascular Ehlers-Danlos Syndrome: Imaging Findings
Massimo Zilocchi, Thanila A. Macedo, Gustavo S. Oderich, Terri J. Vrtiska,Pietro R. Biondetti,Anthony W. Stanson
AJR 2007; 189:712–719
https://doi.org/10.2214/ajr.07.2370 

Vascular Complications of Ehlers-Danlos Syndrome: CT Findings
Linda C. Chu, Pamela T. Johnson, Harry C. Dietz, Benjamin S. Brooke, George J. Arnaoutakis, James H. Black, III and Elliot K. Fishman
American Journal of Roentgenology 2012; 198: 482-487.
https://www.ajronline.org/doi/full/10.2214/AJR.11.6603 

Loeys-Dietz

Cardiovascular Manifestations and Complications of Loeys-Dietz Syndrome: CT and MR Imaging Findings
William W. Loughborough , Kishore S. Minhas, Jonathan C. L. Rodrigues, Stephen M. Lyen, Helen E. Burt, Nathan E. Manghat, Marcus J. Brooks, Graham Stuart, Mark C. K. Hamilton
Radiographics 2018; 38(1): 275-286
https://doi.org/10.1148/rg.2018170120 

Loeys-Dietz Syndrome: MDCT Angiography Findings
Pamela T. Johnson, Jennifer K. Chen, Bart L. Loeys, Harry C. Dietz, Elliot K. Fishman
AJR 2007; 189(1): W29-W35
https://www.ajronline.org/doi/full/10.2214/ajr.06.1316 

Turners

Aortic Dissection in Turner Syndrome
Carolyn Bondy
Curr Opin Cardiol. 2008 Nov; 23(6): 519–526.
doi: 10.1097/HCO.0b013e3283129b89 

Aortic Dilatation and Dissection in Turner Syndrome
Lea Ann Matura, Vincent B. Ho, Douglas R. Rosing, and Carolyn A. Bondy
Circulation 2007; 116:1663–1670
https://doi.org/10.1161/CIRCULATIONAHA.106.685487 

Cardiovascular Health in Turner Syndrome: A Scientific Statement From the American Heart Association
Michael Silberbach, Jolien W. Roos-Hesselink, Niels H. Andersen, Alan C. Braverman, Nicole Brown, R. Thomas Collins, Julie De Backer, Kim A. Eagle, Loren F. Hiratzka, Walter H. JohnsonJr, Daniella Kadian-Dodov, Leo Lopez, Kristian H. Mortensen, Siddharth K. Prakash, Elizabeth V. Ratchford, Arwa Saidi, Iris van Hagen, Luciana T. Young,
Circulation: Genomic and Precision Medicine. 2018;11(10)
https://doi.org/10.1161/HCG.0000000000000048

Atherosclerotic Disease

Imaging Atherosclerosis
Jason M. Tarkin, Marc R. Dweck, Nicholas R. Evans, Richard A.P. Takx, Adam J. Brown, Ahmed Tawakol, Zahi A. Fayad, and James H.F. Rudd
Circulation Research. 2016;118:750–769
https://doi.org/10.1161/CIRCRESAHA.115.306247 

Imaging atherosclerosis with positron emission tomography
Philip Joseph, Ahmed Tawakol
European Heart Journal 2016; 37(39): 2974–2980
https://doi.org/10.1093/eurheartj/ehw147

Acute Aortic Syndromes

A pictorial review of acute aortic syndrome: discriminating and overlapping features as revealed by ECG-gated multidetector-row CT angiography
Takuya Ueda, Anne Chin, Ivan Petrovitch, Dominik Fleischmann
Insights Imaging (2012) 3:561–571
https://doi.org/10.1007/s13244-012-0195-7 

2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain
Journal of the American College of Cardiology 67 (7) 2016: 853-879
https://doi.org/10.1016/j.jacc.2015.09.011

Population-Based Assessment of the Incidence of Aortic Dissection, Intramural Hematoma, and Penetrating Ulcer, and Its Associated Mortality From 1995 to 2015
Randall R. DeMartino, Indrani Sen, Ying Huang, Thomas C. Bower, Gustavo S. Oderich, Alberto Pochettino, Kevin Greason, Manju Kalra, Jill Johnstone, Fahad Shuja, Scott Harmsen, Thanila Macedo, Jay Mandrekar, Alanna M. Chamberlain, Salome Weiss, Philip P. Goodney, Veronique Roger
Circ Cardiovasc Qual Outcomes. 2018; 11:  1-11
https://doi.org/10.1161/CIRCOUTCOMES.118.004689 

Acute aortic syndrome: CT findings
K.W.H. Chiu, R. Lakshminarayan, D.F. Ettles
Clinical Radiology 68(2013) 741-748
https://doi.org/10.1016/j.crad.2013.03.001

Aortic Dissection and Other Acute Aortic Syndromes: Diagnostic Imaging Findings from Acute to Chronic Longitudinal Progression
Horacio Murillo, Lior Molvin, Anne S. Chin, Dominik Fleischmann
Radiographics 2021: 41(2):425
https://doi.org/10.1148/rg.2021200138 

Pathogenesis in Acute Aortic Syndromes: Aortic Dissection, Intramural Hematoma, and Penetrating Atherosclerotic Aortic Ulcer
Katarzyna J. Macura1, Frank M. Corl, Elliot K. Fishman and David A. Bluemke
American Journal of Roentgenology. 2003; 181: 309-316.
https://www.ajronline.org/doi/full/10.2214/ajr.181.2.1810309 

Dissection

Computed Tomography Imaging Features in Acute Uncomplicated Stanford Type-B Aortic Dissection Predict Late Adverse Events
Anna M. Sailer, Sander M.J. van Kuijk, Patricia J. Nelemans, Anne S. Chin, Aya Kino, Mark Huininga, Johanna Schmidt, Gabriel Mistelbauer, Kathrin Bäumler, Peter Chiu, Michael P. Fischbein, Michael D. Dake, D. Craig Miller, Geert Willem H. Schurink, Dominik Fleischmann,
Circulation: Cardiovascular Imaging. 2017 10(4)
https://doi.org/10.1161/CIRCIMAGING.116.005709 

Multidetector CT of Aortic Dissection: A Pictorial Review
Michelle A. McMahon, Christopher A. Squirrell
Radiographics 30(2): 445-
https://doi.org/10.1148/rg.302095104 

Aortic Arch Dissection: A Controversy of Classification
Jason K. Lempel , Aletta Ann Frazier, Jean Jeudy, Seth J. Kligerman, Randall Schultz, Hammed A. Ninalowo, Elliott K. Gozansky, Bartley Griffith, Charles S. White
Radiology, 2014 271(3)
https://doi.org/10.1148/radiol.14131457 

Intramural hematoma

Emerging Concepts in Intramural Hematoma Imaging
Susan E. Gutschow , Christopher M. Walker, Santiago Martínez-Jiménez, Melissa L. Rosado-de-Christenson, Justin Stowell, Jeffrey R. Kunin
Radiographics 2016 36(3)
https://doi.org/10.1148/rg.2016150094 

Natural History and CT Appearances of Aortic Intramural Hematoma
Christine P. Chao, T. Gregory Walker, Sanjeeva P. Kalva
Radiographics May-June 2009 29:791-804
https://doi.org/10.1148/rg.293085122 

Penetrating atherosclerotic ulcers

Penetrating Atherosclerotic Ulcer of the Aorta: Imaging Features and Disease Concept
Hideyuki Hayashi, Yohjiro Matsuoka, Ichiro Sakamoto, Eijun Sueyoshi, Tomoaki Okimoto, Kuniaki Hayashi, Naofumi Matsunaga
Radiographics 2000 20:995-1005
https://doi.org/10.1148/radiographics.20.4.g00jl01995 

The natural history and outcomes for thoracic and abdominal penetrating aortic ulcers
Shaun M. Gifford, Audra A. Duncan, Lawrence E. Greiten, Peter Gloviczki, Gustavo S. Oderich, Manju Kalra, Mark D. Fleming, and Thomas C. Bower
Journal of Vascular Surgery 2016; 63(5):1182-1188
https://doi.org/10.1016/j.jvs.2015.11.050

Penetrating Atherosclerotic Ulcers of the Abdominal Aorta: A Case Report and Review of the Literature
Thomas Kotsis, Basileios Georgiou Spyropoulos, Nikolaos Asaloumidis, Panagitsa Christoforou, Konstantina Katseni, Ioannis Papaconstantinou
Vasc Specialist Int. 2019 Sep; 35(3): 152–159
https://dx.doi.org/10.5758%2Fvsi.2019.35.3.152 

Intramural blood pools

Intramural Blood Pools Accompanying Aortic Intramural Hematoma: CT Appearance and Natural Course
Ming-Ting Wu, Yen-Chi Wang, Yi-Luan Huang, Ruey-Sheng Chang, Shang-Chieh Li, Pinchen Yang, Tung-Ho Wu, Kuan-Rau Chiou, Jer-Shyung Huang, Huei-Lung Liang, Huey-Ben Pan
Radiology 2011 258(3)
https://doi.org/10.1148/radiol.10101270 

Aortitis

Aortitis: Imaging Spectrum of the Infectious and Inflammatory Conditions of the Aorta\
Carlos S. Restrepo, Daniel Ocazionez, Rajeev Suri, Daniel Vargas
Radiographics 2011 31:435–451
https://doi.org/10.1148/rg.312105069 

Acute Infectious Pseudoaneurysm of the Descending Thoracic Aorta and Review of Infectious Aortitis
Marisa Cevasco, Matthew T. Menard, Richard Bafford, and Ciaran J. McNamee
VASC ENDOVASCULAR SURG 2010 44: 697-700
https://doi.org/10.1177%2F1538574410376449 

Insights into imaging of aortitis
Diana E. Litmanovich, Afra Yıldırım, Alexander A. Bankier
Insights Imaging. 2012 Dec; 3(6): 545–560.
https://dx.doi.org/10.1007%2Fs13244-012-0192-x 

CT and MR Imaging of Cardiothoracic Vasculitis
Jordi Broncano, Daniel Vargas, Sanjeev Bhalla, Kristopher W. Cummings, Constantine A. Raptis, Antonio Luna
Radiographics 2018
https://doi.org/10.1148/rg.2018170136

Multimodality Imaging of Aortitis
Gregory R.Hartlage, John Palios, Bruce J.Barron, Arthur E.Stillman, Eduardo Bossone, Stephen D.Clements, Stamatios Lerakis
JACC: Cardiovascular Imaging 2014 7(6):605-619
https://doi.org/10.1016/j.jcmg.2014.04.002 

Aortitis
Heather L. Gornik and Mark A. Creager
Circulation. 2008; 117:3039–3051
https://doi.org/10.1161/CIRCULATIONAHA.107.760686 

Detection of Inflammatory Aortopathies Using Multimodality Imaging
John P. Bois, Vidhu Anand, Nandan S. Anavekar
Circulation: Cardiovascular Imaging. 2019; 12(7)
https://doi.org/10.1161/CIRCIMAGING.118.008471 

Takayasu

Takayasu arteritis: imaging spectrum at multidetector CT angiography
F P Zhu, MD,S Luo, MS,Z J Wang, MD, Z Y Jin, MD, L J Zhang, MD, and G M Lu, MD
Br J Radiol. 2012 Dec; 85(1020): e1282–e1292.
https://doi.org/10.1259/bjr/25536451 

Imaging Findings in Takayasu’s Arteritis
Michael B. Gotway, Philip A. Araoz, Thanila A. Macedo, Anthony W. Stanson, Charles B. Higgins, Ernest J. Ring, Samuel K. Dawn, W. Richard Webb, Jessica W. T. Leung and Gautham P. Reddy
AJR 2005; 184:1945-1950
https://doi.org/10.2214/ajr.184.6.01841945 

Takayasu Arteritis: Intravascular Contrast Medium for MR Angiography in the Evaluation of Disease Activity
Maurizio Papa, Francesco De Cobelli, Elena Baldissera, Lorenzo Dagna, Elena Schiani, Mariagrazia Sabbadini2 and Alessandro Del Maschio
American Journal of Roentgenology. 2012; 198: W279-W284
https://www.ajronline.org/doi/full/10.2214/AJR.11.7360 

MRI of Takayasu’s Arteritis: Typical Appearances and Complications
Eijun Sueyoshi, Ichiro Sakamoto and Masataka Uetani
American Journal of Roentgenology. 2006; 187: W569-W575.
https://www.ajronline.org/doi/full/10.2214/AJR.05.1093

Therapies/Interventions

Thoracic Endovascular Aortic Repair (TEVAR) for the treatment of aortic diseases: a position statement from the European Association for Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI)
European Journal of Cardiothoracic Surgery 42 (2012) 17–24
https://doi.org/10.1093/ejcts/ezs107 

Clinical practice guidelines for endovascular abdominal aortic aneurysm repair: written by the Standards of Practice Committee for the Society of Interventional Radiology and endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Interventional Radiology Association
T Gregory Walker, Sanjeeva P Kalva, Kalpana Yeddula, Stephan Wicky, Sanjoy Kundu, Peter Drescher, B Janne d’Othee, Steven C Rose, John F Cardella,
J Vasc Interv Radiol 2010; 21(11):1632-55.
https://doi.org/10.1016/j.jvir.2010.07.008 

Thoracic aortic surgery: An overview of 40 years clinical practice
Jos A. Bekkers, Roderick J. L. M. Riele, Johanna J. M. Takkenberg, ,Goris Bol Raap,Jan Hofland,Jolien W. Roos-Hesselink, J. J. C. Bogers, J Thorac
Cardiovasc Surg 2014; 147:332-43
http://dx.doi.org/10.1016/j.jtcvs.2012.11.036 

Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm: A Comprehensive Review
Hyoung Ook Kim, Nam Yeol Yim, Jae Kyu Kim, Yang Jun Kang, Byung Chan Lee
Korean J Radiol 2019 Aug; 20(8):1247-1265.
https://doi.org/10.3348/kjr.2018.0927 

Endovascular Repair of Thoracic and Abdominal Aortic Aneurysms: Pre- and Postprocedural Imaging
Jeffrey C.Hellinger
Techniques in Vascular and Interventional Radiology 2005; 8(1): 2-15
https://doi.org/10.1053/j.tvir.2005.05.001 

Preprocedural Planning for Endovascular Stent-Graft Placement
Gregory Kicska, M.D., Ph.D. and Harold Litt, M.D., Ph.D.
Semin Intervent Radiol. 2009 Mar; 26(1): 44–55.
doi: 10.1055/s-0029-1208383 

Pre- and Postoperative Imaging of the Aortic Root
Kate Hanneman, Frandics P. Chan, R. Scott Mitchell, D. Craig Miller, Dominik Fleischmann
Radiographics 2015 36(1)
https://doi.org/10.1148/rg.2016150053 

Thoracic Aortic Stent-Grafts: Utility of Multidetector CT for Pre- and Postprocedure Evaluation
Marchelle J. Bean, Pamela T. Johnson, Glen S. Roseborough, James H. Black, Elliot K. Fishman
Radiographics 2008
https://doi.org/10.1148/rg.287085055 

Complications of Endovascular Repair for Thoracic and Abdominal Aortic Aneurysm: An Imaging Spectrum
Toshifumi Mita, Takeshi Arita, Naofumi Matsunaga, Matakazu Furukawa, Nobuya Zempo, Kensuke Esato, Masunori Matsuzaki
Radiographics 2000
https://doi.org/10.1148/radiographics.20.5.g00se161263 

CT Features of Early Type II Endoleaks after Endovascular Repair of Abdominal Aortic Aneurysms Help Predict Aneurysm Sac Enlargement
René Müller-Wille , Sophie Schötz, Florian Zeman, Wibke Uller, Oliver Güntner, Karin Pfister, Piotr Kasprzak, Christian Stroszczynski, Walter A. Wohlgemuth
Radiology 274(3):
https://doi.org/10.1148/radiol.14140284

Type II Endoleak Nidus Volume on Arterial and Delayed Phases of Initial CT Angiography after Endovascular Abdominal Aortic Aneurysm Repair Predicts Persistent Endoleak and Aneurysm Sac Enlargement
Hyeon Yu , Joshua S. Ellis, Lauren M. B. Burke, Ari J. Isaacson, Charles T. Burke
Radiology: Cardiothoracic Imaging 2021 3(1)
https://doi.org/10.1148/ryct.2021200527

Imaging Techniques for Detection and Management of Endoleaks after Endovascular Aortic Aneurysm Repair
William Stavropoulos, Sridhar R. Charagundla
Radiology June 2007 243:641-655;
https://doi.org/10.1148/radiol.2433051649

Postoperative imaging of the aorta
Weier Li, Sasiprapa Rongthong, Anand M. Prabhakar, and Sandeep Hedgire
Cardiovasc Diagn Ther. 2018 Apr; 8(Suppl 1): S45–S60.
doi: 10.21037/cdt.2017.12.03

Ascending Thoracic Aorta: Postoperative Imaging Evaluation
Julia A. Prescott-Focht, Santiago Martinez-Jimenez , Lynne M. Hurwitz, Jenny K. Hoang, Jared D. Christensen, Brian B. Ghoshhajra, Suhny Abbara
Radiographics 2013 33(1)
https://doi.org/10.1148/rg.331125090 

Surveillance Imaging Following Endovascular Aneurysm Repair
Nirnimesh Pandey, Harold I. Litt
Semin Intervent Radiol. 2015 Sep; 32(3): 239–248.
https://dx.doi.org/10.1055%2Fs-0035-1556878