"location of the intimo-medial tear(s) (entry site +/- re-entry site)"
"in the UK, caution is now advised in using these agents in high-risk patients 21"
"If the aortic dissection involves the aortic root, it may result in involvement of the coronary arteries and can present similarly to ST-elevation myocardial infarction on an ECG. However, treating these patients with antiplatelet/anticoagulation therapy could be disastrous in aortic dissection."
"TEM (type, entry location, malperfusion) classification 28, recommended over Stanford and DeBakey classifications by the European Association for Cardio-Thoracic Surgery and The Society of Thoracic Surgeons 29"
"opacification of the AP window"
"Two classification systems are in common usage (c.2023) 30, both of which divide dissections according to the involvement of the ascending aorta:"
"The differential on chest X-ray is that of a dilated thoracic aorta."
"Two classification systems are in common usage (c.2023) 30, both of which divide dissections according to the involvement of the ascending aorta:"
"Involvement can be static or dynamic 23"
Expected headings
"Classification"
"Complications"
"There have been efforts to construct a clinical decision rule to stratify the risk of acute aortic dissection and avoid over-investigation. The aortic dissection detection risk score (ADD-RS) combined with a negative D-dimer test has been demonstrated to be effective in reducing unnecessary exams; however, it has not been widely accepted into clinical practice and requires further validation 13,14."
"the origins of the coeliac trunk, SMA (superior mesenteric artery) and right renal artery usually arise from the true lumen; however, careful individual vessel assessment on CTA is necessary"
"Bornholm disease: this is a diagnosis of exclusion, rarely thought about; CT is usually normal, or occasionally shows non-specific pleural inflammation and/or infiltrates"
"Although MRA is generally reserved for follow-up examinations, rapid non-contrast imaging techniques (e.g. true FISP) may allow MRI to play a larger role in acute diagnosis, particularly in patients with impaired renal function 4. It has similar sensitivity and specificity to CTA and TOE 5 but suffers from limited availability and the difficulties inherent in performing MRI on acutely unwell patients."