Acute Aortic Syndromes: Aortic Dissection, Intramural Haematoma and Penetrating Aortic Ulcers

  • Elizabeth A. Dick
  • Maureen Dumba
  • Ali Alsafi
  • John M. Curtis
  • Elika Kashef
Part of the Medical Radiology book series (MEDRAD)


Acute Aortic Syndrome includes three non-traumatic potentially fatal pathologies of the thoracic aorta which commonly present with chest pain.

The three inter-related entities, Aortic Dissection, Intramural Haematoma (IMH) and Penetrating Atherosclerotic Ulcers (PAUs) share a common pathogenesis: disruption of the media layer. They can be difficult to distinguish from other causes of chest pain.

Differentiation between all three diseases cannot be achieved by history or clinical findings alone but requires imaging with multi-detector computed tomography (MDCT), the modality of choice.

In all three diseases, early diagnosis and treatment will improve outcome but treatment options vary between conservative managements, endovascular treatment and open surgery, based on the clinical and radiological features.

This chapter covers clinical presentation, imaging features, optimal imaging protocols and management of all three acute aortic syndromes.


Aortic Dissection Aortic Wall False Lumen Acute Aortic Dissection True Lumen 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Elizabeth A. Dick
    • 1
  • Maureen Dumba
    • 1
  • Ali Alsafi
    • 1
  • John M. Curtis
    • 2
  • Elika Kashef
    • 1
  1. 1.Departments of RadiologyImperial College LondonLondonUK
  2. 2.Aintree University HospitalLiverpoolUK

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