Aortic Diseases

Question 1

Acute Aortic Syndrome ?

Answer 1

Aortic Dissection
Intramural Hematoma (IMH)
Penetrating Aortic Ulcer (PAU)

(Impending) Aortic Rupture

Question 2

Signs of impending aortic rupture ?

Answer 2

• infiltration of surrounding fat
• eccentric shape
• broken calcification
• „draped aorta“

Question 3

What to report with aortic dissection?

Answer 3

• location and type (Stanford A/B)
• location of the entry tear
• extension
• complications (impending rupture, signs of ischemia)

Question 4

Aortitis - MRI protocol ?

Answer 4

• T2w / Balanced GE for morphology
• T2w SPAIR / SPIR for detection of intramural / extramural edema
• ceMRA to detect stenosis
• FS GE +/- contrast and late to detect inflammatory changes
• DWI (0, 50-100, 800-1000)

Question 5

Aortitis - forms ?

Answer 5

• giant cell arteritis
• Takayasu arteritis
• polyarteritis nodosa
• Kawasaki syndrome
• ANCA associated arteritis
• immuno-complex vasculitis
• Behcet disease
• isolated aortitis
• vasculitis associated with systemic disease