MRI in chronic aortic dissection: a systematic review and future directions

Andrew G. Sherrah, Stuart M. Grieve, Richmond W. Jeremy, Paul G. Bannon, Michael P. Vallely, Rajesh Puranik

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    21 Citations (Scopus)
    43 Downloads (Pure)

    Abstract

    The acute event of thoracic aortic dissection carries with it high mortality and morbidity. Despite optimal initial surgical or medical management strategies, the risk of further complications in the long-term, including aneurysmal dilatation and false lumen (FL) expansion, are not insignificant. Adequate follow-up of such conditions requires dedicated imaging where relevant prognostic indicators are accurately assessed. We perform a systematic review of the literature and report the current evidence for the use of magnetic resonance imaging (MRI) in assessment of chronic aortic dissection. We then make a comparison with traditional imaging modalities including computed tomography and echocardiography. We discuss new ways in which MRI may extend existing aortic assessment, including identification of blood-flow dynamics within the TL and FL using phase-contrast imaging.

    Original languageEnglish
    Article number5
    Pages (from-to)1-8
    Number of pages8
    JournalFrontiers in Cardiovascular Medicine
    Volume2
    DOIs
    Publication statusPublished - 2015

    Bibliographical note

    Copyright the Author(s) 2015. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

    Keywords

    • chronic aortic dissection
    • aortic type B dissection
    • aortic type A dissection
    • magnetic resonance imaging
    • follow-up

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