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Akute Aortenerkrankungen

P. Reimer, R. Vosshenrich, M. Storck
Published 2015 · Medicine

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ZusammenfassungDie akuten Aortenerkrankungen sind mittlerweile in den Fokus der Diagnostik gerückt, da die einzelnen Krankheitsbilder besser differenziert werden können und für das Überleben der Patienten relevante therapeutische Optionen bestehen. Der vorliegende Beitrag konzentriert sich auf die Darstellung nichttraumatischer akuter Aortenerkrankungen. Aktuelle Entwicklungen der Schnittbilddiagnostik werden zusammengefasst. Die Krankheitsbilder Dissektion, intramurales Hämatom, penetrierendes Aortenulkus und Aortitis werden detailliert behandelt. Eine Übersicht über das therapeutische Spektrum rundet den Beitrag ab.AbstractDiagnostic imaging is crucial in the work-up of acute aortic diseases. Current imaging algorithms enable radiologists differentiating the various entities with subsequent clinically relevant treatment options. Within this educational overview we focus on non-traumatic acute aortic disease. Recent developments of cross sectional imaging are summarized. As for acute aortic disease, we discuss dissections, intramural hematoma, penetrating aortic ulcer, and aortitis. Current treatment options are presented.
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