Aortitis CT: Difference between revisions

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==Overview==
==Overview==
[[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis.  Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic [[inflammation]].  CT scan may also be helpful in the diagnosis of the complications of aortitis.  Findings on CT suggestive of complications of aortitis include aortic and arterial [[calcification]], stenotic lesions of the aorta, [[aortic aneurysm]], and luminal [[thrombus]].<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
[[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis.  Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic [[inflammation]].  CT scan may also be helpful in the diagnosis of the complications of aortitis.<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>


==Computed Tomography==
==Computed Tomography==
[[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis.  Findings on CT suggestive of acute aortitis include:<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
[[CT scan]] using iodinated contrast (CTA) may be diagnostic of aortitis.  Findings on CT suggestive of acute aortitis include:<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
*Thickening of the aortic wall  
*Thickening of the aortic wall  
*Periaortic [[inflammation]]   
*Periaortic [[inflammation]]   


CT scan may also be helpful in the diagnosis of the complications of aortitis.  Findings on CT suggestive of complications of aortitis include: <ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
Findings on CT suggestive of aortitis due to [[giant cell arteritis]] and [[Takayasu arteritis]] include:<ref name="pmid24925329">{{cite journal| author=Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD et al.| title=Multimodality imaging of aortitis. | journal=JACC Cardiovasc Imaging | year= 2014 | volume= 7 | issue= 6 | pages= 605-19 | pmid=24925329 | doi=10.1016/j.jcmg.2014.04.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24925329  }} </ref>
*Aortic and arterial [[calcification]]
 
*Stenotic lesions of the aorta
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
*[[Aortic aneurysm]]
|valign=top|
*Luminal [[thrombus]]
|+
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Aortitis due to specfic disease}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|CT scan findings}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
:Giant cell arteritis
| style="padding: 5px 5px; background: #F5F5F5;" |
*Mural thickening
*Frank [[aneurysm]]
*Long segment thickening with smooth distal tapering, commonly found in the [[descending aorta]] and [[subclavian arteries]]
*Annuloaortic [[ectasia]]
*Ascending aortic dilation
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Takayasu arteritis
| style="padding: 5px 5px; background: #F5F5F5;" |
*A “double ring” appearance, due to a brightly enhanced outer ring of inflamed media and [[adventitia]] surrounding poorly enhanced edematous [[intima]]
|}
 
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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{{WH}}
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[[CME Category::Cardiology]]
[[Category:Cardiology]]
[[Category:Disease]]
[[Category:Mature chapter]]
[[Category:Medicine]]
[[Category:Up-To-Date]]
[[Category:Up-To-Date cardiology]]

Latest revision as of 20:26, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]

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Overview

CT scan with the administration of iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic inflammation. CT scan may also be helpful in the diagnosis of the complications of aortitis.[1]

Computed Tomography

CT scan using iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of acute aortitis include:[1]

Findings on CT suggestive of aortitis due to giant cell arteritis and Takayasu arteritis include:[2]

Aortitis due to specfic disease CT scan findings
Giant cell arteritis
Takayasu arteritis
  • A “double ring” appearance, due to a brightly enhanced outer ring of inflamed media and adventitia surrounding poorly enhanced edematous intima


References

  1. 1.0 1.1 Gornik HL, Creager MA (2008). "Aortitis". Circulation. 117 (23): 3039–51. doi:10.1161/CIRCULATIONAHA.107.760686. PMC 2759760. PMID 18541754.Accessed on September 14th, 2015
  2. Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD; et al. (2014). "Multimodality imaging of aortitis". JACC Cardiovasc Imaging. 7 (6): 605–19. doi:10.1016/j.jcmg.2014.04.002. PMID 24925329.


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