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Review
. 2022 Nov 21:9:1036982.
doi: 10.3389/fcvm.2022.1036982. eCollection 2022.

Progress of CT aortic angiography combined with coronary artery in the evaluation of acute aortic syndrome

Hengbin An  1   2   3 , Ruigang Xie  2   3 , Yinghui Ge  2   3 , Tianyun Wang  1
Affiliations
Review

Progress of CT aortic angiography combined with coronary artery in the evaluation of acute aortic syndrome

Hengbin An et al. Front Cardiovasc Med. .

Abstract

Acute aortic syndrome (AAS) is a group of cardiovascular diseases that seriously threaten human life and health. AAS patients are often complicated with coronary artery disease and other related diseases, which require rapid and clear clinical diagnosis to avoid serious adverse events. In recent years, with the progress of science and technology, a variety of computer tomography (CT) angiography techniques have been applied in the clinic, and the diagnosis rate of AAS with coronary heart disease (CAD) has greatly increased. At the same time, the development of surgical technology and endovascular repair technology has significantly reduced the mortality and complication rate of AAS surgery. In the clinical diagnosis of AAS and related diseases, CT aortic angiography (CTA) combined with coronary CTA is increasingly applied to identify related diseases. Here, the current research progress on the technique of aortic CTA combined with coronary CTA is reviewed.

Keywords: CT angiography; acute aortic syndrome; contrast agent; coronary heart disease; multi-slice spiral CT.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
The DeBaKey classification of aortic dissection, in which Type I and Type II required attention to coronary artery condition and requires surgery, whereas Type III is better suited for percutaneous stent placement. The picture is from Lin et al. (13).
FIGURE 2
FIGURE 2
Four typical cases of aortic syndrome with coronary involvement. A case of Type I aortic dissection involved the ostium of the right coronary sinus with the significantly compressed right coronary artery (a) A case of penetrating aortic ulceration with intramural hematoma, pericardial effusion, and coronary atherosclerotic heart disease (b) A case of coronary atherosclerotic heart disease with abdominal aortic aneurysm after the right coronary artery stent implantation (c) A case of intramural hematoma with hemopericardium, compressed left and right coronary arteries, and coronary arteriosclerotic heart disease (d). AD, aortic dissection; PAU, penetrating aortic ulcer; PE, pericardial effusion; AAA, abdominal aortic aneurysm; IMH, intramural hematoma; LAD, Left anterior descending coronary artery; CX, circumflex artery; RCA, right coronary artery.
See this image and copyright information in PMC

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