Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2024 Nov-Dec;19(6):584-593.
doi: 10.1177/15569845241297993. Epub 2024 Nov 18.

The 10 Commandments for State-of-the-Art Imaging of the Proximal Thoracic Aorta

Marko T Boskovski  1   2 , Elaine E Tseng  1   2
Affiliations
Editorial

The 10 Commandments for State-of-the-Art Imaging of the Proximal Thoracic Aorta

Marko T Boskovski et al. Innovations (Phila). 2024 Nov-Dec.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: M.T.B. is a consultant for Edwards Lifesciences. E.E.T. is SFVA site-principal investigator for NEWTON-CABG (Amgen, Inc) and UCSF/SFVA site-PI for TITAN (Ottawa Heart Institute).

Figures

Fig. 1.
Fig. 1.
Peak longitudinal stresses of root and ascending aortic aneurysms derived from computational modeling of electrocardiogram-gated computed tomography angiography scans.
Fig. 2.
Fig. 2.
Iodinated intravenous contrast opacifies the aortic lumen and allows for easier size measurements. (a) Coronal view of a noncontrast CT scan of the chest. (b) Orthogonal reconstruction of the ascending aorta from a noncontrast CT scan. (c) Scan from panel (a) after intravenous contrast. (d) Orthogonal reconstruction of the ascending aorta from a scan with intravenous contrast. CT, computed tomography.
Fig. 3.
Fig. 3.
(a) Inner-edge to inner-edge versus (b) outer-edge to outer-edge measurements of an ascending aortic aneurysm.
Fig. 4.
Fig. 4.
Orthogonal reconstruction of the aortic root (a) without and (b) with electrocardiogram-gating.
Fig. 5.
Fig. 5.
Orthogonal reconstructions allow for accurate measurement of aortic diameter. (a) Standard coronal, (b) axial, and sagittal views often lead to inaccurate aortic measurements. (c) The red line indicates the plane of orthogonal reconstruction. (d) Orthogonal reconstruction of the scan from panel (c).
Fig. 6.
Fig. 6.
(a) Sinus-to-commissure and (b) sinus-to-sinus aortic root measurements.
Fig. 7.
Fig. 7.
Summary of intervention recommendations for sporadic TAV root and ascending aortic aneurysms from the 2022 ACC/AHA and 2024 EACTS/STS guidelines. ACC, American College of Cardiology; AHA, American Heart Association; AHI, aortic height index; ASI, aortic size index; COR, Class of Recommendation; EACTS, European Association for Cardio-Thoracic Surgery; LOE, level of evidence; STS, Society of Thoracic Surgeons; TAV, tricuspid aortic valve.
Fig. 8.
Fig. 8.
Summary of intervention recommendations for BAV root and ascending aortic aneurysms from the 2022 ACC/AHA and 2024 EACTS/STS guidelines. ACC, American College of Cardiology; AD, aortic dissection; AHA, American Heart Association; BAV, bicuspid aortic valve; COR, Class of Recommendation; EACTS, European Association for Cardio-Thoracic Surgery; LOE, level of evidence; STS, Society of Thoracic Surgeons.
See this image and copyright information in PMC

References

    1. Isselbacher EM, Preventza O, Hamilton Black J, III, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation 2022; 146: e334–e482. - PMC - PubMed
    1. Czerny M, Grabenwöger M, Berger T, et al. EACTS/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ. Ann Thorac Surg 2024; 118: 5–115. - PubMed
    1. Robicsek F, Thubrikar MJ. Hemodynamic considerations regarding the mechanism and prevention of aortic dissection. Ann Thorac Surg 1994; 58: 1247–1253. - PubMed
    1. Thubrikar MJ Agali P and Robicsek F.. Wall stress as a possible mechanism for the development of transverse intimal tears in aortic dissections. J Med Eng Technol 1999; 23: 127–134. - PubMed
    1. Evangelista A, Flachskampf FA, Erbel R, et al. Echocardiography in aortic diseases: EAE recommendations for clinical practice. Eur J Echocardiogr 2010; 11: 645–658. - PubMed

Publication types

LinkOut - more resources