Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications

Thoracic aortic pathology encompasses a spectrum of life-threatening conditions that demand prompt diagnosis and intervention. Significant advancements in surgical management, including open repair, endovascular aortic repair, and hybrid techniques, have markedly enhanced patient outcomes. However,...

Full description

Saved in:
Bibliographic Details
Main Authors: Marco Fogante, Paolo Esposto Pirani, Fatjon Cela, Jacopo Alfonsi, Corrado Tagliati, Liliana Balardi, Giulio Argalia, Marco Di Eusanio, Nicolò Schicchi
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Journal of Imaging
Subjects:
Online Access:https://www.mdpi.com/2313-433X/11/4/119
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850180744874295296
author Marco Fogante
Paolo Esposto Pirani
Fatjon Cela
Jacopo Alfonsi
Corrado Tagliati
Liliana Balardi
Giulio Argalia
Marco Di Eusanio
Nicolò Schicchi
author_facet Marco Fogante
Paolo Esposto Pirani
Fatjon Cela
Jacopo Alfonsi
Corrado Tagliati
Liliana Balardi
Giulio Argalia
Marco Di Eusanio
Nicolò Schicchi
author_sort Marco Fogante
collection DOAJ
description Thoracic aortic pathology encompasses a spectrum of life-threatening conditions that demand prompt diagnosis and intervention. Significant advancements in surgical management, including open repair, endovascular aortic repair, and hybrid techniques, have markedly enhanced patient outcomes. However, these procedures necessitate meticulous imaging follow-up to identify potential complications. Computed tomography angiography remains the gold standard for evaluating aortic pathology, guiding surgical planning, and monitoring postoperative changes. A thorough understanding of the characteristic imaging features associated with various aortic surgical techniques is crucial for precise assessment, enhancing postoperative surveillance, and optimizing patient management. Distinguishing between surgical complications and postoperative findings is vital to prevent misdiagnosis. This review examines the imaging characteristics of thoracic aortic diseases and their corresponding surgical interventions, emphasizing the differentiation between expected postoperative findings and true pathological conditions. This approach aims to facilitate accurate diagnosis and effective management of complications, ultimately improving patient care.
format Article
id doaj-art-b5ea4dadaf2b48ad9e34a5219364fa44
institution OA Journals
issn 2313-433X
language English
publishDate 2025-04-01
publisher MDPI AG
record_format Article
series Journal of Imaging
spelling doaj-art-b5ea4dadaf2b48ad9e34a5219364fa442025-08-20T02:18:03ZengMDPI AGJournal of Imaging2313-433X2025-04-0111411910.3390/jimaging11040119Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening ComplicationsMarco Fogante0Paolo Esposto Pirani1Fatjon Cela2Jacopo Alfonsi3Corrado Tagliati4Liliana Balardi5Giulio Argalia6Marco Di Eusanio7Nicolò Schicchi8Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, ItalyMaternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, ItalyMaternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, ItalyCardiac Surgery Unit, Department of Cardiovascular Sciences, University Hospital of Marche, 60126 Ancona, ItalyOspedale di Comunità Maria Montessori di Chiaravalle, AST Ancona, 60033 Chiaravalle, ItalyHealth Professions Area, Diagnostic Technical Area, University Hospital of Marche, 60126 Ancona, ItalyMaternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, ItalyCardiac Surgery Unit, Department of Cardiovascular Sciences, University Hospital of Marche, 60126 Ancona, ItalyMaternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, 60126 Ancona, ItalyThoracic aortic pathology encompasses a spectrum of life-threatening conditions that demand prompt diagnosis and intervention. Significant advancements in surgical management, including open repair, endovascular aortic repair, and hybrid techniques, have markedly enhanced patient outcomes. However, these procedures necessitate meticulous imaging follow-up to identify potential complications. Computed tomography angiography remains the gold standard for evaluating aortic pathology, guiding surgical planning, and monitoring postoperative changes. A thorough understanding of the characteristic imaging features associated with various aortic surgical techniques is crucial for precise assessment, enhancing postoperative surveillance, and optimizing patient management. Distinguishing between surgical complications and postoperative findings is vital to prevent misdiagnosis. This review examines the imaging characteristics of thoracic aortic diseases and their corresponding surgical interventions, emphasizing the differentiation between expected postoperative findings and true pathological conditions. This approach aims to facilitate accurate diagnosis and effective management of complications, ultimately improving patient care.https://www.mdpi.com/2313-433X/11/4/119aortacomputed tomographyCTAaortic pathologyaortic surgerypostoperative monitoring
spellingShingle Marco Fogante
Paolo Esposto Pirani
Fatjon Cela
Jacopo Alfonsi
Corrado Tagliati
Liliana Balardi
Giulio Argalia
Marco Di Eusanio
Nicolò Schicchi
Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications
Journal of Imaging
aorta
computed tomography
CTA
aortic pathology
aortic surgery
postoperative monitoring
title Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications
title_full Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications
title_fullStr Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications
title_full_unstemmed Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications
title_short Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications
title_sort computed tomography imaging of thoracic aortic surgery distinguishing life saving repairs from life threatening complications
topic aorta
computed tomography
CTA
aortic pathology
aortic surgery
postoperative monitoring
url https://www.mdpi.com/2313-433X/11/4/119
work_keys_str_mv AT marcofogante computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT paoloespostopirani computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT fatjoncela computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT jacopoalfonsi computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT corradotagliati computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT lilianabalardi computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT giulioargalia computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT marcodieusanio computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications
AT nicoloschicchi computedtomographyimagingofthoracicaorticsurgerydistinguishinglifesavingrepairsfromlifethreateningcomplications