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Congress: ECR24
Poster Number: C-21769
Type: EPOS Radiologist (educational)
DOI: 10.26044/ecr2024/C-21769
Authorblock: V. Valcheva, M. Nedevska, V. V. Groudeva, E. Mihaylova, S. Karaibraimov, D. T. Dimitrova; Sofia/BG
Disclosures:
Veronika Valcheva: Nothing to disclose
Maria Nedevska: Nothing to disclose
Violeta Vassileva Groudeva: Nothing to disclose
Evgeniya Mihaylova: Nothing to disclose
Shefket Karaibraimov: Nothing to disclose
Diana Tihomirova Dimitrova: Nothing to disclose
Keywords: Arteries / Aorta, Cardiovascular system, CT, CT-Angiography, Contrast agent-intravenous, Grafts, Prostheses
Background

A large number of diseases can affect the aortic wall of the thoracic and abdominal aorta. Some of them include aortic dissection, intramural hematoma, penetrating aortic ulcer, aneurysms. To properly evaluate postoperative imaging of the aorta it is essential to understand the anatomy, different repair techniques, normal and pathological findings. The thoracic aorta is divided into three sections: the ascending aorta (extends from the aortic valve to the level of the brachiocephalic trunk), the aortic arch (extends from the level of the brachiocephalic trunk to the left subclavian artery) and the descending aorta (distal to the left subclavian artery). The abdominal aorta is a continuation of the descending thoracic aorta at the level of the Th12 vertebra. There are two main techniques for aortic repair - open surgical repair and endovascular repair. Open surgical repair is used to manage the ascending aorta, while the management of the aortic arch includes open surgical repair techniques, hybrid techniques, and endovascular repair. When it comes to the descending thoracic aorta there are two techniques - thoracic endovascular aortic repair (TEVAR) or open surgical repair. Endograft repair is the more prevalent treatment option for the abdominal aorta.[2, 3] Distinguishing normal findings from their pathological mimics could be challenging. After the intervention imaging has a central role in routine follow-up of all patients in order to establish any possible post-treatment complications.

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