Three-dimensional CT reconstruction show a saccular dilatation of the abdominal aorta just distal to the renal arteries, not extending into the femoral arteries. Thoracic EndoVascular Aortic Repair (TEVAR) is a procedure that involves placement of a covered stent in the aorta in patients with a symptomatic thoracic aneurysm. Reporting tips for aortic aneurysms include 1,2:. Associated with bicuspid aortic valve (75%), cerebral aneurysms (5-10%) and Turner syndrome (20% have coarctation) Narrowing at level of distal arch / descending aorta. Fig. Intervention when gradient > 20 mm Hg. When issuing an MRI or CT report on a patient with an aortic aneurysm, whether it be thoracic or abdominal, a number of features should be mentioned to aid the referring clinician in managing the patient. Aneurysm of the thoracic aorta is less common than in the abdominal aorta, but it is clinically important because of the risk of rupture and death. Abdominal aortic aneurysm refers to abdominal aortic dilation of 3.0 cm or greater. Chest film: 'figure 3' sign, inferior rib notching. Radiology 1996; 199: … Abdominal Aortic Aneurysm. Thoracic aortic aneurysms can result from a variety of causes. Axial images from CT angiogram show large contrast collection within aneurysm sac, seen only on delayed images ( arrowheads ). Measurements of the aneurysm are from outer wall to outer wall, not the caliber of the patent lumen. The underlying cause of a thoracic aortic aneurysm can typically be predicted by its location and morphologic features and by the age of the patient. The main risk factors are age older than 65 years, male sex, and smoking history. This is a basic article for medical students and other non-radiologists Abdominal aortic aneurysms (AAA) are focal dilatations of the abdominal aorta that are 50% greater than the proximal normal segment or >3 cm in maximum diameter. Abdominal Aortic Aneurysm. High-attenuating crescent in abdominal aortic aneurysm wall at CT: a sign of acute or impending rupture. Elective surgical repair has been recommended for ascending aortic aneurysms of 5.0–5.5 cm in diameter and descending aortic aneurysms of 5.5–6.5 cm . Transverse and sagittal ultrasound images of the aorta demonstrate a small aortic aneurysm, not appropriate for surgical repair. Link, Google Scholar; 40 Halliday KE, al-Kutoubi A. Draped aorta: CT sign of contained leak of aortic aneurysms. Cases are often found incidentally. Radiology 1994; 192: 359–362. Indications for surgical or endovascular repair are based on aneurysm location and risk factors for rupture such as aneurysm size, rate of growth, and associated conditions, while medical management … Figure 102-3 A and B, Abdominal aortic aneurysm on ultrasound. … Aortic Coarctation. There is calcification in the left lateral wall of a huge, bi-lobed abdominal aortic aneurysm … C, Abdominal aortic aneurysm containing mural thrombus. The stent graft is delivered in a collapsed state through a catheter, that is most often inserted into … 3B —63-year-old man with abdominal aortic aneurysm found at routine follow-up 7 months after endovascular aneurysm repair.