Pitfalls in Suspected Acute Aortic Syndrome: Impact of Appropriate and If Required Repeated Imaging

Figure 2

Corresponding double-oblique view of the cine-CMR demonstrating an ulcer-like lesion (acute aortic syndrome, class 4) superior to the aortic root in the even initially suspicious left anterior aortic quadrant (a) and nearly congruent double-oblique (b) and axial (c) reconstructions (spatial resolution  mm) as compared to initial CT imaging, this time adequately prospectively ECG-gated. Note the precise demarcation and nearly similar accuracy compared to the preceding CMR of a penetrating aortic ulcer exactly in the same location compared to the initially suspected area.

(a)

(b)

(c)