Preoperative Imaging of the Thoracic Aorta

Radiol Clin North Am. 2025 Jul;63(4):633-653. doi: 10.1016/j.rcl.2024.12.003. Epub 2025 Feb 11.

Abstract

This article offers a comprehensive overview of the thoracic aortic anatomy and its pathologies, with a focus on the radiologic perspective. It begins with normal anatomy and imaging techniques, explores age-related changes and atherosclerosis, examines acute aortic syndrome and its various imaging presentations, and concludes with a review of thoracic aortic aneurysms and aortitis. Each section addresses the epidemiology, imaging characteristics, and briefly outlines treatment options.

Keywords: Acute aortic syndrome; Aortic anatomy; Aortic landing zones; Aortic measurement landmarks; Thoracic aortic aneurysm.

Publication types

  • Review

MeSH terms

  • Aorta, Thoracic* / anatomy & histology
  • Aorta, Thoracic* / diagnostic imaging
  • Aorta, Thoracic* / surgery
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery
  • Aortic Diseases* / diagnostic imaging
  • Aortic Diseases* / surgery
  • Humans
  • Preoperative Care* / methods