Aortitis echocardiography or ultrasound: Difference between revisions

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Latest revision as of 20:26, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [3]

Overview

On transthoracic and transesophageal echocardiogram, aortitis is characterized by aortic wall thickening.^[1] Echocardiography may also be helpful in the assessment of aortic root and aortic valve involvement in aortitis.^[2] Findings on ultrasound suggestive of Takayasu arteritis include extensive concentric thickening of affected aorta and branch vessels.^[3] Findings on ultrasound suggestive of giant cell arteritis include a "halo" sign, aortic wall thickening, and small aneurysms.^[2]

Echocardiogram

On transthoracic and transesophageal echocardiogram, aortitis is characterized by circumferential thickening of the aortic wall.^[1] Echocardiography may be helpful in the assessment of aortic root and aortic valve involvement in aortitis.^[2]

Ultrasound

Vascular ultrasound may be helpful in the diagnosis of idiopathic aortitis variants with periaortitis and aortitis due to either Takayasu arteritis or giant cell arteritis. Findings on ultrasound suggestive of aortitis include:^[2]^[3]


Cause of aortitis	Ultrasound findings

Idiopathic	Mural thickening with an echolucent periaortic mass
Giant cell arteritis	"Halo" sign, aortic wall thickening, and small aneurysms
Takayasu Arteritis	Extensive concentric thickening of affected aorta and branch vessels

References

↑ ^1.0 ^1.1 Harris KM, Malenka DJ, Plehn JF (1997). "Transesophageal echocardiographic evaluation of aortitis". Clin Cardiol. 20 (9): 813–5. PMID 9294676.Accessed on September 14th, 2015
↑ ^2.0 ^2.1 ^2.2 ^2.3 Gornik HL, Creager MA (2008). "Aortitis". Circulation. 117 (23): 3039–51. doi:10.1161/CIRCULATIONAHA.107.760686. PMC 2759760. PMID 18541754.CS1 maint: PMC format (link) Accessed on September 14th, 2015
↑ ^3.0 ^3.1 Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD; et al. (2014). "Multimodality imaging of aortitis". JACC Cardiovasc Imaging. 7 (6): 605–19. doi:10.1016/j.jcmg.2014.04.002. PMID 24925329.

Template:WH Template:WS CME Category::Cardiology

[pmid9294676-1] 1.0 ^1.1 Harris KM, Malenka DJ, Plehn JF (1997). "Transesophageal echocardiographic evaluation of aortitis". Clin Cardiol. 20 (9): 813–5. PMID 9294676.Accessed on September 14th, 2015

[pmid18541754-2] 2.0 ^2.1 ^2.2 ^2.3 Gornik HL, Creager MA (2008). "Aortitis". Circulation. 117 (23): 3039–51. doi:10.1161/CIRCULATIONAHA.107.760686. PMC 2759760. PMID 18541754.CS1 maint: PMC format (link) Accessed on September 14th, 2015

[pmid24925329-3] 3.0 ^3.1 Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD; et al. (2014). "Multimodality imaging of aortitis". JACC Cardiovasc Imaging. 7 (6): 605–19. doi:10.1016/j.jcmg.2014.04.002. PMID 24925329.

[1]

[2]

[3]

@@ Line 1: / Line 1: @@
 __NOTOC__
-{{CMG}}
 {{Aortitis}}
+{{CMG}} {{AE}} {{Maliha}}
 ==Overview==
-[[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis.  Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic [[inflammation]].  CT scan may also be helpful in the diagnosis of the complications of aortitis.  Findings on CT suggestive of complications of aortitis include aortic and arterial [[calcification]], stenotic lesions of the aorta, [[aortic aneurysm]], and [[thrombus]].<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
+On transthoracic and transesophageal echocardiogram, aortitis is characterized by aortic wall thickening.<ref name="pmid9294676">{{cite journal| author=Harris KM, Malenka DJ, Plehn JF| title=Transesophageal echocardiographic evaluation of aortitis. | journal=Clin Cardiol | year= 1997 | volume= 20 | issue= 9 | pages= 813-5 | pmid=9294676 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9294676}}Accessed on September 14th, 2015</ref> Echocardiography may also be helpful in the assessment of aortic root and aortic valve involvement in aortitis.<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref> Findings on ultrasound suggestive of [[Takayasu arteritis]] include extensive concentric thickening of affected aorta and branch vessels.<ref name="pmid24925329">{{cite journal| author=Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD et al.| title=Multimodality imaging of aortitis. | journal=JACC Cardiovasc Imaging | year= 2014 | volume= 7 | issue= 6 | pages= 605-19 | pmid=24925329 | doi=10.1016/j.jcmg.2014.04.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24925329  }} </ref>  Findings on ultrasound suggestive of [[giant cell arteritis]] include a "halo" sign, aortic wall thickening, and small [[aneurysm]]s.<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
+==Echocardiogram==
+On transthoracic and transesophageal echocardiogram, aortitis is characterized by circumferential thickening of the aortic wall.<ref name="pmid9294676">{{cite journal| author=Harris KM, Malenka DJ, Plehn JF| title=Transesophageal echocardiographic evaluation of aortitis. | journal=Clin Cardiol | year= 1997 | volume= 20 | issue= 9 | pages= 813-5 | pmid=9294676 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9294676}}Accessed on September 14th, 2015.</ref> Echocardiography may be helpful in the assessment of aortic root and aortic valve involvement in aortitis.<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
+==Ultrasound==
+Vascular ultrasound may be helpful in the diagnosis of idiopathic aortitis variants with periaortitis and aortitis due to either [[Takayasu arteritis]] or [[giant cell arteritis]]. Findings on ultrasound suggestive of aortitis include:<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref><ref name="pmid24925329">{{cite journal| author=Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD et al.| title=Multimodality imaging of aortitis. | journal=JACC Cardiovasc Imaging | year= 2014 | volume= 7 | issue= 6 | pages= 605-19 | pmid=24925329 | doi=10.1016/j.jcmg.2014.04.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24925329  }} </ref>
+{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
+|valign=top|
+|+
+! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Cause of aortitis}}
+! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Ultrasound findings}}
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+:Idiopathic
+| style="padding: 5px 5px; background: #F5F5F5;" |
+*Mural thickening with an echolucent periaortic [[mass]]
+|-
+| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
+:Giant cell arteritis
+| style="padding: 5px 5px; background: #F5F5F5;" |
+*"Halo" sign, aortic wall thickening, and small [[aneurysm]]s
+|-
+| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
+:Takayasu Arteritis
+| style="padding: 5px 5px; background: #F5F5F5;" |
+*Extensive concentric thickening of affected [[aorta]] and branch vessels
+|-
+|}
-==CT==
-[[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis.  Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic [[inflammation]].  CT scan may also be helpful in the diagnosis of the complications of aortitis.  Findings on CT suggestive of complications of aortitis include aortic and arterial [[calcification]], stenotic lesions of the aorta, [[aortic aneurysm]], and thrombus.<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref>
 ==References==
 {{Reflist|2}}
 {{WH}}
 {{WS}}
+[[CME Category::Cardiology]]
+[[Category:Cardiology]]
+[[Category:Disease]]
+[[Category:Mature chapter]]
+[[Category:Medicine]]
+[[Category:Up-To-Date]]
+[[Category:Up-To-Date cardiology]]