![]() ![]() This minimally invasive endovascular option for some patients who are not optimal candidates for traditional open repair can shorten hospital stays and reduce recovery periods.įor high-risk patients with arch aneurysms, we offer a less invasive debranching option that bypasses arch vessels and eliminates the need for hypothermic circulatory arrest. This procedure replaces the aortic root while preserving the patient’s aortic valve.įor many patients with thoracic aortic aneurysms, an endovascular treatment known as thoracic endovascular aortic repair (TEVAR) is an alternative to conventional open-heart surgery. Surgery may involve replacing the weakened area of the aorta with a graft or artificial material.Ī valve-sparing aortic root replacement may also be an option for root aneurysm patients with a normal aortic valve. A valve replacement may be necessary, depending on the location and extent of the rupture. Thoracic aortic aneurysms sometimes require complex open-heart surgery, including the use of hypothermic circulatory arrest (HCA), a technique that uses very cold body temperatures to temporarily stop blood flow to the area of the aorta being operated on. ![]() Medication to help reduce high blood pressure and cholesterol levels.These changes may help keep the aneurysm from growing. ![]() Lifestyle changes such as smoking cessation, controlling diabetes and a low-fat diet to reduce cholesterol levels.Surgery, including both open and endovascular options.Regular screenings to monitor the size and growth of the aneurysm to determine if treatment - including surgery - is necessary.Treatment options for ascending, arch, descending and root aortic aneurysms may include: Angiography (X-ray of the blood vessels).Echocardiography (ultrasound of the heart).If your healthcare provider believes you may have a thoracic aortic aneurysm, the following tests may be given: Often, a thoracic aneurysm is not diagnosed until a rupture occurs. Genetic variants ( Marfan, Loeys-Dietz and Ehlers-Danlos syndromes, familial thoracic aortic aneurysm, bicuspid aortic valve).Risk factors for a thoracic aortic aneurysm include: Abdominal aorta, which is located below the diaphragm.A descending aortic aneurysm that extends to the abdomen is a thoracoabdominal aneurysm. Descending aorta, which branches into the thoracic and abdominal aorta.Aortic arch, the part of the aorta that arches and turns downward before it becomes the descending aorta.Ascending aorta, which emerges from the top of the aortic root.Aortic root, the area where the aorta exits the heart and includes the openings to the coronary arteries.Shortness of breath/difficulty breathingĪn aneurysm can appear anywhere in the aorta, including:.Some individuals, however, may experience symptoms such as: Thoracic aortic aneurysms, even those that are large, frequently do not cause symptoms. The Fusiform Aneurysm and Saccular Aneurysm show the two types of aneurysm shapes. The three types of aneurysm are Ascending Thoracic aortic Aneurysm (TAA), Descending Thoracic Aortic Aneurysm (TAA), and Abdominal Aortic Aneurysm (AAA). Accessed April 1, 2022.The above Illustration shows three types of aneurysm and the two aneurysm shapes. Aortic valve sclerosis and pathogenesis of calcific aortic stenosis. ![]() Journal of the American College of Cardiology. 2020 ACC/AHA Guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Aortic valve stenosis and pathogenesis of calcified aortic stenosis. Natural history, epidemiology, and prognosis of aortic stenosis. ![]()
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