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Thoracic Aortic Aneurysm

Dilation of the thoracic aorta that carries a risk of rupture and dissection.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Thoracic Aortic Aneurysm?

A thoracic aortic aneurysm (TAA) is an abnormal dilation of the aorta that may involve the ascending aorta, aortic arch or descending thoracic aorta. It may be associated with cystic medial degeneration, bicuspid aortic valve and inherited syndromes such as Marfan, Loeys-Dietz and Ehlers-Danlos.

The disease is usually asymptomatic but can cause compressive symptoms such as hoarseness, dysphagia and chest pain. Rupture or acute aortic dissection are life-threatening complications.

Diagnosis is made by CT or MR angiography. Management includes aggressive blood pressure control, beta-blocker therapy, regular imaging and open or endovascular surgical repair based on size and progression criteria.

Symptoms

Often asymptomatic
Chest, back or neck pain
Hoarseness (left recurrent laryngeal nerve compression)
Dysphagia
Respiratory distress and cough
Horner syndrome
Severe pain and shock in rupture

Risk Factors

Hypertension
Marfan and Loeys-Dietz syndromes
Bicuspid aortic valve
Familial thoracic aortic aneurysm
Advanced age and atherosclerosis
Smoking
Syphilis and inflammatory aortitis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New-onset chest or back pain
  • Hoarseness and dysphagia
  • Rapid progression in a known aneurysm
  • Family history of aortic dissection
  • Follow-up for Marfan or bicuspid aortic valve

Treatment Methods

01
Aggressive blood pressure control (beta-blocker, ARB)
02
Smoking cessation
03
Regular CT/MR angiography follow-up
04
Genetic evaluation in syndromic cases
05
Surgical repair when threshold diameter is reached
06
TEVAR endovascular repair in suitable candidates

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.