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A thoracic aorta diameter greater than 3.5 cm is generally considered dilated, whereas a diameter greater than 4.5 cm is generally considered to be a thoracic aortic aneurysm. [4] Still, the average diameter in the population varies by for example age and sex.
The aorta normally has three small pouches that sit directly above the aortic valve (the sinuses of Valsalva), and an aneurysm of one of these sinuses is a thin-walled swelling. Aneurysms may affect the right (65–85%), non-coronary (10–30%), or rarely the left (< 5%) coronary sinus. [ 1 ]
Repeat ultrasounds should be carried out in those who have an aortic size greater than 3.0 cm. [51] In those whose aorta is between 3.0 and 3.9 cm this should be every three years, if between 4.0 and 4.4 cm every two years, and if between 4.5 and 5.4 cm every year.
Aorta segments, with thoracic aorta in area marked in green. Thoracic aortic aneurysm is defined as a cross-sectional diameter exceeding the following cutoff: 4.5 cm in the United States [7] 4.0 cm in South Korea [8] A diameter of 3.5 cm is generally considered dilated. [7]
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Risk factors are similar to those of coronary artery disease and include smoking, high blood pressure, high cholesterol, diabetes, and being male. [1] The aortic valve usually has three leaflets and is located between the left ventricle of the heart, and the aorta. [1] AS typically results in a heart murmur. [1]
The aortic arch, arch of the aorta, or transverse aortic arch (English: / eɪ ˈ ɔːr t ɪ k / [1] [2]) is the part of the aorta between the ascending and descending aorta. The arch travels backward, so that it ultimately runs to the left of the trachea .
The pulmonary trunk bifurcates into right and left pulmonary arteries below the arch of aorta and in front of the left main bronchus. [1] Pulmonary trunk is short and wide – approximately 5 centimetres (2.0 in) in length [2] and 2 centimetres (0.79 in)-3 centimetres (1.2 in) in diameter. [3] [4]
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