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The thoracic aorta is a part of the aorta located in the thorax. It is a continuation of the aortic arch . It is located within the posterior mediastinal cavity, but frequently bulges into the left pleural cavity .
The aortic wall dilatation at the commissural level causes the cusps to effectively shorten and prevent them from converging during systole, which results in aortic valve incompetence. The arch is typically spared from the aneurysmal process, though it may involve the entire ascending aorta. The ectatic aorta may experience dissections.
A thoracic aortic aneurysm is an aortic aneurysm that presents primarily in the thorax. A thoracic aortic aneurysm is the "ballooning" of the upper aspect of the aorta, above the diaphragm. Untreated or unrecognized they can be fatal due to dissection or "popping" of the aneurysm leading to nearly instant death.
The aortic wall is made up of three different components the inner layer (intima), the muscle layer (media), and the outer layer (adventitia). A traumatic injury to the thoracic aorta can cause disruption of any of these parts. Therefore, aortic injury is on a scale from injury to a part of the inner layer to a complete tear of all three layers ...
A pseudoaneurysm, also known as a false aneurysm, is a locally contained hematoma outside an artery or the heart due to damage to the vessel wall. [1] The injury passes through all three layers of the arterial wall, causing a leak, which is contained by a new, weak "wall" formed by the products of the clotting cascade. [1]
Ascending aorta: Left coronary artery: LAD: Right coronary artery: Circumflex a: Aortic arch: Brachiocephalic a: R common carotid a: R subclavian a: L common carotid a: Internal carotid a: External carotid a: L subclavian a: Vertebral artery: Int. thoracic a: Thyrocervical trunk: Costocervical trunk: Dorsal scapular artery (mostly) Descending ...
The hemodynamics of the aorta is an ongoing field of research in which the goal is to identify what flow patterns and subsequent forces occur within the thoracic aorta. These patterns and forces are used to identify the presence and severity of cardiovascular diseases such as aortic aneurysm and atherosclerosis . [ 1 ]
Aortic unfolding is an abnormality visible on a chest X-ray, that shows widening of the mediastinum which may mimic the appearance of a thoracic aortic aneurysm. [1]With aging, the ascending portion of the thoracic aorta increases in length by approximately 12% per decade, whereas the diameter increases by just 3% per decade.