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The ascending aorta segment is of significant due to its susceptibility to aortic dissection, two times more than in the descending aorta. Early detection of dissection is critical because it allows for prompt intervention to prevent potentially life-threatening complications.
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.
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.
An aortic aneurysm is an enlargement (dilatation) of the aorta to greater than 1.5 times normal size. [1] Typically, there are no symptoms except when the aneurysm dissects or ruptures, which causes sudden, severe pain in the abdomen and lower back. [2] [3] The etiology remains an area of active research.
An aortic sinus, also known as a sinus of Valsalva, [1] is one of the anatomic dilations of the ascending aorta, which occurs just above the aortic valve.These widenings are between the wall of the aorta and each of the three cusps of the aortic valve.
It categorizes the dissection based on where the original intimal tear is located and the extent of the dissection (localized to either the ascending aorta or descending aorta or involving both the ascending and descending aorta). [38] Type I – originates in ascending aorta, and propagates at least to the aortic arch and often beyond it ...
Aortic regurgitation (AR), also known as aortic insufficiency (AI), is the leaking of the aortic valve of the heart that causes blood to flow in the reverse direction during ventricular diastole, from the aorta into the left ventricle. As a consequence, the cardiac muscle is forced to work harder than normal.
Rete tubular ectasia, dilation of tubular structures in the testicles. It is usually found in older men. Corneal ectasia (secondary keratoconus), a bulging of the cornea. Vascular ectasias. Most broadly, any abnormal dilatation of a blood vessel, including aneurysms; Annuloaortic ectasia, dilation of the aorta. It can be associated with Marfan ...
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