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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] However, average values vary with age and size of the reference population, as well as different segments of the aorta.
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.
Abdominal aortic aneurysms are commonly divided according to their size and symptomatology. An aneurysm is usually defined as an outer aortic diameter over 3 cm (normal diameter of the aorta is around 2 cm), [43] or more than 50% of normal diameter. [44] If the outer diameter exceeds 5.5 cm, the aneurysm is considered to be large. [42]
An aneurysm is usually defined as an outer aortic diameter over 3 cm (normal diameter of the aorta is around 2 cm), [17] or more than 50% of normal diameter that of a healthy individual of the same sex and age. [9] [18] If the outer diameter exceeds 5.5 cm, the aneurysm is considered to be large. [16] The common iliac artery is classified as: [19]
As the blood moves into the aortic arch, the area with the highest velocity tends to be on the inner wall. Helical flow within the ascending aorta and aortic arch help to reduce flow stagnation and increase oxygen transport. [4] As the blood moves into the descending aorta, rotations in the flow are less present.
For this purpose, the standard aortic measurement for abdominal aortic aneurysm is between the outer margins of the aortic wall. [ 4 ] In cases of infectious mononucleosis , splenomegaly is a common symptom, and health care providers may consider using abdominal ultrasonography to get insight into a person's condition. [ 5 ]
Aneurysms may affect the right (65–85%), non-coronary (10–30%), or rarely the left (< 5%) coronary sinus. [1] These aneurysms may not cause any symptoms but if large can cause shortness of breath, palpitations or blackouts. Aortic sinus aneurysms can burst or rupture into adjacent cardiac chambers, which can lead to heart failure if untreated.
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 upper limit of standard reference range of the ascending aorta may be up to 4.3 ...
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