Image show significant motion artifact at the aortic root, the dissection flap beginning in the root/ascending aorta, small lumen in the descending aorta, and extension of dissection flap into the celiac artery and SMA

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 174-174
Author(s):  
Paul Schoenhagen
Keyword(s):  
Aortic Root ◽  
Motion Artifact ◽  
Celiac Artery ◽  
Ascending Aorta ◽  
Descending Aorta

Dilatation of the entire thoracic aorta in patients with bicuspid aortic valve: a magnetic resonance angiography study

VASA ◽  
2005 ◽  
Vol 34 (3) ◽  
pp. 181-185 ◽  
Author(s):  
Westhoff-Bleck ◽  
Meyer ◽  
Lotz ◽  
Tutarel ◽  
Weiss ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Aortic Valve ◽  
Pulmonary Artery ◽  
Aortic Arch ◽  
Thoracic Aorta ◽  
Aortic Root ◽  
Ascending Aorta ◽  
Descending Aorta ◽  
Severe Aortic Regurgitation

Background: The presence of a bicuspid aortic valve (BAV) might be associated with a progressive dilatation of the aortic root and ascending aorta. However, involvement of the aortic arch and descending aorta has not yet been elucidated. Patients and methods: Magnetic resonance angiography (MRA) was used to assess the diameter of the ascending aorta, aortic arch, and descending aorta in 28 patients with bicuspid aortic valves (mean age 30 ± 9 years). Results: Patients with BAV, but without significant aortic stenosis or regurgitation (n = 10, mean age 27 ± 8 years, n.s. versus control) were compared with controls (n = 13, mean age 33 ± 10 years). In the BAV-patients, aortic root diameter was 35.1 ± 4.9 mm versus 28.9 ± 4.8 mm in the control group (p < 0.01). The diameter of the ascending aorta was also significantly increased at the level of the pulmonary artery (35.5 ± 5.6 mm versus 27.0 ± 4.8 mm, p < 0.001). BAV-patients with moderate or severe aortic regurgitation (n = 18, mean age 32 ± 9 years, n.s. versus control) had a significant dilatation of the aortic root, ascending aorta at the level of the pulmonary artery (41.7 ± 4.8 mm versus 27.0 ± 4.8 mm in control patients, p < 0.001) and, furthermore, significantly increased diameters of the aortic arch (27.1 ± 5.6 mm versus 21.5 ± 1.8 mm, p < 0.01) and descending aorta (21.8 ± 5.6 mm versus 17.0 ± 5.6 mm, p < 0.01). Conclusions: The whole thoracic aorta is abnormally dilated in patients with BAV, particularly in patients with moderate/severe aortic regurgitation. The maximum dilatation occurs in the ascending aorta at the level of the pulmonary artery. Thus, we suggest evaluation of the entire thoracic aorta in patients with BAV.

Serial evaluation of the thoracic aorta in patients with a bicuspid aortic valve: A magnetic resonance angiography study

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 140-144 ◽  
Author(s):  
Tutarel ◽  
Meyer ◽  
Lotz ◽  
Westhoff-Bleck
Keyword(s):  
Aortic Valve ◽  
Thoracic Aorta ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Innominate Artery ◽  
Ascending Aorta ◽  
Current Data ◽  
Descending Aorta ◽  
Valve Function ◽  
A Prospective Study

Background: Bicuspid aortic valve (BAV) is associated with an arteriopathy leading to a progressive dilatation of the aortic root. Recent studies have shown that the whole thoracic aorta is affected by this arteriopathy. Longitudinal data regarding the progression of this arteriopathy in the whole thoracic aorta has not been reported before. Patients and methods: In this retrospective study 40 patients (mean age 28.5 ± 9.1 years) had 2 MR-angiographies (mean interval 37.1 ± 15.2 months). In 23 patients the aortic valve was regurgitant, in 1 stenotic, in 4 combined aortic stenosis / regurgitation was found, while in 12 the valve function was normal. Aortic diameters were measured at 6 different, standardized anatomical points. The influence of demographic and clinical parameters was assessed. Results: A significant increase of the diameter was observed at the aortic root (35.4 ± 5.6 mm → 39.1 ± 6.5 mm, p < 0.001), the ascending aorta (37.3 ± 8.0 mm → 39.5 ± 8.5 mm, p = 0.001), proximal to the innominate artery (29.4 ± 6.1 mm → 31.6 ± 6.8 mm, p = 0.008), and the descending aorta (20.2 ± 2.4 mm → 21.6 ± 4.2 mm, p = 0.03). There was no significant increase proximal (24.0 ± 5.7 mm → 24.6 ± 5.3 mm, p = 0.44) and distal to the left subclavian artery (21.4 ± 4.6 mm → 21.9 ± 4.5 mm, p = 0.19). These observations were independent of the presence of arterial hypertension, a previous operation, gender, and functional status of the aortic valve. Conclusions: The progressive dilatation of the aortic root and ascending aorta that can be observed in patients with BAV was not found in the more distal parts of the thoracic aorta with the exception of the descending aorta in this study. If the dilatation of the descending aorta bears any clinical significance can't be answered with the current data. A prospective study should be performed to confirm these results.

Diseases of the Aorta

2016 ◽  
Author(s):  
Patrizio Lancellotti ◽  
Bernard Cosyns
Keyword(s):  
Thoracic Aorta ◽  
Aortic Root ◽  
Elective Surgery ◽  
Ascending Aorta ◽  
Supplementary Information ◽  
Descending Aorta ◽  
Serial Measurement ◽  
Echocardiographic Examination ◽  
The Right ◽  
Axis View

This chapter considers evaluation of the aorta as a routine part of the standard echocardiographic examination. It looks as TTE as an excellent modality for imaging the aortic root, and in the serial measurement of maximum aortic root diameters, aortic regurgitation evaluation, and timing of elective surgery for several entities. In some patients, the right parasternal long-axis view can provide supplementary information of the ascending aorta. Of major importance for evaluation of the thoracic aorta is the suprasternal view. Although the entire thoracic descending aorta is not well imaged by TTE, the abdominal descending aorta is relatively easily visualized. TEE is safe and can be performed at the bedside. It provides a good visualization of the entire thoracic aorta, with the exception of the distal part of the ascending aorta.

Aortic aneurysm: thoracic aortic aneurysm—therapeutic options

ESC CardioMed ◽  
2018 ◽  
pp. 2573-2575
Author(s):  
Axel Haverich ◽  
Andreas Martens
Keyword(s):  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Aortic Arch ◽  
Aortic Root ◽  
Treatment Strategies ◽  
Ascending Aorta ◽  
Aortic Root Replacement ◽  
Long Term Results ◽  
Descending Aorta

Surgical treatment of thoracic aortic aneurysms has to account for anatomical location, patient risk profile, and the surgeon’s experience. Whereas endovascular treatment of the descending aorta has become a valid option for most patients and pathologies, open surgery remains the first choice to treat aneurysms of the aortic root, ascending aorta, and aortic arch and to treat patients with connective tissue disease in elective settings. Minimal invasive access is more frequently used to treat the aortic root, ascending aorta, and proximal aortic arch with excellent results. Long-term results of valve-sparing aortic root replacement undermine the recommendation to preserve the aortic valve, especially in young patients with tricuspid aortic valves. Aortic annulus stabilization either via valve reimplantation or external stabilization techniques in addition to aortic root remodelling ensures stable long-term results. Aortic root replacement using valved conduits remains a durable treatment option. Aortic arch surgery has been revolutionized by multiple technical solutions that facilitate surgical techniques (e.g. branched prefabricated grafts), extend treatment into the proximal descending aorta (e.g. frozen elephant trunk procedure), and minimize organ damage (e.g. cardiac and lower body perfusion during aortic arch repair). If endovascular treatment of the descending and thoracoabdominal aorta is not feasible, open surgical methods remain the standard of care and should routinely include protection methods to preserve organ function (e.g. left heart bypass, partial bypass). Treatment strategies in all patients should be discussed within a dedicated interdisciplinary team. Strict follow-up is mandatory.

Retrieving a lost needle in the descending aorta during hemi-arch replacement

2022 ◽  
pp. 021849232110724
Author(s):  
Eda Tadahito ◽  
Horiuchi Kazutaka ◽  
Sakurai Yusuke ◽  
Komoda Satsuki ◽  
Mizutani Shinichi ◽  
...  
Keyword(s):  
Aortic Root ◽  
Chest Radiography ◽  
Circulatory Arrest ◽  
Aortic Insufficiency ◽  
Ascending Aorta ◽  
Distal Anastomosis ◽  
Fluoroscopic Guidance ◽  
Descending Aorta ◽  
Bentall Procedure ◽  
Aortic Replacement

A 73-year-old man diagnosed with moderate aortic insufficiency and dilatation of the aortic root and ascending aorta underwent a modified Bentall procedure and hemi-arch aortic replacement. During open distal anastomosis of the ascending aorta, the surgical needle was lost. Because of circulatory arrest, the operation was continued; before closing the chest, radiography and a transesophageal echo were located in the needle in the descending aorta. It was retrieved using a snare catheter via the graft branch under fluoroscopic guidance. Thus, locating the needle in the descending aorta and leaving the graft branch uncut led to its removal without a new incision.

Aneurysm Hybrid Treatment by Simultaneous Replacement of Ascending Aorta and Aortic Arch and Endoluminal Stenting of the Descending Aorta

2006 ◽  
Vol 9 (1) ◽  
pp. E530-E532
Author(s):  
Friedrich-Christian Riess ◽  
Hans Krankenberg ◽  
Thilo Tübler ◽  
Matthias Danne
Keyword(s):  
Aortic Arch ◽  
Ascending Aorta ◽  
Descending Aorta ◽  
Hybrid Treatment

Lupus Aortitis Leading to Aneurysmal Dilatation in the Aortic Root and Ascending Aorta

2009 ◽  
Vol 12 (2) ◽  
pp. E105-E108 ◽  
Author(s):  
Derek R. Brinster ◽  
John D. Grizzard ◽  
Alok Dash
Keyword(s):  
Aortic Root ◽  
Ascending Aorta ◽  
Aneurysmal Dilatation
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