Thoracic aortic aneurysm (TAA) treatment in 182 Vascular surgery clinics in Asia

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182 clinics specializing in Vascular surgery providing treatment of Thoracic aortic aneurysm (TAA) Thoracic aortic aneurysm (TAA) is a condition where the aorta's walls in the chest weaken and bulge, potentially leading to life-threatening complications if the aneurysm ruptures. Surveillance and, if necessary, surgical intervention are vital for managing TAA.
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disease in Asia.

Bahrain · 1
China · 5
India · 33
Indonesia · 5
Israel · 12
Japan · 11
Jordan · 2
Kuwait · 1
Lebanon · 1
Malaysia · 9
Oman · 1
Singapore · 4
Sri Lanka · 5
Taiwan · 4
Thailand · 9
Turkey · 22
Vietnam · 5
You can select a specific country
Azerbaijan · 3 Bahrain · 1 Bangladesh · 4 China · 5 India · 33 Indonesia · 5 Israel · 12 Japan · 11 Jordan · 2 Kazakhstan · 6 Kuwait · 1 Lebanon · 1 Malaysia · 9 Oman · 1 Philippines · 4 Saudi Arabia · 6 Singapore · 4 South Korea · 16 Sri Lanka · 5 Taiwan · 4 Thailand · 9 Turkey · 22 United Arab Emirates · 13 Vietnam · 5
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Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $9,881
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $13,985
  3. Foam sclerotherapy (Unilateral)
    ≈ $545
  4. Peripheral artery angioplasty and stent placement
    ≈ $4,641
  5. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $16,761
  6. Uterine artery embolization (UAE)
    ≈ $3,557
  7. Varicose veins treatment
    ≈ $3,363
  8. Radiofrequency ablation (RFA) for varicose veins (Unilateral)
    ≈ $1,582
  9. Endovenous laser ablation (EVLA) for varicose vein (Unilateral)
    ≈ $1,461
photo
Manama, Bahrain
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Bahrain Specialist Hospital (BSH) stands as a center of excellence in the Arabian Gulf. It is a highly specialized Medical Center that provides up to read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
Rishon LeẔiyyon, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English, Russian
The Shamir Medical Center (Assaf Harofeh) is the fourth largest government university hospital in Israel and the main one in the Shefela area. The outpatient, read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  6. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  7. Endovascular thrombectomy
    ≈ $20,075
  8. Carotid angioplasty and stenting
    ≈ $35,380
  9. Uterine artery embolization (UAE)
    ≈ $20,469
photo
Haifa, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, Russian
Elisha Hospital is the largest and leading private hospital in the north of the country, a hospital that provides integrated medical solutions at the highest read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
Jerusalem, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, Russian
Shaare Zedek is the largest multi-disciplinary medical center in Jerusalem, offering advanced services in most specialties. With a constant commitment to improve and provide our read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
Haifa, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Carmel Medical Center is the crown sitting atop the Carmel Mountain range; the urban and rural healthcare provider for a million Israelis, serving Haifa, the read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
H̱olon, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English
Wolfson University Medical Center (WMC) is a public multi-disciplinary medical center in Holon that serves a population of approximately half a million inhabitants in central read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
Nahariyya, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Galilee Medical Center (Hebrew: המרכז הרפואי לגליל, HaMerkaz HaRefu'i LaGalil), abbreviated GMC, is a hospital located in the coastal city of Nahariya and is the read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $44,349
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $61,175
  3. Carotid endarterectomy (CEA)
    ≈ $18,792
  4. Foam sclerotherapy (Unilateral)
    ≈ $4,380
  5. Peripheral artery angioplasty and stent placement
    ≈ $17,964
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $63,709
  7. Arteriovenous (AV) fistula surgery
    ≈ $4,778
  8. Endovascular thrombectomy
    ≈ $15,875
  9. Carotid angioplasty and stenting
    ≈ $28,950
photo
Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, Chinese, English, Mongolian, Russian
Ewha Womans University Medical Center, which has been leading Korean women’s medicine since the establishment of ‘Pogoonyogoan(普救女館)’, has opened Ewha Womans University Seoul Hospital with read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
Reẖovot, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English, Russian
​Kaplan Medical Center is an excellency center integrating professional quality, innovation and personal, humane and dedicated health care. The Kaplan Medical Center belongs to Clalit read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $28,443
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $39,746
  3. Carotid endarterectomy (CEA)
    ≈ $13,813
  4. Foam sclerotherapy (Unilateral)
    ≈ $1,466
  5. Peripheral artery angioplasty and stent placement
    ≈ $10,907
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $42,819
  7. Arteriovenous (AV) fistula surgery
    ≈ $4,517
  8. Endovascular thrombectomy
    ≈ $12,094
  9. Carotid angioplasty and stenting
    ≈ $19,336
photo
Dubai, United Arab Emirates
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Currently, Aster DM Healthcare is one of the largest and fastest growing conglomerates in the MENA region. It covers the full spectrum of healthcare services read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $28,443
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $39,746
  3. Carotid endarterectomy (CEA)
    ≈ $13,813
  4. Foam sclerotherapy (Unilateral)
    ≈ $1,466
  5. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $42,819
  6. Arteriovenous (AV) fistula surgery
    ≈ $4,517
  7. Endovascular thrombectomy
    ≈ $12,094
  8. Carotid angioplasty and stenting
    ≈ $19,336
  9. Uterine artery embolization (UAE)
    ≈ $8,796
photo
Dubai, United Arab Emirates
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Currently, Aster DM Healthcare is one of the largest and fastest growing conglomerates in the MENA region. It covers the full spectrum of healthcare services read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $16,710
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,503
  3. Carotid endarterectomy (CEA)
    ≈ $6,902
  4. Foam sclerotherapy (Unilateral)
    ≈ $726
  5. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $18,932
  6. Arteriovenous (AV) fistula surgery
    ≈ $2,339
  7. Endovascular thrombectomy
    ≈ $5,333
  8. Carotid angioplasty and stenting
    ≈ $8,191
  9. Uterine artery embolization (UAE)
    ≈ $4,277
photo
Istanbul, Turkey
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Acıbadem Healthcare Group's 21st hospital opened its doors in March 2017 in Altunizade district. Acıbadem Altunizade Hospital includes many specialized units with its technical infrastructure, read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $55,644
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $75,918
  3. Carotid endarterectomy (CEA)
    ≈ $38,436
  4. Foam sclerotherapy (Unilateral)
    ≈ $8,358
  5. Peripheral artery angioplasty and stent placement
    ≈ $25,038
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $38,695
  7. Arteriovenous (AV) fistula surgery
    ≈ $10,329
  8. Endovascular thrombectomy
    ≈ $20,075
  9. Carotid angioplasty and stenting
    ≈ $35,380
photo
Afula, Israel
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Emek Medical Center of the Al-Hakhalit Group is one of the largest and most modern health centers in Israel, and provides a wide range read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    by request
  2. Thoracic endovascular aneurysm repair (TEVAR)
    by request
  3. Chemotherapy for retinoblastoma
    by request
  4. Spider vein sclerotherapy
    by request
  5. Foam sclerotherapy (Unilateral)
    by request
  6. Foam sclerotherapy (Bilateral)
    by request
  7. Laser treatment for spider veins
    by request
  8. Hybrid varicose veins treatment (open+endovascular)
    by request
  9. Inferior vena cava (IVC) filter placement
    by request
photo
Amman, Jordan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Languages: English
Jordan Hospital and Medical Center is a 350-bed tertiary academic hospital. It is the largest private academic hospital in Jordan. It is well known for read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    by request
  2. Thoracic endovascular aneurysm repair (TEVAR)
    by request
  3. Aortic valve replacement (AVR)
    by request
  4. Nucleoplasty
    by request
  5. Surgical treatment of hip dysplasia
    by request
  6. Bow legs surgery
    by request
  7. Surgical Treatments for Legg-Calvé-Perthes disease
    by request
  8. Surgical treatment of congenital pseudarthrosis of the tibia
    by request
  9. Pediatric arthroscopy
    by request
photo
Amman, Jordan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Specialized Hospital attracts patients from more than 100 countries and during 28 years has received over 6 million patients, including 1,500,000 emergency visits, 585,000 read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $10,028
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $5,428
  3. Carotid endarterectomy (CEA)
    ≈ $1,980
  4. Foam sclerotherapy (Unilateral)
    ≈ $376
  5. Peripheral artery angioplasty and stent placement
    ≈ $2,051
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $7,406
  7. Arteriovenous (AV) fistula surgery
    ≈ $1,179
  8. Endovascular thrombectomy
    ≈ $1,148
  9. Carotid angioplasty and stenting
    ≈ $2,487
photo
Muscat, Oman
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Arabic, English, French, Hindi, Italian, Urdu
Located in the heart of Muscat and scenic area of Bausher, Muscat Private Hospital (MPH) is Oman’s first premier private medical facility offering state-of-the-art luxury read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $7,819
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $6,930
  3. Carotid endarterectomy (CEA)
    ≈ $1,968
  4. Foam sclerotherapy (Unilateral)
    ≈ $299
  5. Peripheral artery angioplasty and stent placement
    ≈ $2,457
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $6,866
  7. Arteriovenous (AV) fistula surgery
    ≈ $430
  8. Endovascular thrombectomy
    ≈ $1,552
  9. Carotid angioplasty and stenting
    ≈ $2,385
photo
Ho Chi Minh City, Vietnam
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English, German
FV Hospital was founded by Dr Jean-Marcel Guillon in 2003 with a group of French doctors who shared the vision of bringing world class healthcare read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $7,819
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $6,930
  3. Peripheral artery angioplasty and stent placement
    ≈ $2,457
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $6,866
  5. Renal artery angioplasty and stenting
    ≈ $857
  6. Aortography
    ≈ $544
  7. Bentall surgery
    ≈ $9,788
  8. Aortic arch replacement
    ≈ $5,801
  9. Complex aortic surgery
    ≈ $19,856
photo
Hanoi, Vietnam
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English, French, Japanese, Korean
Vinmec Times City International Hospital is the first hospital in the Vinmec Health System chain to be put into operation. Located in the most modern read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $6,168
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $5,328
  3. Carotid endarterectomy (CEA)
    ≈ $2,333
  4. Foam sclerotherapy (Unilateral)
    ≈ $270
  5. Peripheral artery angioplasty and stent placement
    ≈ $2,277
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $6,241
  7. Arteriovenous (AV) fistula surgery
    ≈ $950
  8. Endovascular thrombectomy
    ≈ $2,245
  9. Carotid angioplasty and stenting
    ≈ $2,892
photo
Dhaka, Bangladesh
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Evercare Hospital Dhaka is a 425-bed multidisciplinary super specialty tertiary care hospital which is the first and only hospital in Bangladesh to have got JCI read more
Prices for popular procedures:
  1. Thoracic aortic aneurysm surgery
    ≈ $6,168
  2. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $5,328
  3. Peripheral artery angioplasty and stent placement
    ≈ $2,277
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $6,241
  5. Arteriovenous (AV) fistula surgery
    ≈ $950
  6. Endovascular thrombectomy
    ≈ $2,245
  7. Inferior vena cava (IVC) filter placement
    ≈ $1,272
  8. Renal artery angioplasty and stenting
    ≈ $1,641
  9. Aortography
    ≈ $637
photo
Dhaka, Bangladesh
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Asgar Ali Hospital is the Best Hospital in Bangladesh. We are a 350 bedded multi-disciplinary tertiary-care Hospital, situated at Gandaria, Dhaka. It is a concern read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Gangnam Severance Hospital in Seoul, South Korea and 2 more, clinic with the most reviews number of 35757 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 83 clinics .

Countries with the highest number of clinics treating the diseases:

Thoracic aortic aneurysm (TAA):

Related procedures:

Procedures are likely to be used for Thoracic aortic aneurysm (TAA) treatment: Thoracic aortic aneurysm surgery and Thoracic endovascular aneurysm repair (TEVAR) .

Thoracic aortic aneurysms - what is this disease?

Thoracic aortic aneurysm (TAA) - disease classification, clinical presentation and diagnosis

An aneurysm is a pathologically enlarged section of an artery. The disease occurs in the form of both congenital and acquired pathology. Aneurysms can occur in any artery. In this article, we will analyze the classification, clinical picture and diagnosis of one of the most common forms of this pathology - thoracic aortic aneurysm. We will also answer the question of who is most susceptible to this disease.

The aorta is the largest artery in the human body. It carries blood from the heart to all tissues and organs of the body and is divided into ascending, arc and descending. The latter is also divided into two parts: chest and abdominal.

Classification of aortic aneurysm

There are several classifications of this pathology, which can be divided into 5 groups:

  1. By etiology (origin) - as a result of atherosclerotic or degenerative damage (for example, with Marfan syndrome), as well as after an inflammatory process and trauma;
  2. In shape - baggy and fusiform (more common);
  3. By the structure of the wall - real and pseudo-wall (the wall is formed by adventitia with the surrounding tissues after the rupture of the inner and middle membranes; most often post-traumatic)
  4. According to the clinical picture - asymptomatic, symptomatic, discontinuous course;
  5. By location - chest - located in the chest cavity (often localized in the ascending part of the aorta), abdominal - located below the diaphragm, thoracoabdominal aneurysm.

Symptoms of the disease

A thoracic aortic aneurysm most often has no manifestations. The first symptom of pathology may be an embolic event - stroke, ischemia of the lower extremities or intestines, kidney infarction, etc.

The clinical manifestations and the natural course of this disease depend on their location. The average growth rate of thoracic aneurysms is 0.1-0.2 cm per year. Pathology associated with Marfan syndrome or aortic dissection may expand at a faster rate. The risk of rupture is related to the size of the aneurysm and the presence of symptoms.

As noted earlier, most thoracic aortic aneurysms are asymptomatic, but compression or damage to adjacent tissues by a dilated vessel can cause symptoms such as chest pain, shortness of breath, cough, hoarseness, and dysphagia (difficulty swallowing). Dilation of the ascending aortic aneurysm can cause congestive heart failure, and compression of the superior vena cava can cause congestion of blood in the head, neck, and upper extremities.

Diagnosis of the disease

A chest x-ray is usually the first diagnostic test that can prompt a doctor to diagnose a thoracic aortic aneurysm. During its implementation, the following can be identified:

  • expansion of the shadow of the mediastinum;
  • displacement or compression of the trachea or the left main truncal bronchus.

Echocardiography, especially transesophageal echocardiography, can be used to evaluate the proximal (located closer to the heart) of the ascending aorta and the descending thoracic aorta. However, in general, ultrasound (the type of which is echocardiography) is the main method for diagnosing abdominal aortic aneurysms.

CT angiography allows you to accurately assess the size (with an accuracy of 0.2 cm) and the length of the aneurysm, the anatomical relationship between the aneurysm and adjacent organs, as well as arteries extending from the aorta (sometimes this is sufficient for a preoperative assessment of the patient).

MR angiography is also used to assess the size and extent of the aneurysm if CT angio cannot be performed. This method is especially justified in the framework of serial follow-up examinations carried out in younger patients. MR angiography is less commonly used in acute conditions.

Intravascular ultrasound - allows you to get an image of the aortic wall from the inside by introducing ultrasound sensors through a catheter.

In asymptomatic patients whose aneurysms are too small to warrant surgery, non-invasive (atraumatic) contrast-enhanced CT or MRI testing is usually done at least every 6 to 12 months to monitor the disease.

Even if an aneurysm is found in a patient at any level, the doctor usually recommends performing an examination of the entire aorta in order to exclude coexisting pathology. In addition to this, the possibility of ultrasound examination (Doppler) of the peripheral arteries for aneurysms is being considered. It is also recommended to rule out aortic valve abnormalities (usually by echocardiography).

Who may be at increased risk of developing a thoracic aortic aneurysm?

The risk of this pathology is higher in:

  • people aged 65 and over;
  • people who use tobacco;
  • patients with arterial hypertension (high blood pressure damages the blood vessels in the body, increasing the likelihood of developing aneurysms and other vascular diseases);
  • patients with atherosclerotic damage to the vascular bed, obesity and lipid imbalance (dyslipidemia);
  • people whose blood relatives had an aneurysm (regardless of its location);
  • patients with Marfan syndrome and bicuspid aortic valve. Nearly half of those with an aortic valve with two cusps instead of three may develop an aortic aneurysm.

Thus, an aneurysm of the thoracic aorta is a pathological expansion of this vessel in the chest cavity. This pathology is usually discovered by chance based on the results of imaging tests (X-ray, MRI, CT) performed for other indications. Contrast-enhanced CT, magnetic resonance imaging (MRI), and conventional invasive aortography are sensitive and specific tests for assessing thoracic aortic aneurysms and branch lesions.

References:

  1. Salameh, M. J., Black, J. H., & Ratchford, E. V. (2018). Thoracic aortic aneurysm. Vascular Medicine, 1358863X1880776. doi:10.1177/1358863x18807760
  2. Harrison`s Principles of Internal Medicine 19/E (Vol.1). Dennis Kasper, Anthony Fauci, Stephen Hauseret all. McGraw-HillEducation 2015 ISBN: 0071802134 ISBN-13(EAN): 9780071802130.
  3. Interna szczeklika - duży podręcznik. Medycyna praktyczna. 2021. ISBN 9788374306522.
  4. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. (2014). European Heart Journal, 35(41), 2873–2926. doi:10.1093/eurheartj/ehu281.

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