Aneurysm of the descending thoracic dta and thoracoab dominal aorta taa is a lifethreatening disorder given the risks of aortic dissection. Thoracic and abdominal aortic aneurysms circulation. Thoracic aortic aneurysm knowledge for medical students. In the more than 250 years since thoracic aortic dissection was first described, much has been learned about diseases of the thoracic aorta. Although a virulentdisease, thoracic aortic aneurysm is an. What are the current guidelines for treating thoracic. Class iia for patients with thoracic aortic aneurysms, it is reasonable to reduce bp with beta blockers and aceis or arbs to the lowest point patients can tolerate without adverse effects. A 72 yearold man was admitted to our chest disease clinic suffering from back pain for the past two years. Symptomatic thoracic aortic aneurysms taa are rare.
Guidelines for the diagnosis and management of patients with. Risk of rupture or dissection in descending thoracic aortic aneurysm. An aneurysm is a bulge that forms in the wall of an artery. Describe the medical treatment of a patient with an aorticthoracic aneurysm, and describe the nursing care of that patient 3. The first resection of a posttraumatic thoracic aneurysm was accom plished by debakey. Eagle, md,x valentin fuster, md, phd abstract aortic dissection is the most devastating complication of thoracic aortic disease.
Thoracic aortic and thoracic vascular injuries surgical clinics. This guideline includes diseases involving any or all parts of the thoracic aorta with. Taas are classified by location as either ascending or descending aneurysms or aneurysms of the aortic arch. Aortic diseases esc guidelines european society of cardiology. Familial thoracic aortic aneurysms and dissections.
Male patients of advanced age are at a higher risk of forming taas. An ascending aortic aneurysm detected by echo is shown in figure 5. Chromosomal and inherited syndromic thoracic aortic aneurysms and dissection. Thoracic aortic disease a report of the american college of cardiology foundationamerican heart association task force on practice guidelines, american association for thoracic surgery, american. Thoracic aneurysms may involve one or more aortic segments aortic root, ascending. The major risk factors for aortic dissections include the diameter of thoracic aortic aneurysm, rate of aneurysm enlargement, and hypertension. Thoracic aortic aneurysm maya j salameh, james h black. Regular mildmoderate physical activity, such as o walking o swimming o light jogging o biking o dancing o stair climbing. An ascending aortic aneurysm is especially serious. Thoracic aortic aneurysm taa is a focal dilatation of the thoracic aorta to more than 1. Class i betablockers should be administered to all patients with mfs and aortic aneurysm unless contraindicated. Selected pedigrees of thoracic aortic aneurysm taa patients, demonstrating multiple inheritance. Natural history of thoracic aortic aneurysms sciencedirect.