Aneurysm of the thoracic aorta

Czech version

Authors: P. Piler; P. Fila
Authors‘ workplace: Centrum kardiovaskulární a transplantační chirurgie Brno
Published in: Kardiol Rev Int Med 2008, 10(1): 18-25

Overview

Aneurysm of the thoracic aorta is one of the most common and most important condition of chronic aortic disease, except of true aneurysm in this category we can include false aortic aneurysm, chronic aortic dissection, penetrating atheroslerotic ulcer and intramural hematoma. According to localization can be divided to aneurysm of ascending thoracic aorta aneurysm, aneurysm of aortic arch, descending thoracic aorta aneurysm and thoracoabdominal aneurysm. Every of this localizations have own speciality. Aneurysms of ascending aorta are most often surgical treated condition, during procedures at aortic arch is most important and technicaly most exacting brain protection and procedures at thoracoabdominal aorta are sugrically most important procedures, which need total access including also high quality of intensive care.

Authors describe etiology, patophysiology, symptoms and signs, diagnostic techniques, natural history and techniques of operations.

At the end of paper authors show their own group. In Centre of Cardiovascular Surgery and Transplation during 5 years there were 125 patients surgically treated with hospitalization mortality 1,6 %.

Keywords:
aneurysm of thoracic aorta - aneurysm of aortic arch - aneurysm of descending aorta and aneurysm of thoracoabdominal aorta - brain protection - hypothermic circulatory arest

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Article was published in

Cardiology Review

2008 Issue 1