Question:
How are thoracic aortic aneurysms?
Author: H KAnswer:
Thoracic aortic aneurysms (• The average growth of the aneurysm is 0.1 to 0.4 cm/year. The risk of rupture is related to the size of the aneurysm especially when > 55 mm in diameter for the ascending aorta and > 60 mm for the descending aorta • Most often is asymptomatic. • Compression or erosion of adjacent tissue may cause chest pain, dyspnea, cough, hoarseness, dysphagia. • Congestion of head, neck and upper extremities secondary to compression of the superior vena cava. • Dilated aortic root with aortic valve regurgitation. • Congestive heart failure secondary to aortic regurgitation • Imaging includes: Chest X-ray (might show mediastinal enlargement). Echocardiogram: trans-thoracic, trans-esophageal, or both. CT angio-scanner (Gold Standard). Magnetic Resonance Imaging (MRI).
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