The descending thoracic aorta morphological characteristics

Abstract Our study was conducted by consulting angioCT sites made on a CT GE LightSpeed VCT64 Slice CT and a CT GE LightSpeed 16 Slice CT, following the path and relationships of the descending thoracic aorta against the vertebral column, outside diameters thereof at the thoracic vertebrae T4, T7, T12 and posterior intercostal arteries characteristics. The origin of of the descending thoracic aorta we found most commonly on the left flank of the lower edge of the vertebral body T4, but I have encountered cases where it had come above the lower edge of T4 on level of intervertebral disc T4-T5 or even at the upper edge of T5 vertebral body. At thoracic vertebra T4, on a total of 30 cases, the descending thoracic aorta present a diameter of 20.0 to 32.6 mm, values that correspond to male gender and to females diameter ranging from 25.5 to 27, 4 mm. At level of T7 thoracic vertebra, thoracic aorta present a diameter of 19.6 to 29.5 mm, values found in men, in women the diameter being from 21.9 to 25.2 mm. At thoracic vertebra T12, on a total of 27 cases, the descending thoracic aorta present a diameter of 17.6 to 27.7 mm, in males the diameter was from 17.6 to 27.7 mm and females diameter ranging from 21.1 to 25.2. The length of the descending thoracic aorta was from 18.40 to 19.41 cm.

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Syphilitic aneurysm of descending thoracic aorta causing vertebral body erosion and spastic paraparesis

Emergency Radiology ◽

10.1007/pl00011832 ◽

2000 ◽

Vol 7 (4) ◽

pp. 245-247 ◽

Cited By ~ 4

Author(s):

S. R. Sheeran ◽

S. J. A. Sclafani

Keyword(s):

Thoracic Aorta ◽

Vertebral Body ◽

Spastic Paraparesis ◽

Descending Thoracic Aorta

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Multifactor Analysis of Costal Pain in Osteoporotic Fracture of Thoracic Vertebra

January 2018 - Pain Physician ◽

10.36076/ppj.2021.24.e795 ◽

2021 ◽

Vol 24 (6) ◽

pp. E795-E802

Keyword(s):

Retrospective Study ◽

Vertebral Body ◽

Osteoporotic Fracture ◽

Thoracic Vertebra ◽

Vertebral Compression Fractures ◽

Thoracic Vertebrae ◽

Intervertebral Foramen ◽

Pain Mechanisms ◽

Number Of Patients ◽

Significant Difference

BACKGROUND: The costal pain is common in thoracic osteoporotic fracture patients. It is unclear why vertebral fracture patients without any specific nerve impingement on magnetic resonance imaging (MRI) present with costal pain. OBJECTIVES: The aim of this study was to investigate the potential causes of costal pain in patients with osteoporotic fracture of thoracic vertebra. STUDY DESIGN: A retrospective study. SETTING: Shandong province, China. METHODS: In this retrospective study, 100 patients with thoracic osteoporotic fractures were collected and assigned into 2 groups on the basis of pain patterns noted during medical history and physical examination. Group A was comprised of 50 patients with costal pain. Group B was comprised of 50 patients without costal pain. The Visual Analog Scale and Oswestry Disability Index scores were recorded to assess the pattern and severity of pain. The gender, age, presence or absence of trauma, time of fracture, fracture segments, and analgesic application were recorded. Computed tomography data including changes in fracture vertebral body shape (height, width, and length), intervertebral foramen shape (height and width), wedge shape of fractured vertebral body, and local kyphosis angle were recorded. The fracture edema signal was determined by MRI. Multivariate analysis was performed for all the above parameters. RESULTS: There was a statistically significant difference in the vertebral body width between the 2 groups. LIMITATIONS: The number of patients enrolled is not large enough. We also have limitations in interpreting all pains resulting from osteoporotic vertebral compression fractures, because all pain mechanisms are not fully understood. Further work is needed to improve the accuracy of locating pain sources and distinguishing pain patterns which may result from other spinal structures. CONCLUSION: The incidence of costal pain is significantly and positively associated with the width of the fractured vertebra in patients with osteoporotic thoracic vertebrae fracture. KEY WORDS: Osteoporosis fracture; thoracic vertebrae; costal pain; nonmidline pain; intervertebral foramen; sympathetic nerve

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Management of thoracic aortic lesions - the future is endovascular

VASA ◽

10.1024/0301-1526/a000183 ◽

2012 ◽

Vol 41 (3) ◽

pp. 163-176 ◽

Cited By ~ 6

Author(s):

Weidenhagen ◽

Bombien ◽

Meimarakis ◽

Geisler ◽

A. Koeppel

Keyword(s):

Thoracic Aorta ◽

Clinical Decision Making ◽

Treatment Options ◽

Clinical Decision ◽

Clinical Results ◽

Treatment Modalities ◽

Traumatic Rupture ◽

Descending Thoracic Aorta ◽

New Treatment ◽

Aneurysm Dissection

Open surgical repair of lesions of the descending thoracic aorta, such as aneurysm, dissection and traumatic rupture, has been the state-of-the-art treatment for many decades. However, in specialized cardiovascular centers, thoracic endovascular aortic repair and hybrid aortic procedures have been implemented as novel treatment options. The current clinical results show that these procedures can be performed with low morbidity and mortality rates. However, due to a lack of randomized trials, the level of reliability of these new treatment modalities remains a matter of discussion. Clinical decision-making is generally based on the experience of the vascular center as well as on individual factors, such as life expectancy, comorbidity, aneurysm aetiology, aortic diameter and morphology. This article will review and discuss recent publications of open surgical, hybrid thoracic aortic (in case of aortic arch involvement) and endovascular repair in complex pathologies of the descending thoracic aorta.

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Penetrating atherosclerotic ulcer aneurysm of the innominate artery

VASA ◽

10.1024/0301-1526.38.3.263 ◽

2009 ◽

Vol 38 (3) ◽

pp. 263-266 ◽

Cited By ~ 1

Author(s):

Yuan ◽

Tager

Keyword(s):

Conservative Treatment ◽

Thoracic Aorta ◽

Open Surgery ◽

Innominate Artery ◽

Ruptured Aneurysm ◽

Descending Thoracic Aorta ◽

Penetrating Atherosclerotic Ulcer ◽

Descending Aorta

Penetrating atherosclerotic ulcer of the aorta is uncommon, and usually develops in the descending thoracic aorta. Rarely this condition involves the branch vessels of the aorta. We report a case of ruptured aneurysm of the innominate artery resulting from penetrating atherosclerotic ulcer. Open surgery was the treatment of choice for the ruptured aneurysm, while conservative treatment was recommended for the associated penetrating atherosclerotic ulcers of the descending aorta.

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