Related Experiment Video
Updated: Feb 10, 2026
08:33
Murine Surgical Model of Topical Elastase Induced Descending Thoracic Aortic Aneurysm
Published on: August 24, 2019
8.1K
Giant Descending Thoracic Aortic Aneurysm: A Case Report.
Rassul Zhumagaliyev1, Yerlan Orazymbetov2, Serik Aitaliyev3
1Department of Cardiac, Thoracic and Vascular Surgery, Hospital of Lithuanian University of Health Sciences, Kauno Klinikos, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Acta Medica Lituanica
|February 9, 2026
Summary
Giant descending thoracic aortic aneurysm (GDTAA) is a rare condition requiring prompt intervention. This case details a large GDTAA successfully treated with open surgery, emphasizing early diagnosis and management for better outcomes.
Area of Science:
- Cardiovascular Surgery
- Vascular Medicine
- Medical Case Reports
Background:
- Giant descending thoracic aortic aneurysm (GDTAA) is a rare vascular condition defined by aortic diameters >10 cm.
- GDTAA poses significant risks of rupture and mortality, necessitating timely diagnosis and intervention.
- Limited literature exists on GDTAA, especially concerning extreme aneurysmal dilatation.
Purpose of the Study:
- To report a case of a massive GDTAA, one of the largest documented.
- To highlight the successful surgical management of a complex GDTAA case.
- To emphasize the importance of early recognition and intervention in GDTAA.
Main Methods:
- Presentation of a 68-year-old male patient with a 14.08 × 10.04 cm GDTAA.
- Diagnostic imaging utilizing Computed Tomography (CT) angiography to assess aneurysm extent and organ compression.
- Open surgical repair using a Dacron graft with simultaneous Coronary Artery Bypass Grafting (CABG).
Main Results:
- Successful open surgical repair of the giant descending thoracic aortic aneurysm.
- Patient underwent simultaneous Coronary Artery Bypass Grafting (CABG).
- Postoperative recovery included management of respiratory acidosis, emphysema, and hemodynamic instability, with stable discharge on day ten.
Conclusions:
- Early recognition and surgical intervention are crucial for preventing catastrophic outcomes in GDTAA.
- Comprehensive preoperative evaluation, surgical planning, and postoperative care are vital for optimal patient recovery.
- Modern imaging techniques are essential for accurate assessment and risk stratification in extreme aneurysm cases.
Related Concept Videos
01:15Thoracic Aorta
1.8K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
1.8K
01:17The Thoracic Cage: Sternum
6.2K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
6.2K
01:20The Thoracic Cage: Ribs
8.9K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
8.9K
01:30Aneurysm I: Introduction
439
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
439
01:24Pressure Relationships in Thoracic Cavity
6.7K
Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
6.7K
01:24Data Reporting and Recording
5.5K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K