胸前大动脉的直径变化是由急性B型大动脉剖析引起的
Takeshi Shimamoto1,2, Tatsuhiko Komiya2, Takeshiko Matsuo2
1Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital, Shizuoka, Japan.
Asian cardiovascular & thoracic annals
|December 20, 2023
概括
B型急性大动脉剖析 (TBAAD) 显著增加胸前大动脉直径,特别是在下降的大动脉. 80岁以上的年龄与近端下降大动脉中更大的直径变化有关.
科学领域:
- 心血管外科心血管外科
- 胸前大动脉疾病 胸前大动脉疾病
- 医疗成像医学成像
背景情况:
- 乙型急性大动脉剖析 (TBAAD) 对胸前大动脉直径的影响未得到充分报道.
- 评估切割前和切割后的大动脉尺寸对于了解疾病进展至关重要.
研究的目的:
- 在B型急性大动脉剖析后,评估胸前大动脉直径的变化.
- 为了确定影响大动脉直径变化的因素,TBAAD后.
主要方法:
- 对比了50名TBAAD非Marfan患者的CT血管学扫描与历史CT扫描.
- 分析了上升性大动脉,近端门和下降性大动脉的直径.
主要成果:
- 上升的大动脉和近道门显示最小的变化.
- 下降胸前动脉直径在切割后增加了5.7%至9.3%.
- 年龄≥80与近端下降大动脉直径增加相关 (p=0.01).
结论:
- 大动脉解剖导致胸前大动脉直径显著增加,从5.7%到9.3%不等.
- 中部下降的大动脉表现出最突出的直径变化.
- 预测大动脉直径增加的因素仍然具有挑战性,尽管年龄是一个重要因素.
相关概念视频
The Aorta
847
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
847
Thoracic Aorta
504
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,...
504
Abdominal Aorta
800
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
800


