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Thoracic Aneurysm

A Thoracic Aortic Aneurysm is an aortic aneurysm that presents primarily in the thorax. It is less common than an abdominal aortic aneurysm. However, a syphilitic aneurysm is more likely to be a thoracic aortic aneurysm than an abdominal aortic aneurysm.

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CAUSES and RISK FACTORS

It can be caused by blunt injury.

The diagnosis of thoracic aortic aneurysm usually involves patients in the 6th and 7th decades of life. Aneurysms in patients younger than 40 usually involve the ascending aorta due to a weakening of the aortic wall associated with connective tissue disorders like the Marfan and Ehler-Danlos syndromes or congenital bicuspid aortic valve. Younger patients may develop aortic aneurysms of the thoracoabdominal aorta after an aortic dissection.

Atherosclerosis is the principal cause of descending aortic aneurysms, while aneurysms of the aortic arch may be due to dissection, atherosclerosis or inflammation.

Hypertension and cigarette smoking are the most important risk factors, though the importance of genetic factors has been increasingly recognized. Approximately 10% of patients may have other family members who have aortic aneurysms. The principal causes of death due to thoracic aneurysmal disease are dissection and rupture. Once rupture occurs, the mortality rate is 50-80%, and most deaths in patients with the Marfan syndrome are the result of aortic disease.

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TREATMENT OPTIONS

Indication for surgery may depend upon the size of the aneurysm. Aneurysms in the ascending aorta may require surgery at a smaller size than aneurysms in the descending aorta.

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Westchester Medical Center
100 Woods Road
Valhalla, NY 10595
914.493.7000
   
       
Hawthorne
19 Bradhurst Avenue, Suite 3750
Hawthorne, NY 10532
914.909.6835
    Mount Kisco
103 South Bedford Road, Suite 207
Mount Kisco, NY 10549
914.241.3204
       
New Windsor Division
575 Hudson Valley Avenue, Suite 200
New Windsor, NY 12553
845.561.2773
    White Plains
15 North Broadway
White Plains, NY 10601
914.593.1234

Vascular Surgery and Laser Vein Center

Please contact us at 877.WMC.VEIN or 877.962.8346.

Babu, Sateesh
Babu, Sateesh
Chief, Vascular Surgery
Vascular Surgery
Laskowski, Igor
Laskowski, Igor
Chief, Endovascular Surgery
Vascular Surgery
Carroll, Francis X.
Thoracic Surgery
Vascular Surgery
Goyal, Arun
Vascular Surgery
Mateo, Romeo B.
Vascular Surgery
Shah, Pravin M.
Vascular Surgery