What does tortuous thoracic aorta mean?
Arterial tortuosity, that is, the presence of abnormal twists and turns of one or several arteries has been recognized for decades and associated with older age, female sex, high blood pressure, and other cardiovascular risk factors.
How do you treat a tortuous thoracic aorta?
Most people with a thoracic aortic aneurysm have open-chest surgery, but sometimes a less invasive procedure called endovascular surgery can be done. The type of surgery done depends on the specific health condition and the location of the thoracic aortic aneurysm.
What causes aortic tortuosity?
Arterial tortuosity syndrome is caused by mutations in the SLC2A10 gene. This gene provides instructions for making a protein called GLUT10.
Is tortuous aorta life threatening?
Complications of a thoracic aortic aneurysm include rupture of the aorta or a life-threatening tear between the layers of the aorta’s wall. The tear is called an aortic dissection. Rupture or dissection can lead to sudden death.
What is the meaning of tortuosity?
plural tortuosities. 1. : the quality or state of being tortuous. 2. : something winding or twisted : bend.
How do you treat thoracic aorta?
Treatment may include minimally invasive surgical techniques such as stenting. Occasionally, a more complex open surgery to replace the affected portion of the aorta is required.
Can tortuous arteries be fixed?
While many mild tortuous arteries are left untreated, severely tortuous arteries with clinical symptoms can be treated with reconstructive surgery [61].
How serious is thoracic aorta?
TAAs are serious health risks because they can burst or rupture and cause severe internal bleeding, which can rapidly lead to shock or death. If your aneurysm is large and in the section of the aorta closest to the heart, it may affect your heart valves and lead to a condition called congestive heart failure.
What does thoracic aorta pain feel like?
Symptoms are most evident when the aneurysm occurs where the aorta curves down (aortic arch). They may include: Chest pain, generally described as deep and aching or throbbing. This is the most common symptom.
How many people have arterial tortuosity syndrome?
Arterial tortuosity syndrome (ATS) is a very rare autosomal recessive disorder that affects the connective tissue. The incidence of ATS is not well known and to date only 106 patients have been described in the literature.
Why do vessels become tortuous?
Tortuous veins typically develop due to faulty valves and weakened vein walls that normally prevent backward blood flow in the legs. When these valves become damaged, blood pools in the veins rather than returning to the heart efficiently. This causes the veins to dilate, elongate, and become twisted.
What causes aorta to be tortuous and calcified?
Aortic valve calcification may be an early sign of heart disease, even if there aren’t any other heart disease symptoms. Calcification and stenosis generally affect older adults. When it occurs in younger people, it’s often caused by: A heart defect that’s present at birth (congenital heart defect)
What is thoracic aorta tortuous?
What is tortuous aorta? A tortuous aorta may be characterized as a twisted, curved, enlarged or narrowed blood vessel of the heart. An underlying cause of the distorted shape may be due to a build up of fatty tissue that collects on the walls of the vessels or, it may be a finding from birth.
What does tortuous mean in cardiology?
In some health conditions, the arteries in the heart may be twisted. The heart arteries are called the coronary arteries. Twisted arteries also are called tortuous arteries.
What if my aorta is 4.5 cm?
If the aorta is between four and 4.5 cm, testing should be repeated every six months. If the aorta is larger than five cm (two inches around or about the size of a lemon) or growing more than one cm per year, surgery should be considered as soon as possible.
What does tortuosity mean in medical terms?
Summary. Arterial tortuosity syndrome (ATS) is an extremely rare genetic disorder characterized by lengthening (elongation) and twisting or distortion (tortuosity) of arteries throughout the body. Arteries are the blood vessels that carry oxygen-rich blood away from the heart.
What is an example of tortuosity?
a twist, bend, or crook. a twisting or crooked part, passage, or thing.
What is tortuous in medical terms?
Medical Definition tortuous. adjective. tor·tu·ous ˈtȯrch-(ə-)wəs. : marked by repeated twists, bends, or turns. a tortuous blood vessel.
Can an enlarged aorta go back to normal?
Depending on how large the aortic root aneurysm has become, and the severity of any symptoms associated with the presence of aortic valve regurgitation, surgery will be required as the aneurysm, once dilated, will not reduce on its own.
What size aorta requires surgery?
If the echocardiogram suggests any aortic disease, it should be followed by a CT scan. Once an aneurysm has been identified, a decision must be made regarding when it is time for surgical intervention. An ascending aortic aneurysm greater than 5.5 centimeters requires surgery for all patients.
Can vitamin C shrink an aortic aneurysm?
Vitamin C attenuated the development of AAA, decreasing maximal aortic diameter by 25.8% (P < 0.05) and preserving elastin lamellae (P < 0.05).
Is tortuous aorta painful?
Patients with this condition usually present with severe chest pain and high blood pressure.
What are the symptoms of aortic tortuosity syndrome?
Symptoms of arterial tortuosity syndrome, or ATS, also appear outside the circulatory system. These may include joints that are either hypermobile or limited in movement, abnormally soft or stretchy skin, slender fingers and toes, overly curved spine, sunken or protruding chest, hernias, and diverticula.
How common is arterial tortuosity?
Arterial tortuosity syndrome is an extremely rare congenital connective tissue condition disorder characterized by tortuosity, elongation, stenosis, or aneurysms in major and medium-size arteries including the aorta.
What does mild tortuosity of the thoracic aorta mean?
Tortuosity of the thoracic aorta on chest radiographs is characteristic of atherosclerotic disease. Aging and hypertension are associated with the tortuosity, but little is known about the influence of other atherosclerotic risk factors on this abnormality.
What is the normal range for the thoracic aorta?
The normal diameter of the adult aorta just above the sinotubular junction averages 3.6 cm (range, 2.4–4.7 cm). The ascending aorta extends from the sinotubular junction to the origin of the innominate artery. The average diameter of the adult ascending aorta is 3.5 cm (range, 2.2–4.7 cm).
Where is thoracic aorta pain located?
Thoracic aortic aneurysms often go unnoticed because people rarely feel symptoms. Possible warning signs include: Pain in your jaw, neck, chest or upper back. Trouble swallowing or pain with swallowing (if the aneurysm presses on your esophagus).
What does it mean when an artery is tortuous?
In some health conditions, the arteries in the heart may be twisted. The heart arteries are called the coronary arteries. Twisted arteries also are called tortuous arteries.
When should I worry about aortic dilation?
The aortic root dilation, or bulge, may grow larger. It will not shrink on its own. If your aneurysm is 50 percent larger than the rest of the artery, you may need surgery. Doctors mainly suggest surgery when an aortic root dilation reaches 5 centimeters.
How serious is thoracic aorta?
TAAs are serious health risks because they can burst or rupture and cause severe internal bleeding, which can rapidly lead to shock or death. If your aneurysm is large and in the section of the aorta closest to the heart, it may affect your heart valves and lead to a condition called congestive heart failure.
Can you live a long life with an enlarged aorta?
Yes, you can live with an aortic aneurysm, and there are many ways to prevent dissection (splitting of the blood vessel wall that causes blood to leak) or worse, a rupture (a burst aneurysm). Some aortic aneurysms are hereditary or congenital, such as bicuspid aortic valve, infection or inflammatory conditions.
What is a thoracic aortic aneurysm (TAA)?
Does artery tortuosity increase in patients with thoracic aortic dissection?
What is a thoracic aortic aneurysm?
What is artery tortuosity syndrome?
Hey there! Let’s dive into the world of the thoracic aorta and what tortuosity means in this context.
The thoracic aorta is the part of your aorta that runs through your chest. Think of it as a highway carrying blood from your heart to the rest of your body. Now, tortuosity is a fancy word for curvature or bending in a blood vessel. So, tortuosity of the thoracic aorta simply means that the thoracic aorta has some curves or bends in it.
Why should you care? Well, most of the time, these curves are pretty normal and don’t cause any problems. But sometimes, they can get a bit too extreme and lead to issues.
A Few Things to Know About Tortuosity
Let’s break down a few things to help you better understand thoracic aorta tortuosity.
It’s More Common in Older Folks: As we age, the walls of our blood vessels tend to stiffen, making them more prone to curving. This is why thoracic aorta tortuosity is more common in older people.
It Can Run in Families: Sometimes, tortuosity can be inherited from your parents. So, if you have a family history of it, you might be at a slightly higher risk.
It Can Be Caused by Certain Conditions: Conditions like Marfan syndrome and Ehlers-Danlos syndrome can make you more susceptible to tortuosity. These conditions affect the connective tissues that hold your body together, including the walls of your blood vessels.
When Tortuosity Becomes a Problem
While most people with thoracic aorta tortuosity are perfectly fine, there are a few scenarios where it can lead to trouble.
Aneurysm Formation: If the curves in the aorta become too severe, they can weaken the wall of the blood vessel, making it more prone to bulging outwards. This bulging is called an aneurysm, and it can rupture, leading to serious complications.
Blood Clot Formation: The curves in the aorta can also create turbulence in the blood flow, making it easier for blood clots to form. These clots can break off and travel to other parts of the body, causing a stroke or pulmonary embolism (a clot in the lungs).
Compression of Other Structures: The curved aorta might also press on other structures in the chest, like the windpipe or esophagus, causing symptoms like coughing, difficulty swallowing, or shortness of breath.
Symptoms to Watch Out For
So, how do you know if your thoracic aorta tortuosity is causing problems? Here are some symptoms you might experience:
Chest Pain: This is often described as a sharp, stabbing pain in the chest.
Back Pain: A thoracic aorta aneurysm can also cause pain in the back.
Shortness of Breath: If the aorta is pressing on the windpipe, it can make it hard to breathe.
Difficulty Swallowing: Compression of the esophagus can make it difficult to swallow food.
A Pulsating Feeling in the Chest: This is a sign that the aorta is bulging.
A Heart Murmur: A heart murmur is an abnormal sound heard when listening to the heart with a stethoscope. It can be a sign of aortic valve regurgitation, a condition that happens when the aortic valve doesn’t close properly.
Diagnosing Tortuosity
If you have any of these symptoms, it’s important to see a doctor to get checked out. They can order imaging tests, like an echocardiogram, a CT scan, or an MRI, to look at your aorta and see if there’s any tortuosity present.
Treating Tortuosity
The treatment for thoracic aorta tortuosity depends on the severity of the condition.
If the tortuosity is mild, and causing no symptoms, you might not need any treatment. Your doctor will likely recommend regular checkups to monitor the condition.
If the tortuosity is more severe or causing symptoms, your doctor may recommend surgery or other interventions to repair the aneurysm or reduce the risk of complications.
FAQs
Q: What causes thoracic aorta tortuosity?
A: There’s no single cause, but aging, genetics, and certain connective tissue disorders can play a role.
Q: Is thoracic aorta tortuosity always a problem?
A: No, most people have mild tortuosity without experiencing any symptoms. It only becomes a concern when it’s severe or causes symptoms.
Q: Can I prevent thoracic aorta tortuosity?
A: You can’t prevent tortuosity completely, but maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking, can help reduce your risk.
Q: What should I do if I’m concerned about thoracic aorta tortuosity?
A: If you’re experiencing symptoms or have any concerns, it’s essential to see your doctor for a checkup and discuss your individual situation.
See more here: How Do You Treat A Tortuous Thoracic Aorta? | What Is Tortuosity Of The Thoracic Aorta
Tortuosity of the descending thoracic aorta: Normal values by age
The descending thoracic aorta (DTA) was analyzed and was divided into four zones of equal length. Subjects were divided into three groups based on their maximum tortuosity value: low (< 30°), moderate (30° – 60°) and high (> 60°). A linear regression National Center for Biotechnology Information
Arterial Tortuosity | Hypertension – AHA/ASA Journals
Tortuosity may affect virtually any arterial bed, from small size vessels, such as subungual capillaries and retinal arteries to middle and large size arteries, such as the coronary, cerebrovascular or iliac AHA/ASA Journals
Arterial Tortuosity Syndrome – GeneReviews® – NCBI
Arterial tortuosity syndrome (ATS) is characterized by widespread elongation and tortuosity of the aorta and mid-sized arteries as well as focal stenosis of segments of the pulmonary arteries and/or aorta National Center for Biotechnology Information
Aortic arch tortuosity, a novel biomarker for thoracic aortic disease …
We hypothesize that arch tortuosity may identify bicuspid aortic valve (BAV) patients at high risk to develop thoracic aortic aneurysms or aortic dissections (TAD). National Center for Biotechnology Information
2022 ACC/AHA Guideline for the Diagnosis and
Aneurysms of the aortic root and ascending aorta are typically diagnosed at younger patient ages than aneurysms of the descending thoracic aorta (60 versus 72 years, respectively). 1 Even AHA/ASA Journals
Thoracic Aortic Aneurysmal Disease: Comprehensive
Thoracic aortic aneurysm (TAA) is a commonly encountered disease that is defined as aortic dilation with an increase in diameter of at least 50% greater than the expected Mayo Clinic Proceedings
Thoracic aortic aneurysm – Diagnosis and treatment
Thoracic aortic aneurysms are often found when an imaging test is done for a different reason. If you have symptoms of a thoracic aortic aneurysm, your health care provider may ask about your Mayo Clinic
Tortuosity of the descending thoracic aorta: Normal values by
Background. Aging changes the aorta in length, tortuosity and diameter. This is relevant in thoracic endo-vascular aortic repair (TEVAR) and in the long term follow up. Methods plos.org
Arterial Tortuosity Syndrome | Circulation – AHA/ASA
Arterial tortuosity syndrome is a recently defined rare genetic syndrome with autosomal recessive inheritance characterized by elongation, tortuosity, stenosis, and aneurysm formation of major AHA/ASA Journals
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