The aorta has six primary segments: aortic annulus, sinuses of Valsalva, sinotubular junction, ascending aorta, aortic arch, descending aorta, and abdominal aorta. The aorta is the major structure that distributes blood ejected from the aortic valve. In addition to an aortic evaluation, interrogation of the heart for the primary etiology or secondarily effects of the aortic pathology adds to the advantages of transesophageal echocardiography. While other diagnostic modalities (MRI, CT) are accurate in defining aortic pathology, diganosis by transesophageal echocardiography may be more efficient and practical to obtain. Intraoperatively, epiaortic echocardiography provides a useful complement to transesophageal echocardiography for interrogation of the ascending aorta and proximal aortic arch. Transthoracic echocardiography permits only limited views of the ascending aorta, the distal descending aorta. Īlmost the entire intrathoracic aorta can be visualized with transesophageal echocardiography whereas transthoracic echocardiography has limited views. The severity and the etiology of the aortic pathology can be quickly diagnosed and treated. Describe Common Artifacts found in Aortic ScansĮchocardiographic evaluation of the intrathoracic aorta by transesophageal echocardiography has been useful for the rapid and accurate diagnosis of primary or secondary aortic pathology.Discuss the Echocardiographic Findings in Aortic Aneurysm, Dissection and Atherosclerosis.Describe the Echocardiographic Views and Evaluation of the Aorta.Discuss the Normal Anatomy of the Aorta.If you or someone you love might benefit from this type of surgery, make an appointment today with one of WakeMed’s specialized cardiologists.At the completion of this chapter the user will be able to: The specially trained surgeons at WakeMed’s Center for Proximal Aortic Surgery perform all types of advanced aortic valve repair surgeries. The Center also treats aortic valve diseases such as aortic stenosis, aortic insufficiency and bicuspid aortic valves. Proximal descending thoracic aortic aneurysms.In addition to treating native aortic infections (including endocarditis) and congenital aortic disease, the Center for Proximal Aortic Surgery treats many types of aortic aneurysms, including: Stent graft/minimally invasive endovascular surgeryĬonditions Treated by the Center for Proximal Aortic Surgery.Multi-modality imaging of a variety of complex thoracic aortic conditions.Valve-preserving operations for aortic root aneurysms.Minimally invasive stent-grafts for selected descending thoracic aortic aneurysms.Our specialists are able to provide the latest in advanced surgical options, including: Advanced cardiopulmonary perfusion techniques. Valve repair and valve-sparing aortic roots.Percutaneous and transcatheter valve therapies.To achieve optimal patient outcomes, our clinicians use cutting-edge technologies that include: The cardiovascular surgeons at WakeMed’s Center for Proximal Aortic Surgery perform the most advanced surgeries available. However, surgical repair of a thoracic aortic aneurysm is usually performed if the aneurysm is large enough to carry a significant risk of rupture or dissection-or if the aneurysm is causing symptoms. Smaller thoracic aortic aneurysms are typically managed with blood pressure control and regular follow-up imaging. Treating Proximal Thoracic Aortic Diseases We ask patients to bring any previous studies with them, and we may order additional tests.īased on this information, our team recommends an individualized plan. We begin with an evaluation to understand the patient’s history of cardiovascular disease and hypertension, and the history of the aortic condition itself. Diagnosing Proximal Thoracic Aortic Diseases The cardiovascular surgeons at WakeMed’s Center for Proximal Aortic Surgery perform the most advanced surgeries to manage proximal aortic conditions such as aneurysms and valve disease, and are making strides in innovative research involving proximal aortic aneurysm surgery. An undetected and untreated aneurysm in the proximal thoracic aorta can be dangerous because it can burst and cause life-threatening internal bleeding. Made up of the ascending aorta, the aortic arch and the upper descending aorta, the proximal thoracic aorta plays a key role in receiving blood from the heart’s left ventricle, distributing blood to organs and tissues, and cushioning blood flow pulsations.Īn aneurysm is a balloon-like bulge in a weakened section of an artery wall. The proximal thoracic aorta is the part of the aorta-the body’s largest artery-that runs through the chest.
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