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Saccular descending thoracic aortic aneurysm

MedGen UID:
868358
•Concept ID:
C4022752
•
Anatomical Abnormality
Synonym: Dilatation of the saccular descending thoracic aortic
 
HPO: HP:0012729

Definition

An eccentric abnormal localized widening (dilatation) of the descending thoracic aorta that involves only a portion of the circumference of the vessel wall [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSaccular descending thoracic aortic aneurysm

Professional guidelines

PubMed

Evaluation of the Gore TAG thoracic branch endoprosthesis in the treatment of proximal descending thoracic aortic aneurysms.
Dake MD, Fischbein MP, Bavaria JE, Desai ND, Oderich G, Singh MJ, Fillinger M, Suckow BD, Matsumura JS, Patel HJ
J Vasc Surg 2021 Nov;74(5):1483-1490.e2. Epub 2021 Apr 30 doi: 10.1016/j.jvs.2021.04.025. PMID: 33940079
Treatment of aortic arch aneurysms with a modular transfemoral multibranched stent-graft: initial experience.
Abraham CZ, Lioupis C
J Thorac Cardiovasc Surg 2013 Mar;145(3 Suppl):S110-7. doi: 10.1016/j.jtcvs.2012.11.064. PMID: 23410767
Stent-graft treatment of infected aortic and arterial aneurysms.
Lee KH, Won JY, Lee DY, Choi D, Shim WH, Chang BC, Park SJ
J Endovasc Ther 2006 Jun;13(3):338-45. doi: 10.1583/05-1516.1. PMID: 16784321

Recent clinical studies

Etiology

One-year results with a low-profile endograft in subjects with thoracic aortic aneurysm and ulcer pathologies.
Szeto WY, Vallabhajosyula P, Matsuda H, Moainie SL, Sharafuddin MJ, Corvera J, Smolock CJ, Miyamoto S, Naslund T, Ramaiah V; RelayPro-A Investigators
J Thorac Cardiovasc Surg 2022 May;163(5):1739-1750.e4. Epub 2022 Feb 1 doi: 10.1016/j.jtcvs.2021.10.071. PMID: 35241276
Long-term results of endovascular repair for descending thoracic aortic aneurysms.
Ranney DN, Cox ML, Yerokun BA, Benrashid E, McCann RL, Hughes GC
J Vasc Surg 2018 Feb;67(2):363-368. Epub 2017 Aug 26 doi: 10.1016/j.jvs.2017.06.094. PMID: 28847657Free PMC Article
Predictors of aortic growth in uncomplicated type B aortic dissection.
van Bogerijen GH, Tolenaar JL, Rampoldi V, Moll FL, van Herwaarden JA, Jonker FH, Eagle KA, Trimarchi S
J Vasc Surg 2014 Apr;59(4):1134-43. doi: 10.1016/j.jvs.2014.01.042. PMID: 24661897
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection.
Faure EM, Canaud L, Agostini C, Shaub R, Böge G, Marty-ané C, Alric P
J Vasc Surg 2014 Feb;59(2):327-33. Epub 2013 Oct 15 doi: 10.1016/j.jvs.2013.08.089. PMID: 24135620
Saccular aortic aneurysms.
Taylor BV, Kalman PG
Ann Vasc Surg 1999 Nov;13(6):555-9. doi: 10.1007/s100169900297. PMID: 10541605

Diagnosis

Saccular mycotic aneurysm of descending thoracic aorta secondary to vertebral hydatid disease: A rare case.
Mozafar M, Haghighatkhah H, Khoshnoud RJ, Zarrintan S, Rakhshani N, Parvas E, Mozafar M, Tubbs RS
Vascular 2022 Feb;30(1):21-26. Epub 2021 Feb 17 doi: 10.1177/1708538121994370. PMID: 33596789
Surgical and Antimicrobial Management of a Thoracic Aortic Aneurysm Due to Q Fever: A Case Report and Brief Review.
Robinson WP, Schuksz M
Vasc Endovascular Surg 2016 May;50(4):290-4. Epub 2016 Apr 12 doi: 10.1177/1538574416642876. PMID: 27075992
Inflammatory response and renal function following endovascular repair of the descending thoracic aorta.
Moulakakis KG, Sfyroeras GS, Papapetrou A, Antonopoulos CN, Mantas G, Kakisis J, Alepaki M, Mylonas SN, Karakitsos P, Liapis CD
J Endovasc Ther 2015 Apr;22(2):201-6. doi: 10.1177/1526602815573227. PMID: 25809362
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection.
Faure EM, Canaud L, Agostini C, Shaub R, Böge G, Marty-ané C, Alric P
J Vasc Surg 2014 Feb;59(2):327-33. Epub 2013 Oct 15 doi: 10.1016/j.jvs.2013.08.089. PMID: 24135620
Saccular aortic aneurysms.
Taylor BV, Kalman PG
Ann Vasc Surg 1999 Nov;13(6):555-9. doi: 10.1007/s100169900297. PMID: 10541605

Therapy

One-year results with a low-profile endograft in subjects with thoracic aortic aneurysm and ulcer pathologies.
Szeto WY, Vallabhajosyula P, Matsuda H, Moainie SL, Sharafuddin MJ, Corvera J, Smolock CJ, Miyamoto S, Naslund T, Ramaiah V; RelayPro-A Investigators
J Thorac Cardiovasc Surg 2022 May;163(5):1739-1750.e4. Epub 2022 Feb 1 doi: 10.1016/j.jtcvs.2021.10.071. PMID: 35241276
Long-term results of endovascular repair for descending thoracic aortic aneurysms.
Ranney DN, Cox ML, Yerokun BA, Benrashid E, McCann RL, Hughes GC
J Vasc Surg 2018 Feb;67(2):363-368. Epub 2017 Aug 26 doi: 10.1016/j.jvs.2017.06.094. PMID: 28847657Free PMC Article
Surgical and Antimicrobial Management of a Thoracic Aortic Aneurysm Due to Q Fever: A Case Report and Brief Review.
Robinson WP, Schuksz M
Vasc Endovascular Surg 2016 May;50(4):290-4. Epub 2016 Apr 12 doi: 10.1177/1538574416642876. PMID: 27075992
Inflammatory response and renal function following endovascular repair of the descending thoracic aorta.
Moulakakis KG, Sfyroeras GS, Papapetrou A, Antonopoulos CN, Mantas G, Kakisis J, Alepaki M, Mylonas SN, Karakitsos P, Liapis CD
J Endovasc Ther 2015 Apr;22(2):201-6. doi: 10.1177/1526602815573227. PMID: 25809362
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection.
Faure EM, Canaud L, Agostini C, Shaub R, Böge G, Marty-ané C, Alric P
J Vasc Surg 2014 Feb;59(2):327-33. Epub 2013 Oct 15 doi: 10.1016/j.jvs.2013.08.089. PMID: 24135620

Prognosis

Long-term results of endovascular repair for descending thoracic aortic aneurysms.
Ranney DN, Cox ML, Yerokun BA, Benrashid E, McCann RL, Hughes GC
J Vasc Surg 2018 Feb;67(2):363-368. Epub 2017 Aug 26 doi: 10.1016/j.jvs.2017.06.094. PMID: 28847657Free PMC Article
Inflammatory response and renal function following endovascular repair of the descending thoracic aorta.
Moulakakis KG, Sfyroeras GS, Papapetrou A, Antonopoulos CN, Mantas G, Kakisis J, Alepaki M, Mylonas SN, Karakitsos P, Liapis CD
J Endovasc Ther 2015 Apr;22(2):201-6. doi: 10.1177/1526602815573227. PMID: 25809362
Predictors of aortic growth in uncomplicated type B aortic dissection.
van Bogerijen GH, Tolenaar JL, Rampoldi V, Moll FL, van Herwaarden JA, Jonker FH, Eagle KA, Trimarchi S
J Vasc Surg 2014 Apr;59(4):1134-43. doi: 10.1016/j.jvs.2014.01.042. PMID: 24661897
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection.
Faure EM, Canaud L, Agostini C, Shaub R, Böge G, Marty-ané C, Alric P
J Vasc Surg 2014 Feb;59(2):327-33. Epub 2013 Oct 15 doi: 10.1016/j.jvs.2013.08.089. PMID: 24135620
Stent grafting for aneurysmal degeneration of chronic descending thoracic aortic dissections.
Nathan DP, Woo EY, Fairman RM, Wang GJ, Pochettino A, Desai ND, Bavaria JE, Jackson BM
J Vasc Surg 2012 Apr;55(4):963-7. Epub 2012 Jan 11 doi: 10.1016/j.jvs.2011.11.003. PMID: 22244358

Clinical prediction guides

Endovascular Solutions for Thoracic Aortic Aneurysms with Challenging Anatomies.
Oliveira-Pinto J, Sousa J, Rocha-Neves J, Silva E, Riambau V, Teixeira J
Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):113. PMID: 29701346
Inflammatory response and renal function following endovascular repair of the descending thoracic aorta.
Moulakakis KG, Sfyroeras GS, Papapetrou A, Antonopoulos CN, Mantas G, Kakisis J, Alepaki M, Mylonas SN, Karakitsos P, Liapis CD
J Endovasc Ther 2015 Apr;22(2):201-6. doi: 10.1177/1526602815573227. PMID: 25809362
Predictors of aortic growth in uncomplicated type B aortic dissection.
van Bogerijen GH, Tolenaar JL, Rampoldi V, Moll FL, van Herwaarden JA, Jonker FH, Eagle KA, Trimarchi S
J Vasc Surg 2014 Apr;59(4):1134-43. doi: 10.1016/j.jvs.2014.01.042. PMID: 24661897
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection.
Faure EM, Canaud L, Agostini C, Shaub R, Böge G, Marty-ané C, Alric P
J Vasc Surg 2014 Feb;59(2):327-33. Epub 2013 Oct 15 doi: 10.1016/j.jvs.2013.08.089. PMID: 24135620
Impact of wall thickness and saccular geometry on the computational wall stress of descending thoracic aortic aneurysms.
Shang EK, Nathan DP, Sprinkle SR, Fairman RM, Bavaria JE, Gorman RC, Gorman JH 3rd, Jackson BM
Circulation 2013 Sep 10;128(11 Suppl 1):S157-62. doi: 10.1161/CIRCULATIONAHA.112.000200. PMID: 24030401

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