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Fusiform descending thoracic aortic aneurysm

MedGen UID:
868359
•Concept ID:
C4022753
•
Anatomical Abnormality
Synonym: Dilatation of the fusiform descending thoracic aorta
 
HPO: HP:0012728

Definition

A concentric abnormal localized widening (dilatation) of the descending thoracic aorta that involves the full circumference of the vessel wall [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFusiform 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

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
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
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
Saccular aortic aneurysms.
Taylor BV, Kalman PG
Ann Vasc Surg 1999 Nov;13(6):555-9. doi: 10.1007/s100169900297. PMID: 10541605

Diagnosis

Prognostication of Asymptomatic Penetrating Aortic Ulcers: A Modern Approach.
DeCarlo C, Latz CA, Boitano LT, Kim Y, Tanious A, Schwartz SI, Patell R, Mohebali J, Dua A
Circulation 2021 Oct 5;144(14):1091-1101. Epub 2021 Aug 11 doi: 10.1161/CIRCULATIONAHA.121.054710. PMID: 34376058
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
Secondary interventions after elective thoracic endovascular aortic repair for degenerative aneurysms.
Lee CJ, Rodriguez HE, Kibbe MR, Malaisrie SC, Eskandari MK
J Vasc Surg 2013 May;57(5):1269-74. Epub 2013 Jan 24 doi: 10.1016/j.jvs.2012.10.124. PMID: 23352360
The significance of endoleaks in thoracic endovascular aneurysm repair.
Alsac JM, Khantalin I, Julia P, Achouh P, Farahmand P, Capdevila C, Isselmou KO, Fabiani JN
Ann Vasc Surg 2011 Apr;25(3):345-51. Epub 2010 Oct 6 doi: 10.1016/j.avsg.2010.08.002. PMID: 20926236
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
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
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
Endovascular exclusion of descending thoracic aortic aneurysms and chronic dissections: Initial clinical results with the AneuRx device.
White RA, Donayre CE, Walot I, Lippmann M, Woody J, Lee J, Kim N, Kopchok GE, Fogarty TJ
J Vasc Surg 2001 May;33(5):927-34. doi: 10.1067/mva.2001.114998. PMID: 11331830
Arch and descending aortic aneurysms: influence of perfusion technique on neurological outcome.
Westaby S, Katsumata T, Vaccari G
Eur J Cardiothorac Surg 1999 Feb;15(2):180-5. doi: 10.1016/s1010-7940(98)00310-8. PMID: 10219551

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
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
Survival benefit of endovascular descending thoracic aortic repair for the high-risk patient.
Patel HJ, Shillingford MS, Williams DM, Upchurch GR Jr, Dasika NL, Prager RL, Deeb GM
Ann Thorac Surg 2007 May;83(5):1628-33; discussion 1633-4. doi: 10.1016/j.athoracsur.2006.12.070. PMID: 17462370
Endovascular exclusion of descending thoracic aortic aneurysms and chronic dissections: Initial clinical results with the AneuRx device.
White RA, Donayre CE, Walot I, Lippmann M, Woody J, Lee J, Kim N, Kopchok GE, Fogarty TJ
J Vasc Surg 2001 May;33(5):927-34. doi: 10.1067/mva.2001.114998. PMID: 11331830
Arch and descending aortic aneurysms: influence of perfusion technique on neurological outcome.
Westaby S, Katsumata T, Vaccari G
Eur J Cardiothorac Surg 1999 Feb;15(2):180-5. doi: 10.1016/s1010-7940(98)00310-8. PMID: 10219551

Clinical prediction guides

Prognostication of Asymptomatic Penetrating Aortic Ulcers: A Modern Approach.
DeCarlo C, Latz CA, Boitano LT, Kim Y, Tanious A, Schwartz SI, Patell R, Mohebali J, Dua A
Circulation 2021 Oct 5;144(14):1091-1101. Epub 2021 Aug 11 doi: 10.1161/CIRCULATIONAHA.121.054710. PMID: 34376058
A 20-year experience with thoracic endovascular aortic repair.
Patel HJ, Williams DM, Drews JD, Dasika NL, Eliason JL, Passow MC, Deeb GM
Ann Surg 2014 Oct;260(4):691-6; discussion 696-7. doi: 10.1097/SLA.0000000000000930. PMID: 25203886
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
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
Survival benefit of endovascular descending thoracic aortic repair for the high-risk patient.
Patel HJ, Shillingford MS, Williams DM, Upchurch GR Jr, Dasika NL, Prager RL, Deeb GM
Ann Thorac Surg 2007 May;83(5):1628-33; discussion 1633-4. doi: 10.1016/j.athoracsur.2006.12.070. PMID: 17462370

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