U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Aneurysm of descending aorta

MedGen UID:
163543
•Concept ID:
C0856750
•
Disease or Syndrome
Synonyms: Aneurysm, descending aorta; Descending aortic aneurysm
SNOMED CT: Aneurysm of descending aorta (426948001)

Professional guidelines

PubMed

Diagnosis and Management of Acute Aortic Syndromes: Dissection, Penetrating Aortic Ulcer, and Intramural Hematoma.
Sorber R, Hicks CW
Curr Cardiol Rep 2022 Mar;24(3):209-216. Epub 2022 Jan 14 doi: 10.1007/s11886-022-01642-3. PMID: 35029783Free PMC Article
2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC).
Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ; ESC Committee for Practice Guidelines
Eur Heart J 2014 Nov 1;35(41):2873-926. Epub 2014 Aug 29 doi: 10.1093/eurheartj/ehu281. PMID: 25173340
2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine.
Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, Eagle KA, Hermann LK, Isselbacher EM, Kazerooni EA, Kouchoukos NT, Lytle BW, Milewicz DM, Reich DL, Sen S, Shinn JA, Svensson LG, Williams DM; American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines; American Association for Thoracic Surgery; American College of Radiology; American Stroke Association; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society of Interventional Radiology; Society of Thoracic Surgeons; Society for Vascular Medicine
Circulation 2010 Apr 6;121(13):e266-369. Epub 2010 Mar 16 doi: 10.1161/CIR.0b013e3181d4739e. PMID: 20233780

Recent clinical studies

Etiology

Left Bronchial Compression After Endovascular Repair of Contained Rupture of Descending Thoracic Aortic Dissection.
Dobrilovic N, Karlson K, Raman J, Soukas P, Sadiq I, Vognar L, Singh A
Innovations (Phila) 2024 Jan-Feb;19(1):92-93. Epub 2024 Jan 29 doi: 10.1177/15569845231223570. PMID: 38284402
Open Versus Endovascular Repair of Descending Thoracic Aneurysms: Analysis of Outcomes.
Milam AJ, Hung P, Bradley AS, Herrera-Quiroz D, Soh I, Ramakrishna H
J Cardiothorac Vasc Anesth 2023 Mar;37(3):483-492. Epub 2022 Nov 23 doi: 10.1053/j.jvca.2022.11.020. PMID: 36522256
Post-Dissection Single-Stage Arch and Descending Aorta Replacement via Clamshell Incision.
Cullen P, Brereton RJ, Mathur MN
Heart Lung Circ 2021 Jun;30(6):e68-e71. Epub 2021 Feb 13 doi: 10.1016/j.hlc.2020.12.019. PMID: 33589400
Aortic dissection reconsidered: type, entry site, malperfusion classification adding clarity and enabling outcome prediction.
Sievers HH, Rylski B, Czerny M, Baier ALM, Kreibich M, Siepe M, Beyersdorf F
Interact Cardiovasc Thorac Surg 2020 Mar 1;30(3):451-457. doi: 10.1093/icvts/ivz281. PMID: 31755925
Aortic Aneurysms.
Lu H, Daugherty A
Arterioscler Thromb Vasc Biol 2017 Jun;37(6):e59-e65. doi: 10.1161/ATVBAHA.117.309578. PMID: 28539494Free PMC Article

Diagnosis

Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms.
Upchurch GR Jr, Escobar GA, Azizzadeh A, Beck AW, Conrad MF, Matsumura JS, Murad MH, Perry RJ, Singh MJ, Veeraswamy RK, Wang GJ
J Vasc Surg 2021 Jan;73(1S):55S-83S. Epub 2020 Jul 3 doi: 10.1016/j.jvs.2020.05.076. PMID: 32628988
Aortic dissection reconsidered: type, entry site, malperfusion classification adding clarity and enabling outcome prediction.
Sievers HH, Rylski B, Czerny M, Baier ALM, Kreibich M, Siepe M, Beyersdorf F
Interact Cardiovasc Thorac Surg 2020 Mar 1;30(3):451-457. doi: 10.1093/icvts/ivz281. PMID: 31755925
How should I treat an asymptomatic aortic coarctation with a concomitant dissection of the descending aorta?
Gheorghe LL, Arzamendi D, Li CH, Barros-Membrilla AJ, Dilme Muñoz JF, Serra Peñaranda A, Sultan S, Spence MS, Collins A
EuroIntervention 2017 Mar 20;12(16):2037-2040. doi: 10.4244/EIJ-D-16-00169. PMID: 28317794
Giant saccular aneurysm of the descending aorta in an infant.
Onan IS, Ozturk E, Akyol MB, Onan B
J Card Surg 2017 Feb;32(2):154-155. Epub 2017 Jan 19 doi: 10.1111/jocs.13095. PMID: 28103629
Mycotic aneurysms of the thoracic aorta: a diagnostic challenge.
Malouf JF, Chandrasekaran K, Orszulak TA
Am J Med 2003 Oct 15;115(6):489-96. doi: 10.1016/s0002-9343(03)00394-2. PMID: 14563506

Therapy

Left Bronchial Compression After Endovascular Repair of Contained Rupture of Descending Thoracic Aortic Dissection.
Dobrilovic N, Karlson K, Raman J, Soukas P, Sadiq I, Vognar L, Singh A
Innovations (Phila) 2024 Jan-Feb;19(1):92-93. Epub 2024 Jan 29 doi: 10.1177/15569845231223570. PMID: 38284402
Endovascular Stent Grafting for Descending Thoracic Aortic Rupture During TAVR.
Skalidis I, Roux O, Rotzinger DC, Fournier S, Rosner L, Eeckhout E, Deglise S, Muller O, Roguelov C
JACC Cardiovasc Interv 2022 Sep 26;15(18):1880-1882. Epub 2022 Aug 31 doi: 10.1016/j.jcin.2022.07.016. PMID: 36057536
Aortic arch aneurysm surgery: what is the gold standard temperature in the absence of randomized data?
Harky A, Bashir M, Mariscalco G
Gen Thorac Cardiovasc Surg 2019 Jan;67(1):127-131. Epub 2017 Nov 16 doi: 10.1007/s11748-017-0867-9. PMID: 29147918
Thoracic aortic stent grafts.
Milner R, Bavaria JE, Baum RA, Carpenter JP, Velazquez OC, Brinster D, Fairman RM
Semin Roentgenol 2001 Oct;36(4):340-50. doi: 10.1053/sroe.2001.29163. PMID: 11715329
Aneurysms of the aorta.
Crisler C, Bahnson HT
Curr Probl Surg 1972 Dec:1-64. PMID: 4565984

Prognosis

Aortic dissection reconsidered: type, entry site, malperfusion classification adding clarity and enabling outcome prediction.
Sievers HH, Rylski B, Czerny M, Baier ALM, Kreibich M, Siepe M, Beyersdorf F
Interact Cardiovasc Thorac Surg 2020 Mar 1;30(3):451-457. doi: 10.1093/icvts/ivz281. PMID: 31755925
Giant saccular aneurysm of the descending aorta in an infant.
Onan IS, Ozturk E, Akyol MB, Onan B
J Card Surg 2017 Feb;32(2):154-155. Epub 2017 Jan 19 doi: 10.1111/jocs.13095. PMID: 28103629
Variables predictive of outcome in 832 patients undergoing repairs of the descending thoracic aorta.
Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ
Chest 1993 Oct;104(4):1248-53. doi: 10.1378/chest.104.4.1248. PMID: 8404201
Thoracoabdominal aneurysm after resection and dacron graft replacement of the descending thoracic aorta.
Lefrak EA, Crawford ES
Ann Surg 1972 Dec;176(6):765-8. doi: 10.1097/00000658-197212000-00017. PMID: 4265924Free PMC Article
Clinical aspects of aneurysms and their management.
Smith G
Practitioner 1971 Mar;206(233):338-51. PMID: 4929195

Clinical prediction guides

Deep learning enables genetic analysis of the human thoracic aorta.
Pirruccello JP, Chaffin MD, Chou EL, Fleming SJ, Lin H, Nekoui M, Khurshid S, Friedman SF, Bick AG, Arduini A, Weng LC, Choi SH, Akkad AD, Batra P, Tucker NR, Hall AW, Roselli C, Benjamin EJ, Vellarikkal SK, Gupta RM, Stegmann CM, Juric D, Stone JR, Vasan RS, Ho JE, Hoffmann U, Lubitz SA, Philippakis AA, Lindsay ME, Ellinor PT
Nat Genet 2022 Jan;54(1):40-51. Epub 2021 Nov 26 doi: 10.1038/s41588-021-00962-4. PMID: 34837083Free PMC Article
Management of Descending Thoracic Aortic Diseases: Similarities and Differences Among Cardiovascular Guidelines.
Spanos K, Nana P, Behrendt CA, Kouvelos G, Panuccio G, Heidemann F, Matsagkas M, Debus ES, Giannoukas A, Kölbel T
J Endovasc Ther 2021 Apr;28(2):323-331. Epub 2021 Jan 13 doi: 10.1177/1526602820987808. PMID: 33435805
Aortic dissection reconsidered: type, entry site, malperfusion classification adding clarity and enabling outcome prediction.
Sievers HH, Rylski B, Czerny M, Baier ALM, Kreibich M, Siepe M, Beyersdorf F
Interact Cardiovasc Thorac Surg 2020 Mar 1;30(3):451-457. doi: 10.1093/icvts/ivz281. PMID: 31755925
"False" aortic dissection.
Robinson LA, Seshi B, Chervenick PA
Asian Cardiovasc Thorac Ann 2017 Jan;25(1):76-77. Epub 2016 Jul 19 doi: 10.1177/0218492315592556. PMID: 26124435
Variables predictive of outcome in 832 patients undergoing repairs of the descending thoracic aorta.
Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ
Chest 1993 Oct;104(4):1248-53. doi: 10.1378/chest.104.4.1248. PMID: 8404201

Recent systematic reviews

Incidence and Prevalence of Thoracic Aortic Aneurysms: A Systematic Review and Meta-analysis of Population-Based Studies.
Gouveia E Melo R, Silva Duarte G, Lopes A, Alves M, Caldeira D, Fernandes E Fernandes R, Mendes Pedro L
Semin Thorac Cardiovasc Surg 2022 Spring;34(1):1-16. Epub 2021 Mar 8 doi: 10.1053/j.semtcvs.2021.02.029. PMID: 33705940
A systematic review and meta-analysis of mechanical vs biological composite aortic root replacement, early and 1-year results.
Bashir M, Harky A, Froghi S, Adams B, Garner M, Gupta P, Oo A, Uppal R
Gen Thorac Cardiovasc Surg 2019 Jan;67(1):70-76. Epub 2017 Oct 10 doi: 10.1007/s11748-017-0845-2. PMID: 29019011
A systematic review of primary endovascular repair of the ascending aorta.
Muetterties CE, Menon R, Wheatley GH 3rd
J Vasc Surg 2018 Jan;67(1):332-342. Epub 2017 Aug 23 doi: 10.1016/j.jvs.2017.06.099. PMID: 28844469
Telomere Biology and Thoracic Aortic Aneurysm.
Aschacher T, Salameh O, Enzmann F, Messner B, Bergmann M
Int J Mol Sci 2017 Dec 21;19(1) doi: 10.3390/ijms19010003. PMID: 29267201Free PMC Article
Acute Aortic Dissection and Intramural Hematoma: A Systematic Review.
Mussa FF, Horton JD, Moridzadeh R, Nicholson J, Trimarchi S, Eagle KA
JAMA 2016 Aug 16;316(7):754-63. doi: 10.1001/jama.2016.10026. PMID: 27533160

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • ClinVar
      Related medical variations
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...