Diseases of the Aorta

  • Wei-Hsian Yin
  • Ming-Chon Hsiung


Abnormalities of the aorta are details in this chapter, which contains aortic root fistula, ruptured sinus of Valsalva, and variants of aortic dissection.

The aorta begins at the AV and ends at the bifurcation in abdomen. It can be divided into the aortic root, ascending aorta, aortic arch, descending thoracic aorta, and abdominal aorta. In an aortic dissection patient, a CT angiography must be arranged to collaborate with the TEE assessment to confirm the range of the dissection.


Infective Endocarditis Aortic Dissection Coronary Artery Calcium Score False Lumen Distal Aortic Arch 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Suggested Reading

  1. Ashoub A, Tang A, Shaktawat S. Extensive aneurysms of sinuses of Valsalva precluding valve sparing aortic root reimplantation (David procedure). Interact Cardiovasc Thorac Surg. 2011;12(3):500–1.CrossRefPubMedGoogle Scholar
  2. Benedik J, Wendt D, Perrey M, et al. Adjustment of aortic annulus size during David re-implantation (how to do it). Scand Cardiovasc J. 2013;47(4):245–6.CrossRefPubMedGoogle Scholar
  3. Brinster DR, Parrish DW, Meyers KS, et al. Central aortic cannulation for Stanford type A aortic dissection with the use of three-dimensional and two-dimensional transesophageal echocardiography. J Card Surg. 2014;29(5):729–32.CrossRefPubMedGoogle Scholar
  4. Cao X, Zhang F, Wang L, Jing H, Li N. Transthoracic minimally invasive closure for the treatment of ruptured sinus of Valsalva Aneurysm: a case report. J Cardiothorac Surg. 2014;9:27.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Červenka L, Melenovský V, Husková Z, et al. Inhibition of soluble epoxide hydrolase does not improve the course of congestive heart failure and the development of renal dysfunction in rats with volume overload induced by aorto-caval fistula. Physiol Res. 2015;64:857–73.PubMedGoogle Scholar
  6. Fujita A, Kurazumi H, Suzuki R, et al. Aortic arch-descending aorta bypass for intraoperative lower body malperfusion during chronic type A aortic dissection repair. Kyobu Geka. 2015;68(6):435–8. Japanese.PubMedGoogle Scholar
  7. Gomero-Cure W, Lowery RC, O’Donnell S. Stent graft-induced new entry tear after endoluminal grafting for aortic dissection repaired with open interposition graft. J Vasc Surg. 2013;58(6):1652–6.CrossRefPubMedGoogle Scholar
  8. Hashimoto K, Itoh S, Tajima Y, et al. Distal aortic arch aneurysm, acute type B aortic dissection, and acute bilateral limb ischemia treated by two-stage total arch replacement;report of a case. Kyobu Geka. 2015;68(5):371–4. Japanese.PubMedGoogle Scholar
  9. İlkay E, Çelebi ÖÖ, Kaçmaz F, Pampal K. Retrograde approach for percutaneous closure in a patient with ruptured sinus of Valsalva. Turk Kardiyol Dern Ars. 2014;42(8):759–62.CrossRefPubMedGoogle Scholar
  10. Itoga NK, Kakazu CZ, White RA. Enhanced visual clarity of intimal tear using real-time 3D transesophageal echocardiography during TEVAR of a type B dissection. J Endovasc Ther. 2013;20(2):221–2.CrossRefPubMedGoogle Scholar
  11. Kassaian SE, Abbasi K, Mousavi M, Sahebjam M. Endovascular treatment of acute type B dissection complicating aortic coarctation. Tex Heart Inst J. 2013;40(2):176–81.PubMedPubMedCentralGoogle Scholar
  12. Kieser TM, Spence FP, Kowalewski R. Iatrogenic aortic root and left main dissection during non-emergency coronary surgery: a solution applicable to heavily calcified coronary arteries. Interact Cardiovasc Thorac Surg. 2015;22:246–8.CrossRefPubMedGoogle Scholar
  13. Lin CH, Murphy J, Balzer DT. Case report: percutaneous closure of an ascending aortic pseudoaneurysm by 3D angiography guidance. Methodist Debakey Cardiovasc J. 2015;11(2):137–9.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Marjanović I, Sarac M, Tomić A, et al. Visceral hybrid reconstruction of thoracoabdominal aortic aneurysm after open repair of type A aortic dissection by the Bentall procedure with the elephant trunk technique--a case report. Vojnosanit Pregl. 2014;71(9):879–83.CrossRefPubMedGoogle Scholar
  15. Michel S, Hagl C, Juchem G, Sodian R. Type A intramural hematoma often turns out to be a type A dissection. Heart Surg Forum. 2013;16(6):E351–2.CrossRefPubMedGoogle Scholar
  16. Rajan S, Sonny A, Sale S. Retrograde type A aortic dissection after thoracoabdominal aneurysm repair: early diagnosis with intraoperative transesophageal echocardiography. A A Case Rep. 2015;4(5):58–60.CrossRefPubMedGoogle Scholar
  17. Rossokha OA, Shelestova IA, Boldyrev SI, et al. Detection of determinants of functional aortic regurgitation in patients with ascending aorta aneurism by transesophagea1 echocardioscopy. Kardiologiia. 2015;55(3):61–6. Russian.CrossRefPubMedGoogle Scholar
  18. Sabzi F, Khosravi D. Huge dissected ascending aorta associated with pseudo aneurysm and aortic coarctation feridoun. Acta Med Iran. 2015;53(7):444–7.PubMedGoogle Scholar
  19. Stiver K, Bayram M, Orsinelli D. Aortic root bentall graft disarticulation following repair of type a aortic dissection. Echocardiography. 2010;27(2):E27–9.CrossRefPubMedGoogle Scholar
  20. Thorsgard ME, Morrissette GJ, Sun B, et al. Impact of intraoperative transesophageal echocardiography on acute type A aortic dissection. J Cardiothorac Vasc Anesth. 2014;28(5):1203–7.CrossRefPubMedGoogle Scholar
  21. Tourmousoglou C, Meineri M, Feindel C, Brister S. Repair of aorto-left ventricular and aorto-right ventricular fistulas following prosthetic valve endocarditis. J Card Surg. 2013;28(6):654–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Singapore 2016

Authors and Affiliations

  • Wei-Hsian Yin
    • 1
  • Ming-Chon Hsiung
    • 1
  1. 1.Division of CardiologyCheng-Hsin General HospitalTaipeiTaiwan

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