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Strong Heart and Vascular Center

Division of Vascular Surgery

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Thoracic Aneurysm

What is a Thoracic Aneurysm?

A thoracic aneurysm is an enlarged, area in the thoracic (chest) section of the aorta, the main blood vessel that carries blood away from the heart. Aneurysms are a potentially serious condition, because they can burst, causing internal bleeding and possibly death.

The larger an aneurysm is, the greater the risk is that it could burst. With a thoracic aneurysm, a diameter greater than 2.3 inches indicates the aneurysm should be considered for treatment.

Causes and risk factors for thoracic aneurysm

 

Symptoms of Thoracic Aneurysm

Symptoms of thoracic aneurysm depend on the size and location within aorta. Many times there are no symptoms, but if there are symptoms, they may include...

  • Pain in the jaw, neck, and upper back
  • Chest or back pain
  • Coughing, hoarseness, and difficulty breathing
  • A large aneurysm may affect other organs and nerves
    • If it affects the heart it may lead to congestive heart failure

 

Diagnosing Thoracic Aneurysm

To diagnose thoracic aneurysm the following tests may be used...

 

 

Treatment Options

The methods of treatment recommended is based on the risk of rupture for the aneurysm. Aneurysms that are smaller than 1.5 inches in diameter and do not cause symptoms may be monitored regularly with the following methods...

  • Ultrasound or CT scan every 6 months to check for enlargement
  • Medication to lower blood pressure if necessary may reduce growth of and risk of rupture

Aneurysms that are larger than 2.3 inches or are causing symptoms may require surgical repair...

  • Open chest surgery for surgical aneurysm repair. Recovery takes about 2 to 3 months.
  • Endovascular stent graft repair