The aorta is the largest human artery through which blood is sent from the heart to the organs and which is divided into several sections:
A serious problem is a condition in which excessive expansion – protrusion occurs in a certain area of the aorta.
If the pathologically altered area is located between the ostium of the left subclavian artery and the diaphragm, then they speak of an aneurysm of the thoracic part of the descending aorta.
An aneurysm of the thoracic descending aorta may be asymptomatic, and may be accompanied by severe pain in the region of the heart and shoulder blades. It can also make it difficult to swallow food, feel like a heaviness in the stomach, cause a cough, and be accompanied by other even more unpleasant symptoms. But the main danger of an aneurysm of the thoracic part of the descending aorta is the risk of rupture.
When the performed diagnostics establish the presence of an aneurysm, dynamic monitoring of the patient’s condition is carried out. If the aneurysm is small, not complicated by other pathologies and does not cause unpleasant symptoms, then conservative treatment may be recommended to reduce pressure and a set of measures to reduce the risk of atherosclerosis.
However, if the deformation of the vessel continues, this is an indication for arthroplasty of aortic aneurysms.
Thoracic EndoVascular Repair of aorta (TEVAR) is a modern minimally invasive procedure that allows to install an internal prosthesis in the aorta at the site of its excessive expansion and thereby strengthen the vessel and normalize blood flow. The operation is low-traumatic, does not require opening the chest cavity and is relatively easily tolerated by patients.