Doctor insights on:
Tortuosity Of Aorta
Had a chest xray recently to find the reason for shoulder pain. The chest ray showed tortuosity of the Thoracic aorta, this was three weeks ago and ha?
My recent chest x Ray said atherosclerotic tortuosity of aortic arch and descending thoracic aorta. Is this of any concern.
FURTHER W/U NEEDED: Usually the thoracic aorta will dilate slowly with age. If it is apparent already you need a determination of the size. A thoracic echo and possible TEE. To evaluate thoracic anatomy. And an abdominal US to evaluate abdominal aorta. Then consult a surgeon a surgeon for further recommendations as needed. You will need to monitor your blood pressure and keep it under tight control . ...Read moreSee 1 more doctor answer
Just a bit curvy: Arterial tortuosity syndrome is a rare connective tissue disorder causing some tortuosity (curves) of the major arteries including the aorta. It is associated with hyperextensible skin and hypermobility of joints. There isn't any specific treatment for this condition. If it involves the heart/valve area which may cause trouble and that needs treatment. Consult doc if you have trouble. Good luck. ...Read more
Xray: This is a chest xray appearance of a widening of the normal aortic arch curve in the superior thorax. It does not necessarily have pathologic import though it is often seen in older patients and those with hypertension and atherosclerotic disease. ...Read more
2-3.5 PSI: Pressure in the aorta is measured in mm of mercury, or mmhg. To convert to psi, divide normal aortic pressure of 100-180 mmhg by 10 to get cmhg, then use any simple conversion chart or app. It works out to 1.9 to 3.5 psi. Curious as to why you would want to know this though? ...Read more
Cholesterol plaques: Atherosclerosis literally means "hardening of the arteries" which is caused by plaques or buildup of cholesterol along with immune cells and scar tissue inside the walls of blood vessels. This can occur in any blood vessel in the body, including the aorta, which is the large artery that delivers blood out to the body from the heart. ...Read more
Because heart pumps: Aorta is the largest artery in the body. It carries blood from the heart to the rest of the body. The heart pushes the blood into the aorta by contracting and then relaxes to receive blood. After filling up the heart pumps the blood again into the aorta- and this contraction and relaxation of the heart causes a pulse which can be felt in aorta & all arteries. ...Read more
Ultrasound, but...: The two primary ways we measure the aorta is by ultrasound or ct scanning. Each modality has its pros and cons. While ultrasound is the preferred screening and first-line method of aortic imaging, one caveat to keep in mind is that it does tend to overestimate the size of the abdominal aorta and it is not practical for imaging of the thoracic aorta. Ct is more accurate though not cost-effective. ...Read moreSee 1 more doctor answer
Coarctation of aorta: Coarctation of the aorta (coa) is a relatively common defect that accounts for 5-8% of all congenital heart defects. The diagnosis of coarctation of the aorta may be missed and diagnosis is often delayed until the patient develops congestive heart failure (chf), which is common in infants, or hypertension, which is common in older children. Coa is a lifelong disease with a guarded prognosis. ...Read more
Mostly sarcomas: While rare, tumors of aorta do occur in both thoracic and abdominal aorta with equal frequency.. Histologically, sarcomas constitute the majority of primary aortic tumors, with the malignant fibrous histiocytoma subtype being most common. They arise in the intima and grow along the intimal surface and into aortic lumen forming polypoid masses but tend to not invade the aortic wall. ...Read more
Few things: High blood pressure, a congenital condition like Marfan syndrome, or structural heart disease like having a bicuspid valve or aortic regurgitation. It can be fatal if the aorta gets beyond a certain size. There is debate and each patient is different, but most surgeons would elect to replace an aorta that is bigger than about 50-52 mm in diamter. ...Read more