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Doctor insights on: Tortuosity Thoracic Aorta

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Heart enlarged tortuosity of the thoracic aorta?

Heart enlarged tortuosity of the thoracic aorta?

Enlarged heart: It is better you have it looked at it by a Cardiologist. This sounds like a Xray finding. Heart size could be better evaluated by other nonivasive testings like echocardiogram. ...Read more

Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


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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?

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?

Doubt cause of pain: I doubt that the tortuosity of the Thoracic aorta is the cause of the shoulder pain. Would ask your physician to see a rheumatologist. Bursitis/Tendonitis is the most common cause. Try some heat or have your physician evaluae this and see physicial therapy ...Read more

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My recent chest x Ray said atherosclerotic tortuosity of aortic arch and descending thoracic aorta. Is this of any concern.

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 for further recommendations as needed. You will need to monitor your blood pressure and keep it under tight control. ...Read more

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What is "tortuous thoracic aorta and is it serious?

What is "tortuous thoracic aorta and is it serious?

No: It's a radiographic description and it has no clinical implications. It doesn't cause symptoms and it isn't a risk factor for rupture. ...Read more

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31+0.16 x age= upper normal limits for ascending thoracic aorta in mm. Is above (study) formula accurate for men who are between 60 and 65 years of age?

31+0.16 x age= upper normal limits for ascending thoracic aorta in mm. Is above (study) formula accurate for men who are between 60 and 65 years of age?

Dilated aorta: The formula predicts an ascending aorta size of ~41mm for someone 60-65, which is above the upper limit of "normal", 22-36mm. The ascending aorta enlarges with age, especially if there is hypertension, so 41mm is dilated. Anything above 45 mm is considered an aneurysm. The risk of rupture increases rapidly with size; aneurysms >60 mm have a 5-yr rupture risk of 31% (vs 16% if less than 60mm) ...Read more

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Can docs explain what does unfolding of descending thoracic aorta mean?

Can docs explain what does unfolding of descending thoracic aorta mean?

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

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What does it mean if the heart is enlarged in transverse diameter with unfolding thoracic aorta?

What does it mean if the heart is enlarged in transverse diameter with unfolding thoracic aorta?

U r reading too much: You read technical phrases on an echocardiogram that by itself and without a clinical context has very little meaning. Discuss the whole report with the person who ordered it and DO NOT waste time, energy and anxiety reading technical jargon that may not mean much. ...Read more

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Please tell me what does "the heart is enlarged in transverse diameter with unfolding thoracic aorta" mean?

Please tell me what does "the heart is enlarged in transverse diameter with unfolding thoracic aorta" mean?

Enlarged heart: Unfolding of aorta - probably you are born with it. Nothing much to worry.
Enlarged heart- you have to undergo further cardiac work-up like echo or cardiac MRI to know the underlying etiology for cardiomegaly. ...Read more

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There is prominence of the ascending thoracic aorta. There is a left retrocardiac opacity which could be partial atelectasis. Meaning? Is this bad?

Recommendation: This findings should be discussed with your doctor who knows your clinical symptoms. Otherwise it is not professional, and just guessing. My guess is that not looking bad. ...Read more

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What tests can u do to see if u have a thoracic aneurysm? Also how big percentage of aneurysms is located at thoracic aorta and what's the symptoms?

What tests can u do to see if u have a thoracic aneurysm? Also how big percentage of aneurysms is located at thoracic aorta and what's the symptoms?

See below: Echocardiogram to screen, CT with contrast to confirm. There are NO symptoms until it dissects - then severe, tearing pain, shock and death. The percentage depends on other associated health conditions you may (and probably don't) have. Unless you have Marfan's syndrome, a bicuspid aortic valve, or a strong family history of them, thoracic aortic aneurysms are very rare. ...Read more

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Can echo and ultrasound see your thoracic aorta region and detect thickening or aneursym?

Can echo and ultrasound see your thoracic aorta region and detect thickening or aneursym?

Generally not: The thoracic aorta is best imaged with a CT or MRI angiography. The ascending aorta and abdominal aorta can be seen with echo and ultrasound. ...Read more

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What is a tortuous thoracic aorta? Is it serious? Do I need to do anything? My doctor doesn't seem to be worried but then again he never seems to

Uusally normal: This is a common finding on a chest x-ray and in most cases is simply a slight twist in the otherwise normal curvature of the aorta. Uusally not serious. If you wish to be certain, a cardiologist can do an echocardiogram and in most cases determine if anything else, such an an aneurysm is present. Unfortunately "tortuous" is only a description, not a diagnosis. ...Read more

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I was diagnosed with tortuous and atherosclerotic thoracic aorta. What is that in layman talk?

Interpretation: Tortuous = twisted. Atherosclerotic = cholesterol laden. Thoracic = chest. Aorta = major blood vessel from heart to internal organs & extremities. ...Read more

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I have mild calcific thoracic aorta, is there something to do with heart disease.?

Yes: Most people are speaking about atherosclerosis, when talking about heart disease. Calcification in the thoracic aorta is not necessarily atherosclerosis; however, atherosclerosis is often found upon further investigation. Other risk factors that should be addressed include smoking cessation and blood pressure control. Your primary physician can manage these and discuss further testing. ...Read more

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Do u go through echocardiogram if u may have a thoracic aneurysm? Can u see all of the thoracic aorta in a echocardiogram? Not tee method...

Do u go through echocardiogram if u may have a thoracic aneurysm? Can u see all of the thoracic aorta in a echocardiogram? Not tee method...

Depends: Your size and visualization.
CT scan can size and see all of thoracic aorta (or abdominal if focused there!)
Arch is usually not well seen by echo.

At 22 concern would be MARFAN or hypertension, or anomaly, or some other situation to cause aneurysm to be high on list?? ...Read more

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Can a mild tortuous descending thoracic aorta be caused by a 5cm hiatal hernia? Should this be a concern when having surgery for the hernia?

No, and no: The two issues are completely separate. I have seen dozens of occasions where the aorta is tortuous or not in the usual position in relation to the diaphragm during these types of hernia repairs. Make sure to see a general or thoracic surgeon with substantial experience in laparoscopic paraesophageal hernia repair for a consultation. Best of luck. ...Read more

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After how many time an endoleak after a descending thoracic aorta repair could be closed (the aneurism is stable after 2 CT in 1 and a half year)?

Uncertain: Depends on the type of endoleak certain types such aa type 2 can be watched so long aneurysm does not grow consult with your surgeon to be sure. ...Read more

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Can u see all of the thoracic aorta with echocardiogram or just the root, ascendens and arch? If u ask the doc if ha can look at all of the aorta?

Can u see all of the thoracic aorta with echocardiogram or just the root, ascendens and arch? If u ask the doc if ha can look at all of the aorta?

No: Echocardiogram can evaluate aortic root and part of ascending aorta/arch and part of descending aorta. Depending on quality of images, echocardiogram maybe sufficient sometimes. If you want the whole aorta evaluated MRI or CT scan is recommended. ...Read more

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If u have a aneurysm in thoracic aorta and made a echocardiogram, would doc see it? If it was at the arch for example? Didn't tell doc my worries

Not the arch: The echo will show the aortic root and part of the ascending aorta but not the arch. This will require a TEE or a CT scan. ...Read more

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If u have an aneurysm of the thoracic aorta would the BP be the same in both arms and both legs? What other clinical signs would suggest aneurysm? TY

Most often - no symp: A stable aneurysm in the thoracic aorta usually causes no symptoms. It may be suspected by a CXR revealing a prominent aorta and confirmed by a CT scan. If you have been diagnosed with an aneurysm, you should follow with you doctor and have periodic imaging to be sure the aneurysm is not growing. ...Read more