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  • Professor Doutor Javier Gallego Poveda

    Aortic Aneurysm

  • Professor Doutor Javier Gallego Poveda

    Aortic Aneurysm

What is an aortic aneurysm?

An aneurysm of the ascending aorta is a dilatation that occurs in the wall of this artery, caused by different factors such as the formation of atherosclerotic plaques, as a result of high cholesterol, high blood pressure, smoking and other diseases of genetic origin.

The aorta is our main artery and its function is to distribute oxygenated blood to all other parts of the body via the systemic circulation. It begins in the left ventricle, passes through the chest and at its end in the abdomen forms an arch from which the right and left iliac arteries exit.

According to the direction of blood flow, the aorta has four parts: the ascending aorta, the aortic arch, the thoracic aorta and the abdominal aorta. The ascending aorta is approximately 5 centimeters long and from it arise the coronary arteries, which are responsible for supplying the myocardium. The next portion is the aortic arch, from which arteries such as the carotid arteries and other vessels that supply the brain originate.

Aortic aneurysm is a silent disease, usually detected in routine examinations such as echocardiograms, X-rays, CT scans and MRIs. The appearance of symptoms usually indicates the need for intervention.

What are the symptoms of an aortic aneurysm?

The main symptoms of an aneurysm in the ascending aorta are:

  Shortness of breath
  Chest or lower back pain
  Fatigue
  Persistent cough
  Difficulty swallowing (dysphagia)

Procedures

Mini sternotomy aortic surgery

This is surgery to correct an aortic aneurysm. It is indicated when the dilation grows to more than 5 cm in length. Depending on the condition of the aortic valve, it may need to be replaced. This surgery is performed by highly specialized surgeons using minimally invasive techniques.

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