Thoracic aortic aneurysms

The role of CT in the assessment of this potentially fatal disease

Published on September 1, 2021

Thoracic aortic aneurysm (TAA) is a silent disease that can be lethal1. An aneurysm is a permanent localised dilation of an artery, at least 50% greater than the normal luminal diameter, which varies depending on the patient’s body mass index, age and gender2. This dilation is often diagnosed as an incidental finding on imaging that was undertaken for unrelated reasons3. This dilatation weakens the wall of the aorta, leading to aortic rupture or dissection. A ruptured aortic aneurysm can be associated with greater than 77% to 95% mortality so quick diagnosis and treatment is crucial4. The true prevalence and mortality rates of TAAs are difficult to identify but a recent study reported an incidence of 5.9 new aneurysms per 100,000 over a 30-year period, with median ages of 65 years for men and 77 years for women...

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