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Home > West Medicine > Internal Medicine > Cardiology
I71.201

Ascending-aorta Aneurysm

心内科

Common symptoms

主动脉和肺动脉影偏小、脉压增宽、心力衰竭、胸廓畸形、主动脉环扩张、椎动脉迂曲痉挛、剧烈疼痛、WUJ

The pathology of disease

Ascending-aorta aneurysm is pathological dilatation of the ascending thoracic aorta, often associated with bicuspid aortic valve, Marfan syndrome, or hypertension. It may be asymptomatic or cause chest pain/aortic regurgitation/ dissection risk. Treatment: control BP; beta-blocker in Marfan; serial imaging; elective surgical repair when diameter reaches threshold (typically >5.5 cm, or lower in Marfan/fast growth); emergent surgery for dissection/rupture; root/valve-sparing repair when possible.

Common Symptoms

Asymptomatic or chest pain; aortic regurgitation; risk of dissection/rupture; associated with bicuspid valve/Marfan

Causes and Pathogenesis

Cystic medial degeneration/atherosclerosis/HTN causes progressive dilatation and dissection risk.

Treatment

Control HTN; beta-blocker in Marfan; serial imaging; elective surgery at size threshold; emergent for dissection

Preventive Measures

Control BP; screen family/aortopathy; repair before rupture.

Department to Visit

It is recommended to visit the Cardiology/Cardiac-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.