Aortic enlargement: a case report of cadaveric  heart and great vessels dimensions

Mauritius Lambertus Edy Parwanto; Dian Mediana; Diana Samara; Magdalena Wartono; Alfred Pakpahan; Haryo Ganeca Widyatama

doi:10.15562/bmj.v9i2.1817

Aortic enlargement: a case report of cadaveric heart and great vessels dimensions

Mauritius Lambertus Edy Parwanto ,

Dian Mediana ,

Diana Samara ,

Magdalena Wartono ,

Alfred Pakpahan ,

Haryo Ganeca Widyatama ,

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DOI: https://doi.org/10.15562/bmj.v9i2.1817 |
Published: 2020-06-12

Abstract

Aortic enlargement is not an uncommon incidental finding with potential omission of clinical implications. During routine dissection in the middle of the thorax, there was an incidental finding of a disproportionately enlarged aorta in comparison to normal-sized heart at gross observation despite normal anatomy in local and adjacent structures. Incidental finding of aortic enlargement should not be disregarded as it might contribute to pathological processes. The use of indices could give a more comprehensive appraisal of cardiovascular system dimensions.

References

Komutrattananont P, Mahakkanukrauh P, Das S. Morphology of the human aorta and age-related changes: anatomical facts. Anat Cell Biol. 2019;52(2):109â€114.
Dagenais F. Anatomy of the thoracic aorta and of its branches. Thorac Surg Clin. 2011;21(2):219â€viii.
Kandathil A, Chamarthy M. Pulmonary vascular anatomy & anatomical variants. Cardiovasc Diagn Ther. 2018;8(3):201â€207.
Clift PF, Cervi E. A review of thoracic aortic aneurysm disease. Echo Res Pract. 2019;7(1):R1â€R10.
Chironi G, Orobinskaia L, MÃ©gnien JL, et al. Early thoracic aorta enlargement in asymptomatic individuals at risk for cardiovascular disease: determinant factors and clinical implication. J Hypertens. 2010;28(10):2134â€2138.
MulÃ¨ G, Nardi E, Morreale M, et al. The relationship between aortic root size and hypertension: an unsolved conundrum. Adv Exp Med Biol. 2017;956:427â€445.
Standring S. Grayâ€™s anatomy: the anatomical basis of clinical practice. 41st edition. Edinburgh, New York: Elsevier; 2016:998.
Mohammadi S, Hedjazi A, Sajjadian M, Ghoroubi N, Mohammadi M, Erfani S. Study of the normal heart size in Northwest part of Iranian population: a cadaveric study. J Cardiovasc Thorac Res. 2016;8(3):119â€125.
Mannan S, Khalil M, Rahman M, Ahmed MS. Measurement of different external dimensions of the heart in adult Bangladeshi cadaver. Mymensingh Med J. 2009;18(2):175â€178.
Redheuil A, Yu WC, Mousseaux E, et al. Age-related changes in aortic arch geometry: relationship with proximal aortic function and left ventricular mass and remodeling. J Am Coll Cardiol. 2011;58(12):1262â€1270.
McComb BL, Munden RF, Duan F, Jain AA, Tuite C, Chiles C. Normative reference values of thoracic aortic diameter in American College of Radiology Imaging Network (ACRIN 6654) arm of National Lung Screening Trial. Clin Imaging. 2016;40(5):936â€943.
Aboulhoda BE, Ahmed RK, Awad AS. Clinically-relevant morphometric parameters and anatomical variations of the aortic arch branching pattern. Surg Radiol Anat. 2019;41(7):731â€744.
Shin IY, Chung YG, Shin WH, Im SB, Hwang SC, Kim BT. A morphometric study on cadaveric aortic arch and its major branches in 25 korean adults : the perspective of endovascular surgery. J Korean Neurosurg Soc. 2008;44(2):78â€83.
Chiu P, Lee HP, Venkatesh SK, Ho P. Anatomical characteristics of the thoracic aortic arch in an Asian population. Asian Cardiovasc Thorac Ann. 2013;21(2):151â€159.
Bozlar U, Ors F, Deniz O, et al. Pulmonary artery diameters measured by multidetector-row computed tomography in healthy adults. Acta Radiol. 2007;48(10):1086â€1091.
Truong QA, Massaro JM, Rogers IS, et al. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: the Framingham Heart Study. Circ Cardiovasc Imaging. 2012;5(1):147â€154.
Secomb TW. Hemodynamics. Compr Physiol. 2016;6(2):975â€1003.
Erbel R, Eggebrecht H. Aortic dimensions and the risk of dissection. Heart. 2006;92(1):137â€142.
Saliba E, Sia Y; In collaboration with. The ascending aortic aneurysm: When to intervene?. Int J Cardiol Heart Vasc. 2015;6:91â€100.
Lange TJ, Dornia C, Stiefel J, et al. Increased pulmonary artery diameter on chest computed tomography can predict borderline pulmonary hypertension. Pulm Circ. 2013;3(2):363â€368.

[1] Komutrattananont P, Mahakkanukrauh P, Das S. Morphology of the human aorta and age-related changes: anatomical facts. Anat Cell Biol. 2019;52(2):109â€114.

[2] Dagenais F. Anatomy of the thoracic aorta and of its branches. Thorac Surg Clin. 2011;21(2):219â€viii.

[3] Kandathil A, Chamarthy M. Pulmonary vascular anatomy & anatomical variants. Cardiovasc Diagn Ther. 2018;8(3):201â€207.

[4] Clift PF, Cervi E. A review of thoracic aortic aneurysm disease. Echo Res Pract. 2019;7(1):R1â€R10.

[5] Chironi G, Orobinskaia L, MÃ©gnien JL, et al. Early thoracic aorta enlargement in asymptomatic individuals at risk for cardiovascular disease: determinant factors and clinical implication. J Hypertens. 2010;28(10):2134â€2138.

[6] MulÃ¨ G, Nardi E, Morreale M, et al. The relationship between aortic root size and hypertension: an unsolved conundrum. Adv Exp Med Biol. 2017;956:427â€445.

[7] Standring S. Grayâ€™s anatomy: the anatomical basis of clinical practice. 41st edition. Edinburgh, New York: Elsevier; 2016:998.

[8] Mohammadi S, Hedjazi A, Sajjadian M, Ghoroubi N, Mohammadi M, Erfani S. Study of the normal heart size in Northwest part of Iranian population: a cadaveric study. J Cardiovasc Thorac Res. 2016;8(3):119â€125.

[9] Mannan S, Khalil M, Rahman M, Ahmed MS. Measurement of different external dimensions of the heart in adult Bangladeshi cadaver. Mymensingh Med J. 2009;18(2):175â€178.

[10] Redheuil A, Yu WC, Mousseaux E, et al. Age-related changes in aortic arch geometry: relationship with proximal aortic function and left ventricular mass and remodeling. J Am Coll Cardiol. 2011;58(12):1262â€1270.

[11] McComb BL, Munden RF, Duan F, Jain AA, Tuite C, Chiles C. Normative reference values of thoracic aortic diameter in American College of Radiology Imaging Network (ACRIN 6654) arm of National Lung Screening Trial. Clin Imaging. 2016;40(5):936â€943.

[12] Aboulhoda BE, Ahmed RK, Awad AS. Clinically-relevant morphometric parameters and anatomical variations of the aortic arch branching pattern. Surg Radiol Anat. 2019;41(7):731â€744.

[13] Shin IY, Chung YG, Shin WH, Im SB, Hwang SC, Kim BT. A morphometric study on cadaveric aortic arch and its major branches in 25 korean adults : the perspective of endovascular surgery. J Korean Neurosurg Soc. 2008;44(2):78â€83.

[14] Chiu P, Lee HP, Venkatesh SK, Ho P. Anatomical characteristics of the thoracic aortic arch in an Asian population. Asian Cardiovasc Thorac Ann. 2013;21(2):151â€159.

[15] Bozlar U, Ors F, Deniz O, et al. Pulmonary artery diameters measured by multidetector-row computed tomography in healthy adults. Acta Radiol. 2007;48(10):1086â€1091.

[16] Truong QA, Massaro JM, Rogers IS, et al. Reference values for normal pulmonary artery dimensions by noncontrast cardiac computed tomography: the Framingham Heart Study. Circ Cardiovasc Imaging. 2012;5(1):147â€154.

[17] Secomb TW. Hemodynamics. Compr Physiol. 2016;6(2):975â€1003.

[18] Erbel R, Eggebrecht H. Aortic dimensions and the risk of dissection. Heart. 2006;92(1):137â€142.

[19] Saliba E, Sia Y; In collaboration with. The ascending aortic aneurysm: When to intervene?. Int J Cardiol Heart Vasc. 2015;6:91â€100.

[20] Lange TJ, Dornia C, Stiefel J, et al. Increased pulmonary artery diameter on chest computed tomography can predict borderline pulmonary hypertension. Pulm Circ. 2013;3(2):363â€368.

Aortic enlargement: a case report of cadaveric heart and great vessels dimensions

Abstract

References

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