Thoracic Aortic Aneurysms (TAA)

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When a weak area of the thoracic aorta expands or bulges, it is called a Thoracic Aortic Aneurysm (TAA). Approximately 25 per cent of aortic aneurysms occur in the chest, with the remainder involving the abdominal aorta. Thoracic aneurysms affect thousands of people in Australia each year. Some patients may have more than one TAA, or may also have an aneurysm in the abdominal aorta (AAA). Large aneurysms close to the heart can affect the heart’s valves.

TAAs are often found incidentally and many are initially monitored rather than treated immediately. Regular imaging is used to track the size and rate of growth. Repair is typically considered when the aneurysm diameter exceeds 5.5 to 6 cm, or when growth is rapid.

Treatment

Treatment options include open surgical repair of the thoracic aorta and endovascular thoracic stent-graft repair (TEVAR), a minimally invasive alternative in which a stent-graft is delivered through the blood vessels to seal the aneurysm. The appropriate approach depends on the location, size and anatomy of the aneurysm. Dr Garbowski will discuss the risks and benefits of each option at consultation.

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Treatments Available for Thoracic Aortic Aneurysms (TAA)

Below are some of the treatments we have available for Thoracic Aortic Aneurysms (TAA). Click on the below to learn more or get in touch with us to request a consultation.

Endovascular Aortic Aneurysm Repair (EVAR/FEVAR/BEVAR)

EVAR, FEVAR and BEVAR are minimally invasive techniques for repairing aortic aneurysms using a stent-graft delivered through small incisions in the groin. They offer shorter hospital stays and faster recovery compared to traditional open surgery.

Open Aortic Surgery

Open aortic surgery repairs life-threatening aortic aneurysms and dissections by replacing the weakened section of the aorta with a synthetic graft. It remains the preferred approach for complex aortic conditions not suited to endovascular techniques.

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Frequently Asked Questions

What is a thoracic aortic aneurysm?

A thoracic aortic aneurysm (TAA) is a localised enlargement of the aorta in the chest cavity. Unlike abdominal aortic aneurysms, thoracic aneurysms can affect the aortic root, ascending aorta, arch, or descending thoracic aorta. They are often silent until they reach a significant size.

What symptoms are associated with a thoracic aortic aneurysm?
How are thoracic aortic aneurysms monitored?
When is surgery recommended for a thoracic aortic aneurysm?
What is TEVAR?