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Arterial dissections become life-threatening when growth of the false lumen prevents perfusion of the true lumen and the related end organs. For example, in an aortic dissection, if the left subclavian artery orifice were distal to the origin of the dissection, then the left subclavian would be said to be perfused by the false lumen, while the left common carotid (and its end organ, the left ...
Ritter Rules are a compilation of reminders, symptoms, and risk factors designed to prevent the misdiagnosis of thoracic aortic dissection. [54] The rules were named after Three's Company star John Ritter, who died from a thoracic aortic dissection in 2003 after he was misdiagnosed and mistakenly treated for a heart attack by his two doctors. [55]
The internal thoracic artery (ITA), also known as the internal mammary artery, is an artery that supplies the anterior chest wall and the breasts. [1] It is a paired artery, with one running along each side of the sternum , to continue after its bifurcation as the superior epigastric and musculophrenic arteries .
Aortography involves placement of a catheter in the aorta and injection of contrast material while taking X-rays of the aorta.The procedure is known as an aortogram. The diagnosis of aortic dissection can be made by visualization of the intimal flap and flow of contrast material in both the true lumen and the false lumen.
The thorax (pl.: thoraces or thoraxes) [1] or chest is a part of the anatomy of mammals and other tetrapod animals located between the neck and the abdomen. [2] [3]In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the body, each in turn composed of multiple segments.
The mediastinum (from Medieval Latin: mediastinus, lit. 'midway'; [2] pl.: mediastina) is the central compartment of the thoracic cavity.Surrounded by loose connective tissue, it is a region that contains vital organs and structures within the thorax, namely the heart and its vessels, the esophagus, the trachea, the vagus, phrenic and cardiac nerves, the thoracic duct, the thymus and the lymph ...
To the right is the azygos veins and thoracic duct, and to the left is the left pleura and lung. In front of the thoracic aorta lies the root of the left lung, the pericardium, the esophagus, and the diaphragm. The esophagus, which is covered by a nerve plexus lies to the right of the descending thoracic aorta. Lower, the esophagus passes in ...
By far the most common site for tearing in traumatic aortic rupture is the proximal descending aorta, near where the left subclavian artery branches off from the aorta. [7] The tethering of the aorta by the ligamentum arteriosum makes the site prone to shearing forces during sudden deceleration.