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Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population
BACKGROUND: The aorta is the largest and strongest artery in the body that plays an important role in the control of systemic vascular resistance and heart rate. Aortic diseases contribute to the wide spectrum of arterial diseases that may be diagnosed after a long period of subclinical development....
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519996/ https://www.ncbi.nlm.nih.gov/pubmed/34652562 http://dx.doi.org/10.1186/s43044-021-00216-y |
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author | Ismail, Ahmed Shehata Mohamed Al-Suraimi, Shareefa Ali Mohammad El Hossary, Hossam El Din Ghanem Salem, Mohamed Ali Kandil, Hossam Ibrahim Hamed |
author_facet | Ismail, Ahmed Shehata Mohamed Al-Suraimi, Shareefa Ali Mohammad El Hossary, Hossam El Din Ghanem Salem, Mohamed Ali Kandil, Hossam Ibrahim Hamed |
author_sort | Ismail, Ahmed Shehata Mohamed |
collection | PubMed |
description | BACKGROUND: The aorta is the largest and strongest artery in the body that plays an important role in the control of systemic vascular resistance and heart rate. Aortic diseases contribute to the wide spectrum of arterial diseases that may be diagnosed after a long period of subclinical development. Multidetector computed tomographic scanners (≥ 64 detector rows) for aortic imaging remain one of the most preferred imaging techniques for diagnosis and follow-up of aortic conditions in acute as well as chronic presentations. The aim of this study is to establish a normal reference values for aortic diameters among Egyptian population and to find which of the cardiovascular risk factors could be an independent determinant of the aortic diameters. RESULTS: Five hundred and sixteen Egyptian individuals were enrolled in our study, the mean age was 53.5 ± 10.9, and males comprised 61.4% of the study population. Aortic root diameters measured at the annulus, sinus and STJ were 23.09 ± 2.55 mm, 33.75 ± 3.93 mm and 26.13 ± 3.05 mm, respectively. The BSA-indexed diameters were 11.70 ± 1.39, 17.10 ± 2.10 and 13.25 ± 1.65, respectively. The diameter of the tubular part of ascending aorta was 30.97 ± 4.16 mm, and the BSA-indexed diameter was 15.71 ± 2.28. The aortic diameters measured at the level of the pulmonary bifurcation were 24.56 ± 2.95 mm and 23.79 ± 2.96 mm at systolic and diastolic phases, respectively. The BSA-indexed diameters were 12.44 ± 1.52 and 12.05 ± 1.52 at systolic and diastolic phases, respectively. At the diaphragmatic level, the mean diameters were 22.39 ± 2.72 mm and 21.49 ± 2.79 mm at systolic and diastolic phases, respectively. The BSA-indexed diameters were 11.34 ± 1.43 and 10.98 ± 1.48 at systolic and diastolic phases, respectively. Age, gender, BSA, BMI and hypertension were statistically significant independent predictors of ascending and descending aortic diameters. CONCLUSIONS: Our study established a normal reference value for thoracic aortic diameters among Egyptians using contrast enhanced MSCT aortography. Age, Gender, BSA, BMI and hypertension are the major determinants of aortic diameters. |
format | Online Article Text |
id | pubmed-8519996 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-85199962021-10-29 Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population Ismail, Ahmed Shehata Mohamed Al-Suraimi, Shareefa Ali Mohammad El Hossary, Hossam El Din Ghanem Salem, Mohamed Ali Kandil, Hossam Ibrahim Hamed Egypt Heart J Research BACKGROUND: The aorta is the largest and strongest artery in the body that plays an important role in the control of systemic vascular resistance and heart rate. Aortic diseases contribute to the wide spectrum of arterial diseases that may be diagnosed after a long period of subclinical development. Multidetector computed tomographic scanners (≥ 64 detector rows) for aortic imaging remain one of the most preferred imaging techniques for diagnosis and follow-up of aortic conditions in acute as well as chronic presentations. The aim of this study is to establish a normal reference values for aortic diameters among Egyptian population and to find which of the cardiovascular risk factors could be an independent determinant of the aortic diameters. RESULTS: Five hundred and sixteen Egyptian individuals were enrolled in our study, the mean age was 53.5 ± 10.9, and males comprised 61.4% of the study population. Aortic root diameters measured at the annulus, sinus and STJ were 23.09 ± 2.55 mm, 33.75 ± 3.93 mm and 26.13 ± 3.05 mm, respectively. The BSA-indexed diameters were 11.70 ± 1.39, 17.10 ± 2.10 and 13.25 ± 1.65, respectively. The diameter of the tubular part of ascending aorta was 30.97 ± 4.16 mm, and the BSA-indexed diameter was 15.71 ± 2.28. The aortic diameters measured at the level of the pulmonary bifurcation were 24.56 ± 2.95 mm and 23.79 ± 2.96 mm at systolic and diastolic phases, respectively. The BSA-indexed diameters were 12.44 ± 1.52 and 12.05 ± 1.52 at systolic and diastolic phases, respectively. At the diaphragmatic level, the mean diameters were 22.39 ± 2.72 mm and 21.49 ± 2.79 mm at systolic and diastolic phases, respectively. The BSA-indexed diameters were 11.34 ± 1.43 and 10.98 ± 1.48 at systolic and diastolic phases, respectively. Age, gender, BSA, BMI and hypertension were statistically significant independent predictors of ascending and descending aortic diameters. CONCLUSIONS: Our study established a normal reference value for thoracic aortic diameters among Egyptians using contrast enhanced MSCT aortography. Age, Gender, BSA, BMI and hypertension are the major determinants of aortic diameters. Springer Berlin Heidelberg 2021-10-15 /pmc/articles/PMC8519996/ /pubmed/34652562 http://dx.doi.org/10.1186/s43044-021-00216-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Ismail, Ahmed Shehata Mohamed Al-Suraimi, Shareefa Ali Mohammad El Hossary, Hossam El Din Ghanem Salem, Mohamed Ali Kandil, Hossam Ibrahim Hamed Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population |
title | Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population |
title_full | Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population |
title_fullStr | Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population |
title_full_unstemmed | Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population |
title_short | Multidetector computed tomography study to measure thoracic aorta diameters in Egyptian population |
title_sort | multidetector computed tomography study to measure thoracic aorta diameters in egyptian population |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519996/ https://www.ncbi.nlm.nih.gov/pubmed/34652562 http://dx.doi.org/10.1186/s43044-021-00216-y |
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