Arterial Diseases
Thoracic & Abdominal Aorta
Written byTriantafyllos Giannakopoulos MD, PhD, FEBVS, FACSMedically reviewed: 27 July 2026
Specialized diagnosis and treatment of aortic aneurysms with modern endovascular techniques.
What is the Aorta
Thoracic & Abdominal aorta
The aorta is the artery (vessel = tube) through which the heart sends arterial blood to the entire body, giving off branches as it moves away. In its course through the chest it is called the Thoracic Aorta, while in its course through the abdomen it is called the Abdominal Aorta and ends in the 2 Iliac arteries, each of which supplies blood to half of the pelvis and the corresponding lower limb.

Thoracic & Abdominal Aorta
Mechanism
How an aneurysm occurs & what to avoid
When the walls of the aorta weaken (thin) and the aorta enlarges with a diameter increase over 50%, this dilation is called an aneurysm and there is a risk of rupture (bursting), causing potentially fatal internal bleeding. Risk factors for aneurysm development include smoking, age over 65, and a positive family history. Preventive screening with abdominal aortic ultrasound is important because in the majority of cases, an abdominal aortic aneurysm causes no symptoms before it ruptures.
Smoking
Increased risk with age
Age over 65
Positive family history
Heredity
Genetic predisposition for aneurysm

Normal vs Abdominal Aneurysm

Aneurysm Mechanism
Treatment
When does an aneurysm require treatment?
When the aneurysm
Critical Diameter
Exceeds a critical diameter
Morphology
Has a specific morphology associated with a significantly increased risk of rupture
Symptoms
Causes symptoms (e.g. back pain) suggesting impending rupture
Restoration Methods
Endovascular Repair - EVAR
Minimally invasive with a stent graft (covered stent) from the femoral arteries.

Endovascular Repair - EVAR
Classic Open Surgery
The aorta is replaced with a synthetic graft.

Classic Open Surgery
Our Vascular Surgeon has significant experience in repairing abdominal aortic aneurysms with both methods, achieving excellent results, while the choice of method is individualized for each patient and the morphology of their aneurysm.
Specialization
Personalized Treatment for Aortic and Iliac Artery Aneurysms
Additionally, the Vascular Surgeon in charge of Vascular Therapy has also specialized in the endovascular management of more complex Thoracoabdominal aneurysms, preserving the aortic branches with specialized techniques such as custom-made fenestrated and/or branched stent grafts (Fenestrated-EVAR, Branched-EVAR) as well as the full range of CHIMPS techniques (parallel grafts).
Fenestrated-EVAR
Custom-made fenestrated stent grafts
Branched-EVAR
Branched stent grafts for complex aneurysms
CHIMPS Techniques
Parallel grafts for aortic branch preservation
References
- Wanhainen A, Van Herzeele I, Bastos Goncalves F, et al. ESVS 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms. Eur J Vasc Endovasc Surg 67(1):192 (2024) — doi.org/10.1016/j.ejvs.2023.11.002
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