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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.

Preventive Screening RequiredPersonalized Treatment

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.

Doctor pointing to the thoracic and abdominal aorta on a human body — anatomical illustration of the aorta

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

Comparison of a normal aorta with an abdominal aortic aneurysm — medical anatomical illustration

Normal vs Abdominal Aneurysm

Illustration of the aortic aneurysm mechanism — diagrammatic representation

Aneurysm Mechanism

Treatment

When does an aneurysm require treatment?

When the aneurysm

a)

Critical Diameter

Exceeds a critical diameter

b)

Morphology

Has a specific morphology associated with a significantly increased risk of rupture

c)

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 aneurysm repair (EVAR) — stent graft inside the aorta

Endovascular Repair - EVAR

Classic Open Surgery

The aorta is replaced with a synthetic graft.

Classic open aortic surgery — replacement 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

  1. 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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