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The aorta is the main vessel leaving the heart. It progresses upwards in the chest cavity (Ascending Aorta), turns by giving branches to the head and arms, and continues downwards to the internal organs and legs.
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There is an aortic valve between the heart and the aortic vessel. This valve opens towards the aorta in one direction and ensures that the pumped blood does not return to the heart.
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If the aortic vessel reaches twice the diameter than it should be; It is called aortic ballooning (aneurysm). There is a risk of rupture of the enlarged vein. For this reason, when an aneurysm is detected, it should be followed closely and surgery should be performed if necessary.
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Ascending aortic aneurysm is usually detected during echocardiography (heart ultrasound). If enlargement is seen on echocardiography, the entire aorta should be evaluated with medicated tomography.
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When the aortic vessel is enlarged, the leaflets of the aortic valve where it connects to the heart cannot come to the tip, and leakage in the aortic valve is accompanied by ballooning in most cases.
Surgery
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The extent to which the ascending aortic aneurysm expands There are various surgical options depending on whether there is a leak in the aortic valve or not.
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The purpose of surgery is to remove the entire structurally damaged (ballooned) vessel and replace it with a synthetic vessel.
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If the vein has ballooned from where it exits the heart and there is a leak in the valve; The valve is replaced or repaired, and the aortic vessel is replaced with a synthetic vessel.
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If the vascular ballooning extends to the vessels supplying the head and arms (arcus aneurysm); Surgical examinations that protect brain circulation are used.
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It should be performed in experienced centers by surgeons who perform many of these surgeries.
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