Thoracic Aortic Aneurysm

Overview

A thoracic aortic aneurysm is a bulge or weakening in the wall of the aorta—the main artery carrying blood from the heart—within the chest. As the vessel enlarges, the risk of tearing (dissection) or rupture increases, which can be life‑threatening. Careful monitoring, strict blood‑pressure control and timely referral for surgery are essential.

At The New Foscote Hospital, Banbury you’ll receive consultant‑led assessment, echocardiography and MRI imaging on site, same‑day CT referral to our sister hospital when needed, and a personalised plan to protect your heart and brain health.

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Why Early Detection Matters

• Prevents catastrophic rupture or aortic dissection
• Reduces risk of stroke, heart attack and sudden cardiac death
• Allows planned, lower‑risk surgery instead of emergency operations
• Optimises blood pressure, cholesterol and lifestyle factors before damage worsens
• Supports safe exercise, travel and medication choices

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Symptoms You Might Notice

Many TAAs cause no symptoms and are found incidentally. When present, warning signs can include:

• Dull, persistent chest, back or shoulder pain
• Hoarseness, cough or trouble swallowing if the aneurysm presses on nearby structures
• Shortness of breath or a “thumping” heart beat
• Sudden severe chest or back pain with tearing sensation (possible dissection—call 999 immediately)
• Fainting, stroke‑like symptoms or weak pulses (urgent assessment needed)

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Who Is Most At Risk?

• Uncontrolled high blood pressure
• Atherosclerosis (cholesterol plaque buildup)
• Genetic conditions: Marfan syndrome, Loeys–Dietz, Ehlers–Danlos (vascular type), bicuspid aortic valve
• Family history of aortic aneurysm or sudden unexplained death
• Smoking (current or past) and chronic lung disease
• Long‑term steroid use or inflammatory diseases of the aorta
• Age over 60, especially in men

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When To Seek Medical Advice

Phone 01295 252 281 if you:

• Have been told you have an enlarged aorta and want ongoing monitoring
• Experience persistent chest or back discomfort without a clear cause
• Have a strong family history of aortic disease or a known genetic syndrome
• Need advice about exercise limits, pregnancy or surgery with a known aneurysm

Dial 999 if you develop sudden severe chest/back pain, collapse, stroke symptoms or breathlessness.

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How We Diagnose And Monitor TAA

1. Consultant Cardiology Review – detailed history, blood‑pressure check and cardiovascular examination in our Cardiology Service.
2. On‑Site Echocardiography & MRI – assess aortic size, valve function and heart performance in our onsite MRI Imaging Centre.
3. Same‑Day CT Referral (If Needed) – CT angiography performed at our sister site, The Royal Buckinghamshire Hospital, to map the full aorta or plan surgery.
4. Laboratory Tests – lipid profile, kidney function and inflammatory markers via our Blood‑Testing Service.
5. Genetic Counselling Referral – arranged if a heritable aortopathy is suspected.
6. Structured Surveillance – imaging intervals (typically 6–12 months) tailored to aneurysm size, growth rate and risk factors.

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Treatment And Ongoing Support

Medical Management

• Tight blood‑pressure control with beta‑blockers or ARBs
• Statins and antiplatelet therapy where indicated
• Smoking cessation and alcohol moderation with the Private GP Service
• Weight management and Mediterranean‑style nutrition through the Dietetic Team

Activity Guidance

• Safe, moderate exercise encouraged; avoid heavy lifting or isometric strain
• Physiotherapy‑led cardiac rehabilitation in the Rehabilitation Service to build fitness safely

Surgical/Endovascular Referral

• Rapid pathways to regional cardiac and vascular centres for open repair or TEVAR (thoracic endovascular aortic repair) when size or symptoms dictate
• Pre‑ and post‑procedure care coordinated back at The New Foscote Hospital

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Why Choose The New Foscote Hospital

• Consultant‑delivered cardiology clinics with appointments usually available within one week
• Echocardiography and MRI on site; seamless CT access via our sister hospital
• Integrated dietetic, rehabilitation and GP services—no need to travel between providers
• Calm, private environment with flexible scheduling and free on‑site parking
• Close coordination with tertiary cardiac and vascular surgeons for timely intervention

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Frequently Asked Questions

What Size Aneurysm Needs Surgery?
General thresholds are around 5.5 cm for the ascending aorta and 6.0 cm for the descending aorta, but this varies with genetics, growth rate and body size. Your cardiologist will individualise the decision.

Can Medication Shrink An Aneurysm?
Drugs don’t shrink the aorta but slow growth and reduce stress on the vessel wall, lowering rupture risk.

Is It Safe To Exercise?
Yes—light‑to‑moderate aerobic activity is encouraged. Avoid heavy lifting or straining. Our physiotherapists can create a safe plan.

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Protect Your Aorta And Your Future

Call 01295 252 281 or enquire online to arrange your thoracic aortic aneurysm assessment and personalised management plan.