Aortic Arch Angle and Aortic Arch Morphometry in COVID 19 Patients: A Radioanatomical Study

Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 42 - 7, 19.10.2023

Rukiye Çiftçi , Hilal Er Ulubaba , Sibel Ateşoğlu Karabaş

https://doi.org/10.37990/medr.1341019

Abstract

Aim: In endovascular surgery, knowing the morphometry of the aortic arch increases the success of surgery. The aim of this study was to examine the angle and morphometry of aortic arch in COVID 19 patients and to compare these with healthy individuals to find out the effect of the disease on the vessel.
Material and Methods: A total of 120 individuals - 60 COVID 19 (30 females, 30 males) patients and 60 healthy (30 females, 30 males) individuals participated in the study. In the study, the parameters of aortic arch angle (AAA), aortic arch diameter (AAD), aortic arch (AA) branches of brachiocephalic trunk diameter (BTD), left common carotid artery diameter (LCCAD), left subclavian artery diameter (LSAD), transverse superior thoracic aperture length (TR-STAL) and anteroposterior superior thoracic aperture length (AP-STAL), transverse inferior thoracic aperture length (TR-ITAL) and anteroposterior inferior thoracic aperture length (AP-ITAL) were measured from thoracic computed tomography images.
Results: As a result of the study, when female and male patients with COVID-19 were compared, LCCAD, LSAD, AP-ITAL, TR-ITAL values were found to be higher in favour of male patients. While Proximal AAD, BTD, LCCAD and LSAD values were higher in female patients with COVID 19 when compared with control group female patients, Proximal AAD, BTD, LCCAD, LSAD, AP-STAL, TR-STAL, AP-ITAL, TR-ITAL values were higher in male patients with COVID 19 when compared with control group male patients. When the measurements of COVID 19 and control group individuals were compared, Proximal AAD, BTD, ACCS, LSAD, TR-STAL, AP-ITAL and TR-ITAL values were found to be higher in favour of COVID 19 patients.
Conclusion: COVID 19 is an important disease that causes dilatation of the AA and its branches. We think that diseases that can change oxygen saturation such as COVID19 can change aortic morphology.

Keywords

COVID 19, Aortic arch, superior-inferior thoracic aperture, morphometry, Thoracic computed tomography

COVID 19 Hastalarında Arcus Aorta Açısı ve Arcus Aorta Morfometrisi: Radyoanatomik bir Çalışma

Abstract

Amaç: Endovasküler cerrahide Arcus Aorta morfometrisininin bilinmesi cerrahinin başarısını arttırmaktadır. Bu çalışmada COVID 19 hastalarında Arcus Aorta Açısı ve Arcus Aorta Morfometrisini inceleyip, sağlıklı bireylerle karşılaştırarak hastalığın damar üzerindeki etkisini belirlemeyi amaçlandı.
Gereç ve Yöntem: Bu çalışmaya 60 COVID 19 (30 Kadın, 30 Erkek) hastası ve 60 sağlıklı (30 Kadın, 30 Erkek) birey olmak üzere toplamda 120 birey katıldı. Çalışmada arcus aorta açısı (AAA), arcus aorta çapı (AAD), arcus aorta (AA) dalları olan truncus brachiocephalicus çapı (TBD), sol a. carotis communis çapı (LACCD), sol a. subclavia çapı (ASSD), apertura torasika superior transvers (ATSD-TR) ve anteroposterior uzunluk (ATSD-AP), apertura torasika inferior transvers (ATID-TR) ve anteroposterior uzunluk (ATID-AP) parametreleri Torax Bilgisayarlı Tomografi görüntülerinden ölçüldü.
Bulgular: Çalışmanın sonucunda COVID-19’lu kadın ve erkek hastalar karşılaştırıldığında ACCSD, ASSD, ATID-AP, ATID-TR değerleri erkek hastalar lehine yüksekti. COVID 19’lu kadın hastalarda kontrol grubundaki kadınlara göre Proximal AAD, TBD, ACCSD ve ASSD değerleri yüksekken; COVID 19’lu erkek hastalarda Proximal AAD, TBD, ACCSD, ASSD, ATSD-AP, ATSD-TR, ATID-AP, ATID-TR yine kontrol grubundaki erkek hastalara göre yüksekti. COVID 19 ve Kontrol grubu bireylerin ölçümlerini karşılaştırdığımızda Proximal AAD, TBD, ACCS, ASSD, ATSD-TR, ATID-AP ve ATID-TR değerleri COVID 19 hastaları lehine yüksekti.
Sonuç: COVID 19 AA ve dallarının dilatasyonunu sağlayan önemli bir hastalıktır. COVID19 gibi oksijen satürasyonunu değiştiren hastalıklar aort morfolojisini değiştirebildiğini düşünüyoruz.

Keywords

COVID 19, Arcus Aorta, Apertura torasika superior-inferior, morfometri, Torax Bilgisayarlı Tomografi

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