Diagnostic and Interventional Radiology
Cardiovascular Imaging - Original Article

Prevalence of aortic root dilation in patients with CT angiography of the aorta


Department of Radiology, University of Pittsburgh Medical Center, Thoracic Imaging Division, Pittsburgh, PA, USA


Molecular Imaging Program, National Cancer Institute National Institutes of Health, Bethesda, Maryland, USA

Diagn Interv Radiol 2011; 17: 272-276
DOI: 10.4261/1305-3825.DIR.3437-10.1
Read: 710 Downloads: 484 Published: 03 September 2019


To investigate the prevalence of aortic root dilation in patients who underwent CT angiography of the thoracic aorta.


In 95 patients, 64-slice multislice computed tomography was performed for evaluation of the thoracic aorta. Measurements of the annulus, sinuses of valsalva (SOV), sinotubular junction (STJ), and maximum ascending aorta (AAo) were made by double oblique multiplanar reformation (MPR). For the AAo, STJ, and SOV, dilation was defined as greater than 40 mm; for annulus, the dilation criterion was greater than 27 mm.


Overall, 52 patients were diagnosed with a dilated AAo. Of those patients with dilated AAo, 28 patients had a dilated annulus, 27 patients had dilated SOV, and 11 patients had STJ dilation. Forty-three patients presented with normal AAo; 12 patients had annulus dilation; 12 patients had SOV dilation; and 4 patients had STJ dilation. In patients with dilated AAo, 38% also had a dilated annulus, 52% showed SOV dilation, and 21% presented with STJ dilation, compared to 28% annulus dilation, 28% SOV dilation, and 9% STJ dilation in patients with an AAo of normal caliber.


Our data indicate a higher prevalence of aortic root dilation among patients with dilated AAo.

EISSN 1305-3612