Descending thoracic aorta

The descending thoracic aorta is a part of the aorta located in the thorax. It is a continuation of the aortic arch. It is located within the posterior mediastinal cavity, but frequently bulges into the left pleural cavity. The descending thoracic aorta begins at the lower border of the fourth thoracic vertebra and ends in front of the lower border of the twelfth thoracic vertebra, at the aortic hiatus in the diaphragm where it becomes the abdominal aorta.

Thoracic aorta
Schematic view of aorta and its segments, with Descending thoracic aorta labeled near middle
The thoracic aorta, viewed from the left side.
Details
Sourcedescending aorta
Branchesbronchial arteries, esophageal arteries, posterior intercostal arteries, abdominal aorta, superior phrenic artery, pericardial arteries
Identifiers
Latinpars thoracica aortae, aorta thoracalis
MeSHD001013
TA98A12.2.11.001
TA24186
FMA3786
Anatomical terminology

At its commencement, it is situated on the left of the vertebral column; it approaches the median line as it descends; and, at its termination, lies directly in front of the column.

The descending thoracic aorta has a curved shape that faces forward, and has small branches. It has a radius of approximately 1.16 cm.[1]

Structure
Main article: Aorta

The descending thoracic aorta is part of the aorta, which has different parts named according to their structure or location. The descending thoracic aorta is a continuation of the descending aorta and becomes the abdominal aorta when it passes through the diaphragm. The initial part of the aorta, the ascending aorta, rises out of the left ventricle, from which it is separated by the aortic valve. The two coronary arteries of the heart arise from the aortic root, just above the cusps of the aortic valve. The aorta then arches back over the right pulmonary artery. Three vessels come out of the aortic arch: the brachiocephalic artery, the left common carotid artery, and the left subclavian artery. These vessels supply blood to the head, neck, thorax and upper limbs.

Behind the descending thoracic aorta is the vertebral column and the hemiazygos vein. To the right is the azygos veins and thoracic duct, and to the left is the left pleura and lung. In front of the descending thoracic aorta lies the root of the left lung, the pericardium, the esophagus, and the diaphragm.

The esophagus, which is covered by a nerve plexus lies to the right of the descending thoracic aorta. Lower, the esophagus passes in front of the aorta, and ultimately is situated on the left.

Function

The aorta is an artery that conveys oxygenated blood from the heart to other parts of the body. It is one of the largest arteries in the body.[2] The aorta gives off several paired branches as it descends. In descending order, these include the

Note: The posterior intercostal arteries are branches that originate throughout the length of the posterior aspect of the descending thoracic aorta.

Clinical significance
Histopathological image of dissecting aneurysm of descending thoracic aorta in a patient without evidence of Marfan's trait. The damaged aorta was surgically removed and replaced by artificial vessel. Victoria blue & HE stain.

Additional images
  • Transverse section of thorax, showing relations of pulmonary artery.
  • The arch of the aorta, and its branches.
  • Schematic of the thoracic aorta, showing major branches

References

This article incorporates text in the public domain from page 598 of the 20th edition of Gray's Anatomy (1918)

  1. Solutions to the Van der Pol Equation: a Model of Aortic Blood Flow
  2. "Aorta Anatomy". UF Health, University of Florida Health. 2013-08-08. Retrieved 2022-06-05.
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