Komutrattananont Pornhatai, Mahakkanukrauh Pasuk, Das Srijit
Department of Anatomy, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Forensic Osteology Research Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Anat Cell Biol. 2019 Jun;52(2):109-114. doi: 10.5115/acb.2019.52.2.109. Epub 2019 Jun 30.
Aorta is the largest artery in the human body. Its starting point is the aortic orifice of the aortic valve and it terminates at the level of the fourth lumbar vertebra. The main function of the aorta is to transport oxygenated blood to supply all the organs and cells. With advancing age, the structure and hence the function show progressive changes. Various changes in the aortic morphology include the luminal diameter of aorta, whole length of the aorta, thickness, the microstructural components also change, and these include collagen, elastin and smooth muscle cells. In addition, the dimensions of all segments of the aorta increase with age in both sexes. Since age is a major risk factor for degenerative change and diseases affecting the aorta, understanding the detailed anatomy of the aorta may provide essential information concerning the age-associated process of the aorta. Knowledge of the morphological changes in the aorta is also important for future clinical therapies pertaining to aortic disease. Additionally, the information regarding the structural changes with age may be applied for age determination. This review describes the overview of the anatomy of the aorta, age related changes in the morphology of the aorta and aortic diseases.
主动脉是人体最大的动脉。其起点是主动脉瓣的主动脉口,终点在第四腰椎水平。主动脉的主要功能是输送含氧血液以供应所有器官和细胞。随着年龄的增长,其结构进而功能会出现渐进性变化。主动脉形态的各种变化包括主动脉的管腔直径、主动脉全长、厚度,微观结构成分也会改变,这些成分包括胶原蛋白、弹性蛋白和平滑肌细胞。此外,主动脉各段的尺寸在两性中都会随年龄增加。由于年龄是影响主动脉退行性变化和疾病的主要危险因素,了解主动脉的详细解剖结构可能会提供有关主动脉与年龄相关过程的重要信息。了解主动脉形态变化的知识对于未来主动脉疾病的临床治疗也很重要。此外,有关随年龄结构变化的信息可用于年龄测定。本综述描述了主动脉的解剖概述、主动脉形态与年龄相关的变化以及主动脉疾病。