Ascending aorta

This article does not cite any references or sources. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (June 2009)

Artery: Ascending aorta
Plan of the branches.
The arch of the aorta, and its branches.
Latin	pars ascendens aortae, aorta ascendens
Gray's	subject #142
Branches	aortic arch, right coronary artery, left coronary artery
Precursor	truncus arteriosus

The ascending aorta is a portion of the aorta commencing at the upper part of the base of the left ventricle, on a level with the lower border of the third costal cartilage behind the left half of the sternum; it passes obliquely upward, forward, and to the right, in the direction of the heart’s axis, as high as the upper border of the second right costal cartilage, describing a slight curve in its course, and being situated, about 6 cm behind the posterior surface of the sternum. The total length is about 5 cm in length.

Components

The aortic root is the portion of the ascending aorta beginning at the aortic annulus and extending to the sinotubular junction. Between each commissure of the aortic valve and opposite the cusps of the aortic valve, three small dilatations called the aortic sinuses.

The sinotubular junction is the point in the ascending aorta where the aortic sinuses end and the aorta becomes a tubular structure.

Relations

At the union of the ascending aorta with the aortic arch the caliber of the vessel is increased, owing to a bulging of its right wall.

This dilatation is termed the bulb of the aorta, and on transverse section presents a somewhat oval figure.

The ascending aorta is contained within the pericardium, and is enclosed in a tube of the serous pericardium, common to it and the pulmonary artery.

The ascending aorta is covered at its commencement by the trunk of the pulmonary artery and the right auricula, and, higher up, is separated from the sternum by the pericardium, the right pleura, the anterior margin of the right lung, some loose areolar tissue, and the remains of the thymus; posteriorly, it rests upon the left atrium and right pulmonary artery.

On the right side, it is in relation with the superior vena cava and right atrium, the former lying partly behind it; on the left side, with the pulmonary artery.

Branches

The only branches of the ascending aorta are the two coronary arteries which supply the heart; they arise near the commencement of the aorta immediately above the attached margins of the aortic valve.

Additional images

Front view of heart and lungs.

External links

• 1905918009 at GPnotebook
• Ascending+aorta at eMedicine Dictionary

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated.

This cardiovascular system article is a stub. You can help Wikipedia by expanding it.