Thoracic aortic sclerosis is a condition that occurs mainly due to aging, lipid deposition, and hemodynamic changes that occur with long-term hypertension. After the appearance of thoracic aortic sclerosis, patients should clarify the specific factors, if it is caused by their own age, generally speaking, no special treatment is required. If there is hypertension or hyperlipidemia, there is strict control of blood pressure and blood lipids. Thoracic aortic sclerosis indicates that all arteries in the body may be sclerotic, and patients should be promptly checked for carotid artery sclerosis and coronary artery sclerosis. Generally speaking, carotid and coronary artery sclerosis are more dangerous and may lead to ischemic stroke or coronary heart disease, which should be treated promptly. If there is thoracic aortic sclerosis and severe coronary artery disease or plaque in the carotid artery, medication is needed.