AORTIC ANEURYSM THORACIC AORTIC ANEURYSM and ABDOMINAL AORTIC ANEURYSM Etiology Symptoms with Treatment

AORTIC ANEURYSM Etiology SymptomsATRIAL FLUTTER Symptoms Causes Diagnosis with Treatment. Read more ... » with TreatmentATRIAL FLUTTER Symptoms Causes Diagnosis with Treatment. Read more ... »

• Aneurysm is a pathological dilatation of a seg­ment of vessel.
• An aneurysm affecting any part of the aorta from the aortic valve to the iliac arteries.
• True aneurysm involves all 3 layers of an ar­tery or vein or heartATRIAL FLUTTER Symptoms Causes Diagnosis with Treatment. Read more ... ».
• Pseudo aneurysm is a breakage of intima and media of the blood vessels, sometimes contain­ing a clot, and lined by adventitial layer.
• A fusiform aneurysm is a diffusely dilated aneu­rysm.
• A saccular aneurysm is a bulging of the vessel
• wall.

AORTIC ANEURYSM Etiology Symptoms with Treatment

Aneurysm may be abdominal or thoracic.

Etiology :

• AtherosclerosisAcute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology. Read more ... »
• Cystic medial necrosis -as in Marfan syndromeMetabolic,Insulin Resistance Syndrome X Causes Symptoms. Read more ... », Ehlers-Danlos syndrome etc.
• Thoracic aneurysms occur most commonly in the sixth and seventh decade of life.
• HypertensionGrave's disease Causes and Treatment. Read more ... » is an important risk factor, being present in over 60 percent of patients
• Syphilis
• Tuberculosis
• Mycotic aneurysm (An aneurysm dU~jo_staphy­lococcal,~treP-tococcal or salmonella infection qf the aorta gn a plaque~ .
• these are infected saccu­[ar aneurysl1Js).
• Takayasu diseaseATRIAL FLUTTER Symptoms Causes Diagnosis with Treatment. Read more ... » Trauma Congenital Vasculitis.

Types –

• Thoracoabdominal aneurysms — 10 %
• Descending aortic aneurysms distal to the left subclavian artery — 40%
• Ascending aortic aneurysms arise anywhere from the aortic valve to the innominate artery — 60%
• Aortic arch aneurysms include any thoracic aneurysm that involves the brachiocephalic vessels — 10 %

THORACIC AORTIC ANEURYSM

Usually asymptomatic

Symptoms

• Chest painApproach to Chest Pain Differential diagnosis of chest pain. Read more ... »
• Dyspnoea
• CoughInfluenza SARS and Whooping Cough Signs and Symptoms with Diagnosis and Treatment. Read more ... »
• Dysphagia.
• -AR
• CHF
• Superior vena cava
• syndrome.

Investigations

• X-ray chest
• - 2D echocardiography2D Echocardiography Dobutamine Stress Echocardiography. Read more ... »
• - TEE – trans esophageal
• echocardiography2D Echocardiography Dobutamine Stress Echocardiography. Read more ... »
• - CT
• - MRI
• - Aortography .

Treatment

• Beta blockersMANAGEMENT of Acute Myocardial Infarction (AMI) -1. Read more ... »
• Antihypertensives
• Prosthetic grafts
• Other surgeries.

ABDOMINAL AORTIC ANEURYSM

• aneurysm is a focal dilation of a blood vessel with respect to the original or adjacent artery
• More common in elderly males
• Abdominal aortic aneurysm occurs four to five times more commonly in men than women ,
• The aneurysm is usually below the level of renalDiabetic Nephropathy and Renal complications of DM (Diabetes Mellitus). Read more ... » arteries
• Peripheral embolization is common due to ath­erosclerosis
• Abdominal aortic aneurysm in more common in patients with atherosclerosis
• Usually asymptomatic.

Investigations: -

• X-ray abdomen -
• Ultrasound
• - CT, MRI
• - Aortography.

Treatment

• Operative repair if diameter of aneurysm more than 5.5 em.
• Prosthetic graft, endovascular stents.