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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Related Experiment Video

Updated: Jul 14, 2026

Manufacturing Abdominal Aorta Hydrogel Tissue-Mimicking Phantoms for Ultrasound Elastography Validation
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Published on: September 19, 2018

Inflammatory abdominal aortic aneurysms. A 20-year experience.

I Dalainas1, G Nano, M Ranucci

  • 1First Unit of Vascular Surgery, Istituto Policlinico San Donato, University of Milan, Milan, Italy. hdlns@freemail.gr

The Journal of Cardiovascular Surgery
|May 17, 2007
PubMed
Summary

Surgical repair of inflammatory abdominal aortic aneurysms shows good early and late outcomes. However, a high rate of pseudoaneurysm formation requires careful monitoring and potential reoperation.

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Area of Science:

  • Vascular Surgery
  • Aortic Aneurysm Research

Background:

  • Inflammatory abdominal aortic aneurysms (IAAA) present unique surgical challenges.
  • Long-term outcomes for IAAA surgical repair are not well-established.

Purpose of the Study:

  • To evaluate the early and late outcomes of surgical treatment for IAAA.
  • To report a 20-year single-institution experience with IAAA repair.

Main Methods:

  • Retrospective analysis of 52 patients with IAAA undergoing elective surgical repair over 20 years.
  • Inclusion of 2,275 consecutive patients undergoing elective abdominal aortic aneurysm repair.
  • Analysis of perioperative and long-term follow-up data.

Main Results:

  • A perioperative mortality rate of 1.92% (1 death).
  • Three patients (5.8%) developed aortic pseudoaneurysms during a mean follow-up of 12.1 years, requiring reoperation.
  • One late death occurred due to pseudoaneurysm rupture 7 months post-operation.

Conclusions:

  • Surgical management of IAAA offers favorable short-term and long-term outcomes.
  • A significant incidence of pseudoaneurysm formation necessitates vigilant long-term surveillance.