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Aneurysm III: Interprofessional Care01:26

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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...
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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...
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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...
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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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Updated: Jun 28, 2026

Manufacturing Abdominal Aorta Hydrogel Tissue-Mimicking Phantoms for Ultrasound Elastography Validation
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Outcome from abdominal aortic aneurysms in Scotland, 1991-2006.

R Mofidi1, S A Suttie, A Howd

  • 1Department of Vascular Surgery, Ninewells Hospital, Dundee, UK. rmofidi@doctors.net.uk

The British Journal of Surgery
|November 11, 2008
PubMed
Summary

Women with abdominal aortic aneurysms (AAA) are older and more likely to present with rupture. Female sex independently increases the risk of death from AAA, despite endovascular repair improving survival.

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Published on: February 23, 2020

Area of Science:

  • Vascular Surgery
  • Epidemiology
  • Health Outcomes Research

Background:

  • Abdominal aortic aneurysm (AAA) affects both sexes, but outcomes may differ.
  • Understanding demographic and clinical factors influencing AAA outcomes is crucial for targeted interventions.

Purpose of the Study:

  • To assess the impact of sex, presentation, and treatment on outcomes in patients with abdominal aortic aneurysm (AAA).
  • To identify independent predictors of mortality in AAA patients.

Main Methods:

  • Retrospective analysis of 9779 men and 2927 women diagnosed with AAA between 1991 and 2006 in Scotland.
  • Patients were stratified by age, sex, diagnosis (ruptured vs. intact), and repair type (endovascular vs. open).
  • Multivariable logistic regression was employed to determine mortality predictors.

Main Results:

  • Women were older (median 75 vs. 71 years) and presented more frequently with ruptured AAA (29.5% vs. 27.5%).
  • Independent predictors of early death included older age, female sex, and ruptured AAA presentation.
  • Endovascular repair was associated with improved survival (OR 0.67).

Conclusions:

  • Female sex is an independent risk factor for mortality in abdominal aortic aneurysm (AAA).
  • Women with AAA present at an older age and with a higher proportion of ruptured aneurysms.
  • While female sex increases risk, endovascular repair offers a survival benefit.