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Related Concept Videos

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...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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...
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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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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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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Acute traumatic aortic injuries: posttherapy multidetector CT findings.

Tara A Morgan1, Scott D Steenburg, Eliot L Siegel

  • 1Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center and University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201, USA.

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|March 12, 2010
PubMed
Summary

Acute traumatic aortic injuries require urgent care. Endovascular repair offers lower mortality than surgery, but radiologists must recognize potential complications like endoleak and stroke for better patient outcomes.

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Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
09:32

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging

Published on: December 9, 2021

Area of Science:

  • Cardiovascular Surgery
  • Vascular Imaging
  • Trauma Management

Background:

  • Acute traumatic aortic injury is a critical condition necessitating immediate intervention.
  • Historically, surgical repair via left thoracotomy was standard, involving graft placement.
  • Endovascular therapy has emerged as a preferred alternative due to reduced mortality and morbidity.

Purpose of the Study:

  • To review institutional and literature experience with managing acute traumatic aortic injuries.
  • To highlight the radiologist's role in identifying complications after aortic injury treatment.
  • To emphasize the importance of early complication diagnosis for improved patient outcomes.

Main Methods:

  • Review of institutional data on acute traumatic aortic injury management.
  • Comprehensive literature review of endovascular and surgical repair outcomes.
  • Analysis of potential complications associated with both treatment modalities.

Main Results:

  • Endovascular repair demonstrates significantly lower mortality and morbidity compared to open surgery.
  • Complications of endovascular repair include endoleak, stroke, and ischemia.
  • Surgical repair complications encompass paraplegia, graft dehiscence, and infection.
  • Radiologists play a key role in the early detection of these complications.

Conclusions:

  • Endovascular therapy is increasingly accepted for acute traumatic aortic injuries due to improved survival rates.
  • Familiarity with potential complications is crucial for radiologists managing these patients.
  • Prompt diagnosis of complications is essential to reduce mortality and morbidity associated with aortic injury treatment.