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Related Concept Videos

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...
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 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...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
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...

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Related Experiment Video

Updated: May 11, 2026

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
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Published on: April 15, 2021

Coarctation-associated aneurysms: a localized disease or diffuse aortopathy.

Ourania Preventza1, James J Livesay, Denton A Cooley

  • 1Department of Cardiovascular Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital/Baylor College of Medicine, Houston, Texas, USA.

The Annals of Thoracic Surgery
|May 7, 2013
PubMed
Summary

Coarctation of the aorta is a significant risk factor for developing aortic aneurysms in adults, necessitating lifelong monitoring. Surgical repair of these aneurysms can be complex, with various open and endovascular approaches available.

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Last Updated: May 11, 2026

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Published on: April 15, 2021

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Adult Congenital Heart Disease

Background:

  • Coarctation of the aorta is associated with an increased risk of aortic aneurysm formation in adults.
  • This study investigates the occurrence and management of aortic aneurysms in patients with a history of coarctation repair.

Purpose of the Study:

  • To determine the incidence of aortic aneurysms in patients who underwent coarctation repair.
  • To describe the treatment strategies and outcomes for aortic aneurysms in this population.

Main Methods:

  • Retrospective review of 943 patients undergoing coarctation repair between 1962 and 2011.
  • Identification and characterization of aortic aneurysms, including location and multiplicity.
  • Analysis of surgical repair methods, including open, endovascular, and hybrid techniques.

Main Results:

  • Aortic aneurysms were identified in 5.8% of patients, with a median of 23 years post-coarctation repair.
  • The descending thoracic aorta was the most common site (76.4%), often associated with bicuspid aortic valves (45.4%).
  • Surgical repair was performed in 53 patients, utilizing diverse techniques with a 1.9% 30-day mortality and notable complication rates.

Conclusions:

  • Coarctation of the aorta serves as a marker for adult aortic aneurysm development, underscoring the need for long-term surveillance.
  • Surgical repair is challenging due to complex anatomy and associated conditions.
  • A range of open, extra-anatomic, and endovascular interventions are employed for treatment.