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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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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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Aneurysm IV: Nursing Management01:22

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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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Aortic Regurgitation III: Medical Management01:25

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Aortic Regurgitation I: Introduction01:15

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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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Aneurysm I: Introduction01:30

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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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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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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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Updated: Mar 26, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Aspergillus Pseudoaneurysm Post Aortic Valve Replacement.

Joel Perdomo1, David D Yuh2, Pramod Bonde1

  • 1Bonde Artificial Heart Laboratory, Center for Advanced Heart Failure and Transplantation, Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut, USA; and.

Aorta (Stamford, Conn.)
|January 23, 2016
PubMed
Summary
This summary is machine-generated.

Postoperative Aspergillus fumigatus infections can cause rare thoracic aortic mycotic aneurysms. Early diagnosis and combined medical-surgical treatment are crucial, though long-term consequences may persist.

Keywords:
Aortic aneurysmAortic valve replacementFalse lumenPseudoaneurysmThoracic aortic aneurysm

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Surgical Complications

Background:

  • Postoperative thoracic aortic mycotic aneurysms are rare but severe complications.
  • Intraoperative contamination is the typical cause of these aneurysms.

Observation:

  • A patient developed an ascending aortic mycotic aneurysm 20 weeks after aortic valve replacement.
  • The patient presented atypically, necessitating a high index of suspicion for diagnosis.

Findings:

  • Prompt diagnosis and combined medical and surgical treatment were initiated.
  • Despite treatment, the patient experienced long-lasting consequences due to the aggressive nature of Aspergillus fumigatus infection.

Implications:

  • A high index of suspicion is vital for diagnosing thoracic aortic mycotic aneurysms, irrespective of patient immune status or postoperative timing.
  • Early detection and intervention are critical to minimize morbidity and mortality associated with these devastating infections.