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Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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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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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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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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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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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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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...
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Porcine Model of Infrarenal Abdominal Aortic Aneurysm
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Atypical Mycotic Aortic Aneurysms.

Deepika Koganti1, Sean P Ryan1, Jeon Kwon1

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.

Annals of Vascular Surgery
|July 19, 2016
PubMed
Summary
This summary is machine-generated.

This case study details a rare instance of Streptococcus pneumoniae causing sequential abdominal and thoracic aortic aneurysms in a healthy woman. Treatment involved both open surgery and endovascular repair.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Mycotic aortic aneurysms are uncommon, particularly those linked to Streptococcus pneumoniae in the antibiotic era.
  • A 68-year-old healthy female presented with a Streptococcal mycotic abdominal aortic aneurysm of unknown origin.

Observation:

  • Initial treatment included antibiotics and open surgical intervention for the abdominal aneurysm.
  • Postoperative imaging identified new, multiple thoracic mycotic aortic aneurysms.

Findings:

  • The patient underwent thoracic endovascular aortic repair for the newly discovered aneurysms.
  • This case highlights sequential abdominal and thoracic Streptococcal mycotic aortic aneurysms.

Implications:

  • The successful combined surgical and endovascular approach offers insights into managing rare, sequential aortic aneurysms.
  • This case underscores the importance of vigilant monitoring and tailored treatment strategies for complex vascular infections.