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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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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...
569
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

537
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...
537
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

435
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...
435
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

391
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
391
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

505
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
505
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

484
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...
484

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Porcine Model of Infrarenal Abdominal Aortic Aneurysm
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Aortic surgery in pregnancy.

Steven L Lansman1, Joshua B Goldberg1, Masashi Kai1

  • 1Westchester Medical Center, Valhalla, NY; Department of Surgery, Section of Cardiothoracic Surgery, New York Medical College, Valhalla, NY.

The Journal of Thoracic and Cardiovascular Surgery
|July 20, 2016
PubMed
Summary
This summary is machine-generated.

Pregnancy increases aortic risks, especially for women with existing aortic conditions. Elective surgery before pregnancy is often best, but management strategies adapt for those developing aortic issues during gestation.

Keywords:
aneurysmaortaaortopathydissectionpregnancy

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Area of Science:

  • Cardiovascular Medicine
  • Maternal-Fetal Medicine
  • Cardiovascular Surgery

Background:

  • Pregnancy induces hemodynamic and aortic wall changes, elevating risks of aortic dilatation and dissection.
  • Women with pre-existing aortopathies (e.g., fibrillinopathies, bicuspid aortic valve, Turner syndrome) face heightened susceptibility.
  • These physiological changes necessitate careful consideration for managing aortic diseases during pregnancy.

Purpose of the Study:

  • To review current approaches for managing aortic diseases in pregnant women.
  • To summarize strategies for conducting aortic surgery during pregnancy.
  • To optimize maternal and fetal outcomes in the context of aortic pathology.

Main Methods:

  • Literature review of studies on pregnancy and aortic disease.
  • Analysis of management strategies for aortic dilatation and dissection during gestation.
  • Examination of surgical interventions for aortic conditions during pregnancy.

Main Results:

  • Pregnancy-related hemodynamic shifts increase aortic dissection and dilatation risk.
  • Pre-existing conditions like fibrillinopathies, bicuspid aortic valve, and Turner syndrome are significant risk factors.
  • Management strategies must be tailored to gestational stage for emergent aortic conditions.

Conclusions:

  • Women with known aortopathies may benefit from pre-pregnancy elective aortic surgery.
  • Management of acute aortic events during pregnancy requires individualized, gestation-aware strategies.
  • Optimizing maternal and fetal well-being is paramount when addressing aortic disease in pregnancy.