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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 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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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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Mortality Risk for Ruptured Abdominal Aortic Aneurysm in Women.

Paola De Rango1, Gioele Simonte1, Alessandra Manzone1

  • 1Vascular and Endovascular Surgery Unit, Hospital S. Maria Misericordia, University of Perugia, Perugia, Italy.

Annals of Vascular Surgery
|October 30, 2016
PubMed
Summary
This summary is machine-generated.

Women undergoing ruptured abdominal aortic aneurysm (rAAA) repair, even at older ages, do not face increased mortality risks following endovascular abdominal aortic repair (EVAR). This study highlights comparable outcomes in the EVAR era.

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Area of Science:

  • Vascular Surgery
  • Aortic Aneurysm Research
  • Sex Differences in Medicine

Background:

  • Abdominal aortic aneurysms (AAA) may present differently and have varied outcomes between sexes, with higher mortality suggested in women.
  • The endovascular abdominal aortic repair (EVAR) era may have altered these outcomes.

Purpose of the Study:

  • To evaluate the mortality risk for women undergoing repair of ruptured abdominal aortic aneurysms (rAAA).
  • To compare outcomes between men and women in the EVAR era.

Main Methods:

  • A prospective database of patients treated for rAAA between 2006 and 2015 was analyzed.
  • Patient characteristics and outcomes were compared between sexes.
  • Multivariable logistic regression and Cox proportional analyses were used to determine the effect of sex on mortality, adjusting for other factors.

Main Results:

  • Women were older at presentation (mean age 86.4 years) compared to men (75.2 years).
  • Perioperative mortality rates were similar between women (40.0%) and men (38.7%).
  • Adjusted analyses indicated that female sex was not associated with perioperative or late mortality, unlike older age and free rupture.

Conclusions:

  • While AAA repair is often initiated later and at older ages for women, they do not experience increased perioperative mortality risks from rAAA treatment post-EVAR introduction.
  • Female sex is not a predictor of mortality after controlling for key clinical factors.