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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 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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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 II: Clinical Manifestations and Diagnostic Studies01:21

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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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Arteries of Lower Limbs01:20

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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
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Arteries and Arterioles01:16

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Arteries, the vasculature responsible for transporting blood from the heart, possess robust walls capable of enduring the elevated pressures exerted by the heartbeat. Arteries near the heart are especially thick-walled and enriched with elastic fibers across their three tunics, classifying them as elastic or conducting arteries. These arteries, usually with a diameter exceeding 10 mm, are characterized by their ability to dilate in response to the blood pumped from the heart's ventricles...
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Updated: Feb 8, 2026

Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues
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Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues

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Visceral artery aneurysms.

B Juntermanns1,2, J Bernheim1, K Karaindros1

  • 1Department of Vascular Surgery and Phlebology, Contilia Heart and Vascular Center, Elisabeth Hospital, Klara-Kopp-Weg 1, 45138 Essen, Germany.

Gefasschirurgie : Zeitschrift Fur Vaskulare Und Endovaskulare Chirurgie : Organ Der Deutschen Und Der Osterreichischen Gesellschaft Fur Gefasschirurgie Unter Mitarbeit Der Schweizerischen Gesellschaft Fur Gefasschirurgie
|June 29, 2018
PubMed
Summary
This summary is machine-generated.

Visceral artery aneurysms are rare but carry a high rupture risk. Treatment, either open surgery or endovascular repair, is recommended for aneurysms over 2 cm, offering a 90% survival rate.

Keywords:
Aneurysm ruptureEndovascular therapyIndicationOpen surgical therapyVisceral artery

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Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Radiology

Background:

  • Visceral artery aneurysms (VAAs) are uncommon vascular conditions affecting 0.01-0.1% of the population.
  • Rupture risk for VAAs >2 cm is significant (25-40%), with high mortality (76%) if rupture occurs.
  • Mycotic or spurious aneurysms require treatment regardless of size.

Purpose of the Study:

  • To review the epidemiology, clinical presentation, and management of visceral artery aneurysms.
  • To discuss treatment options, including open surgery and endovascular repair.
  • To highlight the importance of timely intervention, especially during pregnancy.

Main Methods:

  • Review of existing literature on visceral artery aneurysms.
  • Analysis of treatment strategies: open surgical vs. endovascular approaches.
  • Discussion of indications for intervention based on aneurysm size and type.

Main Results:

  • Treatment is indicated for aneurysms >2 cm, with higher risk for mycotic/spurious types.
  • Open surgery or endovascular treatment are viable options, with no clear superiority of one over the other.
  • Pregnancy necessitates a generous surgical indication due to potential complications.

Conclusions:

  • Visceral artery aneurysms require prompt management to prevent rupture and mortality.
  • Both open and endovascular treatments are effective, with satisfactory long-term outcomes (90% 5-10 year survival).
  • Vigilance is crucial for abdominal pain during pregnancy, as it may indicate VAA.