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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

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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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Drug Dosing: Geriatric Patients01:15

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Fluorescence Angiography for Evaluation of Aneurysm Perfusion and Parent Artery Patency in Rat and Rabbit Aneurysm Models
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One aneurysm and two pseudoaneurysms, same patient.

Daniela Carvalho1, Jorge Mimoso1, Ilídio de Jesus1

  • 1Cardiology, Centro Hospitalar e Universitário do Algarve, Faro, Portugal.

BMJ Case Reports
|February 14, 2019
PubMed
Summary
This summary is machine-generated.

Recurrent left ventricular pseudoaneurysms, a rare complication after cardiac surgery or myocardial infarction, pose a high mortality risk. This case highlights a postoperative recurrence of a left ventricular pseudoaneurysm on a pre-existing true aneurysm.

Keywords:
cardiothoracic surgerycardiovascular medicineischaemic heart diseaseradiology (diagnostics)

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pathology

Background:

  • Ventricular pseudoaneurysms are uncommon but serious conditions, often resulting from myocardial infarction or cardiac surgery.
  • These pseudoaneurysms can present with non-specific symptoms or be asymptomatic, complicating early diagnosis.
  • The mortality rate associated with ventricular pseudoaneurysms remains high, even with prompt surgical treatment.

Observation:

  • This report details a rare case of recurrent left ventricular pseudoaneurysm.
  • The pseudoaneurysm developed postoperatively in a patient with a history of ischemic heart disease.
  • The recurrence was superimposed on a pre-existing true left ventricular aneurysm.

Findings:

  • Postoperative recurrence of left ventricular pseudoaneurysm is a significant clinical concern.
  • The presence of an underlying true aneurysm may influence the risk of pseudoaneurysm development or recurrence.
  • Accurate diagnosis and management are critical due to the high associated mortality.

Implications:

  • This case underscores the importance of vigilant monitoring for pseudoaneurysm recurrence in patients with a history of myocardial infarction or cardiac surgery.
  • Understanding the interplay between true aneurysms and pseudoaneurysms is crucial for surgical planning and patient management.
  • Further research into the pathophysiology and risk factors for recurrent pseudoaneurysms may improve patient outcomes.