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Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

351
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...
351
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

149
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...
149
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

187
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...
187
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

215
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...
215
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

301
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...
301
Angina II: Classification01:27

Angina II: Classification

212
Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
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Porcine Model of Infrarenal Abdominal Aortic Aneurysm
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Acute infrarenal aortic occlusion.

Brianna Barsanti-Innes1, Graham Roche-Nagle2

  • 1University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.

BMJ Case Reports
|April 2, 2020
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Summary

Acute aortic occlusion (AAO) is a rare vascular emergency. This case study shows successful treatment of AAO with aortoiliac over the wire thrombectomy, improving patient outcomes.

Keywords:
interventional radiologyvascular surgery

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Emergency Medicine

Background:

  • Acute aortic occlusion (AAO) is a critical vascular condition with high mortality.
  • Prompt diagnosis and intervention are essential for limb and organ salvage.

Observation:

  • A 69-year-old woman presented with sudden bilateral acute limb ischemia.
  • Imaging revealed complete aortoiliac segment obstruction and renal infarcts.

Findings:

  • Successful treatment of AAO was achieved using an aortoiliac over-the-wire thrombectomy.
  • This minimally invasive approach restored blood flow and prevented further complications.

Implications:

  • Over-the-wire thrombectomy offers a viable treatment option for acute aortic occlusion.
  • This case highlights the importance of timely intervention in managing AAO and improving survival rates.