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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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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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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

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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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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...
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Interrupted aortic arch: A case report.

Andrea Franconeri1,2, Francesco Ballati1,2, Maurizio Pin2,3

  • 1Department of Radiology, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

The Indian Journal of Radiology & Imaging
|June 2, 2020
PubMed
Summary
This summary is machine-generated.

Adult-diagnosed interrupted aortic arch is rare, often mistaken for severe coarctation. This case highlights complex aortic arch interruption with aneurysms in a 52-year-old woman.

Keywords:
Aneurysmbicuspid aortic valvecoarctation of the aortacomputed tomography angiograminterrupted aortic arch

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Radiology

Background:

  • Interrupted aortic arch (IAA) is a rare congenital heart defect.
  • Diagnosis in adulthood is exceptionally uncommon, often presenting as severe chronic coarctation.
  • Type A IAA is the most frequent subtype encountered.

Observation:

  • A 52-year-old woman presented with acute chest and right upper limb pain.
  • Computed tomography angiography revealed interruption of the aortic arch distal to the left subclavian artery.
  • Findings included extensive collateral vessels, multiple aortic aneurysms, a bicuspid aortic valve, and a dilated ascending aorta.

Findings:

  • The patient exhibited a complex presentation of interrupted aortic arch with significant secondary vascular changes.
  • Associated findings included a bicuspid aortic valve and suspected atrial septal defect.
  • The extensive collateral circulation suggests a long-standing, undiagnosed condition.

Implications:

  • This case underscores the importance of considering rare congenital anomalies in adult patients with atypical cardiovascular symptoms.
  • Accurate diagnosis through advanced imaging is crucial for appropriate management.
  • Further research into the long-term natural history and management strategies for adult IAA is warranted.