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Related Concept Videos

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 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 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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Aortic Regurgitation I: Introduction01:15

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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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Aneurysm I: Introduction01:30

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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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Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Related Experiment Video

Updated: Aug 31, 2025

Manufacturing Abdominal Aorta Hydrogel Tissue-Mimicking Phantoms for Ultrasound Elastography Validation
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Medium-Term Survival After Unrepaired Ruptured Abdominal Aortic Aneurysm.

Sarah Tham1, Darius Aw2, Kalpana Vijaykumar2

  • 1Department of General Surgery, Sengkang General Hospital, SingHealth Services, Singapore.

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|August 24, 2022
PubMed
Summary

A rare case of ruptured abdominal aortic aneurysm (AAA) survived 13 months without repair. This study explores potential factors behind spontaneous sealing and prolonged survival in this critical condition.

Keywords:
abdominal aortic aneurysmaneurysm sacaortic ruptureinfrarenalruptured aneurysm

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Area of Science:

  • Vascular Surgery
  • Aortic Aneurysm Research
  • Clinical Case Studies

Background:

  • Ruptured abdominal aortic aneurysm (AAA) typically necessitates immediate surgical intervention for survival.
  • Conservative management of ruptured AAA is generally associated with a near-fatal prognosis.

Observation:

  • An 87-year-old male presented with an acute ruptured AAA and retroperitoneal hematoma.
  • Despite counseling for emergent repair, the patient opted for conservative management.
  • The patient remained clinically well for 13 months, with resolution of symptoms and hematoma.

Findings:

  • This case demonstrates the possibility of spontaneous sealing of a ruptured AAA.
  • The patient experienced prolonged survival (13 months) following untreated ruptured AAA.

Implications:

  • Highlights the potential for rare spontaneous resolution in ruptured AAA cases.
  • Suggests the need to investigate factors contributing to spontaneous AAA sealing and survival.
  • Challenges the absolute fatality associated with unrepaired ruptured AAA.