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Related Concept Videos

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...
11
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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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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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

33
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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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

16
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...
16
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

12
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

Aneurysm IV: Nursing Management

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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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Related Experiment Video

Updated: Jul 26, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Symptomatic aortic thrombosis in a preterm neonate.

Bhavya Kukreja1, Vishnu Dutta Agrawal1, Amandeep Singh1

  • 1Neonatology, Max Super Speciality Hospital Shalimar Bagh, New Delhi, Delhi, India.

BMJ Case Reports
|June 20, 2023
PubMed
Summary

Therapeutic anticoagulation successfully resolved aortic thrombosis in a preterm infant, preventing the need for thrombolysis. Early diagnosis and multidisciplinary care led to a favorable outcome in this neonatal intensive care unit case.

Keywords:
Neonatal intensive careUltrasonography

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Area of Science:

  • Neonatal Medicine
  • Pediatric Cardiology
  • Vascular Biology

Background:

  • Symptomatic aortic thrombosis is a severe neonatal intensive care unit (NICU) condition.
  • Bedside ultrasound enhances early diagnosis of neonatal aortic thrombosis.
  • Prompt intervention is crucial for preventing adverse outcomes.

Observation:

  • A preterm, very low birth weight, growth-restricted infant presented with aortic thrombosis.
  • The infant experienced hypertensive emergency and limb-threatening ischemia.
  • Parents opted against thrombolysis, preferring therapeutic anticoagulation.

Findings:

  • Closely monitored therapeutic anticoagulation achieved complete resolution of the aortic thrombus.
  • This approach avoided the need for thrombolytic therapy.
  • A multidisciplinary team and frequent monitoring were key to the successful outcome.

Implications:

  • Therapeutic anticoagulation can be an effective alternative to thrombolysis for neonatal aortic thrombosis.
  • Early detection and vigilant monitoring are vital for managing this condition.
  • Multidisciplinary collaboration improves patient outcomes in complex neonatal cases.