3D abdominal aneurysms Flashcards
what are the different types of aneurysms?
saccular
fusiform
false aneurysm
what are the risk factors for an aneurysm to initiate?
genetics
gender
ethnicity
age
what are the risk factors for an aneurysm rupturing?
smoking
infection
trauma
hypertension
what could possible symptoms of an abodminal aortic aneurysm?
left loin pain
radiating to left groin
nausea and vomitting
collapse
what are the three types of presentations of an aneurysm?
asymptomatic
unusual
rupture
what are the type of unusual presentations of AAA?
distal embolisation
aortoenteric fistula
aortic occlusion
what are the types of treatment for AAA?
medication
open repair
EVAR
what are the types of medication for AAA?
ACEI
aspirin
statin
what is the mortality rate for an open repair?
5.8%
is open repair a long stay in hospital or short?
long
what is the mortality rate of an EVAR?
2.3%
is EVAR a long hospital stay or short?
short
what are risk factors for AAA?
male over 65 smoking peripheral vascular disease hypertension
what are the complications of open repair?
bleeding
bowel ischaemia
infection
cardiac
what are the complications for an EVAR?
endoleak
device migration
at what size of an aneurysm should you operate?
5.5cm
a 65 year old man comes in with an aneurysm that is 5 cm in size
should you operate?
no, should do follow up scans
who gets screening for AAA?
males over the age of 65
why do aneurysms rupture?
the walls keep on getting thinner and ultimately csnnot take the blood pressure
what is the media made from
smooth muscle cells
what layer of the aorta causes the aneurysm?
media
when do you get the saccular types of aneurysm?
infection
whats the most common type of aneurysm?
fusiform
when is an aneurysm about to rupture
leakage - pain could radiate to back or groin area
why would someones blood pressure drop significantly?
aneurysm ruptures
what happens to the heart when blood pressure starts to drop?
heart rate increases to try compensate but eventually will decrease significantly
