AAA Flashcards

1
Q

Étiologies AAA

A
Athérosclérose ++
Marfan
Artérites
Ehlers danlos
Infectieux --
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2
Q

Clinique AAA

A

Aspt ++
Douleur épigastrique G (irradiation dorsale)
Masse abdominale pulsatile et expansive (signe de Bakey)

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3
Q

Examens complémentaires AAA

A

Écho-Doppler abdo
Angio-TDM inj ++

Bilan complet (anévrisme, maladie atheromateuse et terrain)

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4
Q

Complications AAA

A

Ruptures
Thrombose (MI, mésentérique)
Troublez compressifs
Opératoires

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5
Q

Traitement AAA

A

Contrôle HTA (RHD, AAP, statines, IEC)
Chirurgie : si spt ou compliqué ou taille<5cm ou augmentation rapide
-> mise à plat et greffe + prothèse aortique ou endoprothese

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6
Q

Complications post-op AAA

A

Colite ischémique (dl abdo et diarrhées sanglantes)
Infections prothese
Fistule aorto-digestive

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