Aortic Disease Flashcards
the biggest blood vessel in the entire body
aorta
aorta is divided into 2 parts
thoracic aorta
abdominal aorta
disorders of the aorta
aneurysm
aortoiliac occlusive disease
dissection of aorta
what is an aneurysm
widening of blood vessel
what causes aneurysm
degenerative atherosclerosis
congenital
mechanical
2 types of aneurysm
true aneurysm = causes wall of artery to out-pouch but inner layer stays intact
false aneurysm = disruption of intima lining allowing blood to leave
indications of thoracic aneurysm
chest pain - sharp pain between scapula in the back
indications of ascending aortic aneurysm
hoarseness of voice
edema of head/arms
chg in blood pressure from 1 arm to the other
indications of abdominal aneurysm
asymptomatic for long time
back or kidney stone pain
complications of aneurysms
bleeding causing massive hemorrhage ldg to death
dx of aneurysm
check pressures in both arms with high BP
cat scans
trt of aneurysms based on size
surgery or per-cutaneous
**biggest thing with aneurysms
BP control
preop procedures for aneurysm
hydrate (electrolytes stable)
procedure steps
clamp aorta
slice open
put stenting
stitch over stent sleeve