Aortic Disease Flashcards
what are the types of aneurysm
true: sacular, fusiform
false
dissecting
what is the difference between true and false aneurysms
true involves all 3 layers of the vessel
false doesnt
define a false aneurysm
breach in the vessel wall, blood leaks through the wall but is contained by the adventiatia
what are the signs of a thoracic aneurysm
can be asymptomatic SOB dysphagia/hoarseness sharp chest pain radiating to the back hypotension
how would you confirm the diagnosis of an aortic aneurysm
ultrasound
or CT scan
what is an aortic dissection
tear in the inner wall of the aorta and blood forces the wall apart
what can cause aortic dissection
atherosclerosis
hypertension
trauma
marfans
what are the signs of aortic dissection
sever chest pain radiating to the back
collapse
acute AR
what is the mortality of aortic dissection
50% mortality pre-hospital
what would you find on examination of aortic dissection
absent/reduced peripheral pulses
hypo/hypertension
soft early diastolic murmur
pulmonary oedema
how would you confirm an aortic aneurysm
echo or CT scanning
what is the treatment for type A aortic dissection
A- surgery
what is the treatment for type b aortic dissection
meticulous blood pressure control
sodium nitroprusside plus BB
what STI can predispose to aortic aneurysm
syphyllis
what inflammation condition can predispose to aortic aneurysm
Takayasu’s arteritis
