Aortoiliacs arterial disease

Question 1

What are the 4 risk factors for abdominal compartment syndrome in a patient with a rupture aorta?

Answer 1

Aortic occlusion balloon, massive transfusion, coagulopathy, need to convert to aortouniliac.

Question 2

What are the classifications for traumatic aortic injuries?

Answer 2

Grade 1- intimal tear, Grade 2- dissection/intramural hematoma, Grade 3 - pseudoaneurysm, Grade 4-rupture

Question 3

How do you treated a grade 1 traumatic aortic injury?

Answer 3

medical therapy and f/u CTA in 3 months

Question 4

What are the four diagnostic criteria for Marfan’s syndrome?

Answer 4

Ectopia lentis, pectus excavatum, height, evidence of dissection

Question 5

What is the mutation in Marfan syndrome?

Answer 5

Fibrillin 1

Question 6

What do you do when you are doing an aortogram for EVAR and you see a large IMA and meandering mesenteric artery supplying the SMA?

Answer 6

Abort before your cause bowel ischemia

Question 7

How do you manage colonic ischemia s/p AAA repair?

Answer 7

invasive monitoring, fluids, bowel rest, abx

Question 8

What is the presentation of colonic ischemia and how do you diagnose it?

Answer 8

Dark bloody stool and sigmoidoscopy

Question 9

How big does a popliteal aneurysm have to be for repair?

Answer 9

2-2.5 cm

Question 10

What percentage of patients with popliteal aneurysms have AAA?

Answer 10

25-62%

Question 11

What is the most common presentation of Behcets syndrome?

Answer 11

DVT due to recurrent vessel wall inflammation

Question 12

What are the clinical manifestations of Behcets syndrome?

Answer 12

Cutaneous ulcerations, DVTs, oral lesions, infrarenal AAA, coronary artery aneurysms, pulmonary artery aneurysms, visceral aneurysms, and peripheral aneurysms

Question 13

When should you reimplant the IMA?

Answer 13

when the SMA is occluded