Exam 3 study guide Flashcards
Surgical intervention for aortic anx is required at what threshold
diameter>5.5
Aortic Dissection is a catastrophic event that requires immediate surgical intervention because?
mortality of 1-2 % per hour within the first 48 hours
Aneurysm= _______ increase in diameter compared with normal, or greater than ______ cm in diameter
50%
3 cm
Initiating event of an aortic dissection is
tear in the intima
Most common point of origin for aortic dissection is?
Thorax
Aneurysm Risk Factors are?
Hypertension Atherosclerosis Older age Males Family history of aneurysmal disease Smoking
Dissection causes are
Hypertension
Smoking that crack
Deceleration injuries
Iatrogenic: Aortic cannulation, cardiac cath, cross-clamping, aortic manipulation, arterial incision
Aortic disections are more common in?
Males
Pregnancy
1/2 of all aortic dissections in women younger than 40 occur during
3rd trimester of pregnancy
Type II crawford thoracic anx classification present most significant perioperative risk including _________ and/or _________ following surgery
paraplegia
renal failure