Surgery Cardio Flashcards
When is it considered to be a AAA?
> 3 cm
Where do most AAAs develop?
Below the renal arteries
Risk factors for AAA
Male
Smoker
Family hx
Age
S/S of AAA (nonruptured)
Asymptomatic
S/S of ruptured AAA
Severe, tearing abdominal pain
Radiates to back
Hypotension
Palpable abdominal mass
Diagnosis of AAA
US
CT if you need to know exact size
Screening for AAA
One time with US for all men 65-75 who have ever smoked or have other risk factors (1st degree relative)
How often to US for AAA?
3-3.4 cm: q2 years
3.5-4.4 cm: q12 months
4.5-5.4 cm: q6 months
When should a patient be referred to vascular for AAA?
4.5 cm
Management of AAA
Nonruptured: continue monitoring
Ruptured: emergent endovascular repair
When is elective repair of AAA indicated?
> 5.5 cm
0.5 cm growth in 6 months
MCC of thoracic aortic aneurysms
Atherosclerosis
Presentation of thoracic aneurysm
Mostly asymptomatic
Diagnosis of thoracic aneurysm
CXR shows widened mediastinum
CT with contrast
Management of thoracic aneurysm
Surgical repair