test 6 clinical application

Question 1

MARFAN’S SYNDROME

Answer 1

 Connective Tissue Disorder
 Connective Tissue provides strength and support to tendons, ligaments, cartilage, blood vessel walls, and heart valves.
 They aren’t as stiff as they should be
 Arteries are weakened, particularly the aorta
 Aorta dilates – weakens
 Under exertion the aorta can tear – dissection
 Also have MV prolapse and AI

Question 2

AORTIC DEBRANCHING AND ENDOVASCULAR REPAIR

Answer 2

 To repair an arch aneurysm
 Can do an extra-anatomic bypass
 Connect the aorta to the Innominate artery, L. Carotid, and L. subclavian arteries
 Then, deploy an endograft in the arch and occlude the head vessels.
 Head vessels get flow via the graft, and the aneurysm/ dissection is treated via the endograft.