Thoracic Aneurysm Flashcards
1
Q
risk factors?
A
- Smoking
- Hypertension
- Syphilis
- Genetics-see aetiology
- High cholesterol
- Bicuspid aortic valve
2
Q
differentials?
A
AAA
Aortic dissection
3
Q
prevalence?
A
6 to 10 in every 100000
4
Q
aetiology?
A
- Genetic- Marfan’s, ED, Loeys Dietz syndrome, Turners
- Endarteritis obliterans-tertiary syphilis
- Atherosclerosis
- Inflammation
- Trauma
5
Q
clinical presentation?
A
• Can be asymptomatic
• Hoarseness of voice
• Difficulty swallowing
Pain bt shoulder blades
6
Q
Pathophysiology?
A
Weakness of blood vessels lead to expansion and impinging on nearby organs/nerves
7
Q
1st line investigation?
A
resp and cardio exam
8
Q
2nd line investigation?
A
CXR, CT MRI, Echocardiogram
9
Q
1st line management
A
lifestyle management
10
Q
2nd line management
A
regular monitoring or surgery
11
Q
3rd line management
A
anti-hypertensives
12
Q
Complications?
A
- Aortic dissection
- Endoleaks
- Airway obstruction
- Stroke
- ACF
- MI
- Aortic insufficiency
- Thromboembolism
