Vascular diseases

Question 1

How are TAA etiologies different from AAA etiologies

Answer 1

AAA RF are similar to CAD. TAA have those same risk factors, but also have a familial trait (cystic medial necrosis) associated with them

Question 2

What does chest/abd/back pain in an aortic aneurysm indicate

Answer 2

impending rupture!

but, rupture can occur without symptoms

Question 3

What are the DeBakey Classifications

Answer 3

Type 1: originates in AA, propagates at least to aortic arch
Type 2: ascending aorta only
Type 3: originates in AA, propagates distally or proximally

Question 4

What is the Stanford classification

Answer 4

Type A: involves ascending aorta and aortic arch (60 yo)

Type B: involves descending aorta (>60 yo)

Question 5

What can proximal aortic dissections result in

Answer 5

Aortic regurgitation due to dilation of aortic valve from fluid back up

Question 6

What can aortic dissection rupture into pericardium cause

Answer 6

cardiac tamponade (hemopericardium)

Question 7

What can happen if an aortic dissection compresses aortic branches

Answer 7

acute ischemia/MI
stroke
spinal cord ischemia
Abd/limb pain

Question 8

How can you tell the difference between Aortic Dissection and MI

Answer 8

aortic dissection is ABRUPT, SHARP, tearing pain. Max intensity at onset, radiates to back
-MI is progressive, exertion, better at rest

Question 9

In PAD, what suggests aortoiliac disease

Answer 9

pain in buttocks and thighs

Question 10

In PAD, what suggests femoropopliteal disease

Answer 10

pain in calves

Question 11

What type of PAD warrants buttock/hip bypass

Answer 11

Aortoiliac disease

Question 12

What type of PAD warrants thigh bypass

Answer 12

Femoral or aortoiliac