Thoracoabdominal aortic aneurysm: Diagnosis and management

Gowda, Ramesh M.; Khan, Ijaz A.

doi:10.1007/s11936-006-0010-1

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Hence, smoking cessation, blood pressure management, statins, beta-blockers and Angiotensin II receptor blockers are recommended. Alongside, serial noninvasive surveillance of aortic development [64,65].…”

Section: Medical Managementmentioning

confidence: 99%

Aortic Aneurysm: Clinical Findings, Diagnostic and Treatment

Kumar¹,

Persaud²,

Leite³

et al. 2021

Aortic Aneurysm - Clinical Findings, Diagnostic, Treatment and Special Situations

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The aorta is the largest artery in the body and can have aneurysms, which are focal expansions of the vessel wall that can occur anywhere throughout the artery. These can be classified as thoracic, abdominal or thoracoabdominal aneurysms and can be caused by several etiologies, including degenerative, infectious, and genetic causes. Most aortic aneurysms are asymptomatic and are detected incidentally while looking for other primary diseases with a physical exam finding of a pulsatile mass, or with imaging such as ultrasound, computed tomography, x-rays, or magnetic resonance imaging. When symptoms are present, they are often nonspecific and occur due to inflammation, rapid expansion, compression/erosion of the aneurysm into surrounding structures, or rupture. Uncontrolled aortic aneurysms can lead to fatal outcomes, thus making proper management essential. Management can range from medical treatment to surgical repair based on location, size, rate of expansion, and presence of symptoms.

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Section: Medical Managementmentioning

confidence: 99%

Aortic Aneurysm: Clinical Findings, Diagnostic and Treatment

Kumar¹,

Persaud²,

Leite³

et al. 2021

Aortic Aneurysm - Clinical Findings, Diagnostic, Treatment and Special Situations

View full text Add to dashboard Cite

show abstract

“…Thoracoabdominal aneurysms account for 10% of all aortic aneurysms 1 . There is a 7% risk of rupture annually when they reach a diameter of 6 cm, and the overall 5-year mortality of these aneurysms is 56% 1 . For these reasons, well-timed elective repair is important.…”

mentioning

confidence: 99%

Thoracic wall ischemia after repair of thoracoabdominal aortic aneurysm requiring large microvascular soft tissue reconstruction

Smith

Rossi

Rokkas

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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A 67-year-old man presented to the vascular service with a Crawford extent I thoracoabdominal aortic aneurysm. He underwent open thoracoabdominal aortic replacement from just distal to the left subclavian artery to just proximal to the origin of the superior mesenteric artery under deep hypothermic circulatory arrest. His postoperative course was complicated by thoracic wall ischemia, resulting in a life-threatening defect of the chest wall that exposed lung parenchyma and the aortic graft. Successful microvascular soft tissue reconstruction was performed using an anterolateral thigh flap and arteriovenous loop. This is a case report of a large chest wall defect resulting from thoracoabdominal aortic aneurysm repair. This case highlights the feasibility of microvascular reconstruction techniques to repair even the largest defects.

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Thoracoabdominal aortic aneurysm: Diagnosis and management

Cited by 2 publications

References 21 publications

Aortic Aneurysm: Clinical Findings, Diagnostic and Treatment

Aortic Aneurysm: Clinical Findings, Diagnostic and Treatment

Thoracic wall ischemia after repair of thoracoabdominal aortic aneurysm requiring large microvascular soft tissue reconstruction

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