PPT-Management of ascending aortic aneurysm

MMUSONI REGISTRAR DEPARTMENT OF CARDIOTHORACIC SURGERY UNIVERSITY OF WITWATERSRAND Hannes Meyer Registrar Symposium 1172015 Overview Defined arbitrarily as increase of at least 50 in diameter of ascending aorta compared to normal aorta for a particular age gender and BSA. Aortic Symposium 2010. Andrew W. ElBardissi, MD, MPH. Sary F. Aranki, MD. Lawrence H. Cohn, MD. Stanton K. . Shernan. , MD. Daniel . J. FitzGerald, CCP, LP. R. Morton Bolman III, MD. Division of Cardiac Surgery. Allan Stewart, MD., Jonathan A. Yang, MD; Mark J. Russo, MD/MPH; Alexander . Iribarne. , MD; Brendan F. Scully; Rachel . Easterwood. ; Craig R. Smith, MD; Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, NY. abstract id number- 209. Clinical history. 28 years female with history of chronic kidney disease on hemodialysis. Presented with abdominal pain, giddiness, generalized weakness since 2 months . USG showed dilated infra renal aorta with ill defined walls and was subject to CT aortogram. ANEURYSM . OF SINUS OF VALSALVA . WITH . A RARE . COMPLICATION. -. Once In A Blue Moon. ID No:1208. Case 1:. 33 yrs female with . c. omplaints of . abdominal pain.. Evaluated pertaining to renal calculi revealed coronary calcifications in CT.. Bicuspid Valve Dilated Aortic Root. Mod AI/Mild AS . - RW. RW is a 52 year old male referred for evaluation of ascending aortic aneurysm and bicuspid aortic valve.. Echo and cardiac CTA 8/06 revealed aortic dilation to 5.1cm, moderate aortic insufficiency, and mild aortic stenosis with mean gradient 20mm Hg, AVA 2.1cm. . Care of Patients with Vascular Problems. Arteriosclerosis and Atherosclerosis. Arteriosclerosis. —. thickening or hardening of the arterial wall often associated with aging.. Atherosclerosis. —. By Dr. . S.Homathy. 1. Aneurysm . It is a localized dilatation of blood vessel or the heart due to a weakening of its wall. . . 2. Classification. Aneurysms . may be classified . by. . type. ,. . location. Definition. Outpouchings or dilations of the arterial wall. Common problems involving aorta. Occur in men more often than in women. Incidence ↑ with age. Clinical Manifestations. Aortic Aneurysm. Ascending aorta/aortic arch. and Management. of Patients With. Thoracic Aortic Disease. American College of Cardiology/American Heart Association. Pocket Guideline. Based on the 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM. Normal Anatomy of the Thoracoabdominal Aorta. Cardiology . MKSAP Q. 66 year old woman is evaluated in the Emergency Department for abrupt onset of severe chest and back pain that persisted for 2 hours. On exam, she is afebrile, BP 180/110 in both arms, pulse 98, oxygen saturation 96% on 2L of oxygen. Heart is regular, no murmurs, S4 is present. Chest is clear. Pulses are symmetric and equal in all extremities. Labs are notable for normal D-dimer, troponin; . Molecular Basis Of. Aortic Aneurysms. Definitions. A permanent dilatation of 50% or more compared with the expected normal diameter of the vessel.. An arterial dilatation less then 50% of the original Diameter. . . Richard Parsons M.D. FACS. Endovascular treatment of aortic disease. Anatomy . Indications for repair of AAA. Size > than 5cm . Expansion greater than 0.2-.4 cm/year . Symptomatic aneurysm . 136 Department of Growth, Development and Structure, Southern Illinois University School of Dental Medicine, Alton, IL 62002, USA. . Correspondence: Dr. Anita Joy, Department of Growth, Development an A Heart Team Perspective. Interventional cardiology: . Megan Coylewright, MD MPH FSCAI. Dartmouth-Hitchcock Heart and Vascular Center. Cardiac surgery: . Melissa Levack, MD. Vanderbilt University Medical Center.