Aneurysms and Carotid Artery Surgery Flashcards Preview

Jamie Cardiovascular Pathology > Aneurysms and Carotid Artery Surgery > Flashcards

Flashcards in Aneurysms and Carotid Artery Surgery Deck (20):
1

What is an aortic aneurysm?

A swelling of the aorta

2

How large does a swell have to be to count as an aortic aneurysm? (2)

Exceeds 3cm or 50% increase

3

Where do the majority of aortic aneurysms occur?

Infra-renal (below the kidney)

4

What does a fusiform aneurysm look like?

Spindle shaped

5

What does a saccular aneurysm look like?

Pouch shaped

6

At what age is it more likely to get an AAA?

Over 55

7

What are 4 clinical risk factors for AAA?

COAD
Hypertension
PVD
Ischaemic heart disease

8

What are 3 social risk factors for AAA?

Male
Smoking
Genetics (male)

9

What happens to the risk of rupture as the aneurysm size increases?

It increases exponentially

10

What preoperative investigations could you perform to check a patients fitness before surgery? (5)

FBC
ECG
Echo
CXR
CT
Pulmonary function test
Cardiac perfusion scan

11

What invasive operation is performed for AAA?

Graft placement

12

What are the 2 types of graft?

Tube
Bifurcated

13

What are 3 postoperative complications of graft placement surgery for AAA?

Haemorrhage
Colonic iscahemia
Infected grafts

14

What is a less invasive procedure for AAA?

Endovascular repair

15

What does endovascular repair involve?

A catheter is inserted towards the aorta where it releases a expandable stent as it is pulled out

16

What are 3 postop problems than can occur after endovascular repair?

Endoleak
Fragmentation of device
Migration of stent

17

What are 3 symptoms of an emergency presentation of AAA?

Severe back pain
Renal colic
Hypovolaemic shock

18

What is considered an emergency presentation go AAA?

If it is ruptured

19

What scan should be performed on AAA till it reaches 5.5cm?

Ultrasound

20

What drugs should be used to control risk factors for AAA? (2)

Statins
Aspirin