diseases of the aorta Flashcards
(19 cards)
risk of AAA rupture?
the bigger the aneurysm diameter, the greater the risk of rupture
what is the Class Triad for AAA rupture
Pain, hypotension, pulsatile abdominal mass
what is the gold standard for dx of AAA?
ultrasound
tx of AAA other than smoking cessatino?
slow down BP, keep dP/Dt shear stress as low as possible
when to do surgery on AAA
males: > 5.5 cm diameter, females >5 cm diameter
when to monitor AAA with imaging every 6-12 months
4-5.4 cm
who to do AAA screen on?MALES WHO HAVE EVER SMOKED AGES 65 TO 75 YEARS
MALES WHO HAVE EVER SMOKED AGES 65 TO 75 YEARS
what part of thoracic aorta is most likely for aneurysm?
ascending aorta > aortic arch >descending aorta
recommedned size for thoracic aortic repair in asymp patients
> 5.5 cm or growth >0.5 cm/yr
when is there a huge risk of rupture for thoracic aorta rupture?
5.8-6
classification of aortic dissection: involves ascending & descending aorta
class 1
classification of aortic dissection: involves ascending aorta
class 2
classification of aortic dissection: involves descending aorta
class 3
which classificiation has the worst prognosis?
class 1 & 2 (because involve the ascending aorta)
what is the most important sx assc’d with acute aortic dissection?
severe tearing chest pain
what type of meds are recommended in acute aortic dissection
beta blockers
when is surgery recommended for type A aortic dissection?
all patients
when is surgery recommended for type B aortic dissection?
with complications - ie. rupture, extension, rapid aneurysm extension, malperfusion syndrome, marfan syndrome
recommended f/u for acute aortic dissection patients
1, 3, 6, and 12 month imaging of the entire aorta follow up
