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Published on : Mar 14, 2014
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Slide 1 - Abdominal Aortic Aneurysm Bryan Imayanagita UCI T-RAP 2/2/11
Slide 2 - Background Aka: AAA Aneurysm: swelling/dilation Most common in men over 60. smoking increases risk Rupture most dangerous complication
Slide 3 - Pathophysiology Degredation of tuncia media Metalloproteinases destroy elastin making aortic wall more susceptible to change in BP Abdominal aorta contains less elastin compared with the thoractic aorta; higher chance in abdomen for aneurysm Age causes decline in elastin 90% infrarenally
Slide 4 - ppt slide no 4 content not found
Slide 5 - Causes Smoking Atherosclerosis Heredity Hypertension High cholesterol Trauma
Slide 6 - ppt slide no 6 content not found
Slide 7 - Symptoms Often asymptomatic Can manifest as back, abdomen, groin pain Palpable abdominal mass upon examination
Slide 8 - Diagnosis Physical examination CT/Ultrasound MRI and Angiography used less often
Slide 9 - ppt slide no 9 content not found
Slide 10 - Treatment Conservative: Surgery more risky Lifestyle changes: cholesterol meds, stop smoking, etc. Surgical: Endovascular stent insertion Open surgery
Slide 11 - Stent Insertion
Slide 12 - Open Repair
Slide 13 - Prognosis s/p mortality 40% for ruptured AAA Pre-rupture surgery: 1-6%
Slide 14 - Sources http://my.clevelandclinic.org/disorders/aneurysms/hic_abdominal_aortic_aneurysm.aspx http://emedicine.medscape.com/article/463354-overview http://www.mayoclinic.org/aortic-aneurysm/ http://www.nlm.nih.gov/medlineplus/ency/article/000162.htm