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Revue Medicale de Liege May 2018Ruptured abdominal aortic aneurysm is a cardiovascular emergency associated with a 30 day mortality as high as 70 %. However, recent progresses in the management of... (Review)
Review
Ruptured abdominal aortic aneurysm is a cardiovascular emergency associated with a 30 day mortality as high as 70 %. However, recent progresses in the management of these patients have improved the results. From a surgical point of view, endovascular methods such as balloon occlusion and endovascular repair (EVAR) in patients with suitable anatomy are recommended in order to reduce mortality.
Topics: Aortic Aneurysm, Abdominal; Aortic Rupture; Cardiac Surgical Procedures; Endovascular Procedures; Humans
PubMed: 29926569
DOI: No ID Found -
The Surgical Clinics of North America Aug 2023Abdominal aortic aneurysms are found in up to 6% of men and 1.7% of women over the age of 65 years and are usually asymptomatic. The natural history of aortic aneurysms... (Review)
Review
Abdominal aortic aneurysms are found in up to 6% of men and 1.7% of women over the age of 65 years and are usually asymptomatic. The natural history of aortic aneurysms is continued dilation leading to rupture, which is associated with an overall 80% mortality. Of the patients with ruptured aneurysms that undergo intervention, half will not survive their hospitalization. Reduction in aneurysm mortality is therefore achieved by prophylactic repair during the asymptomatic period. On a population-based level, this is supported by abdominal aortic aneurysm screening programs. Approximately 60% of abdominal aortic aneurysms are confined to the infrarenal portion of the aorta and are amenable to repair with off-the-shelf endovascular devices. Endovascular techniques have now replaced open surgery as the primary modality for aneurysm repair.
Topics: Male; Humans; Female; Aged; Treatment Outcome; Blood Vessel Prosthesis Implantation; Aortic Aneurysm, Abdominal; Endovascular Procedures; Aorta; Aortic Rupture; Risk Factors
PubMed: 37455027
DOI: 10.1016/j.suc.2023.05.001 -
Clinical Gastroenterology and... Feb 2020
Topics: Aortic Rupture; Gastrointestinal Hemorrhage; Hematoma; Humans
PubMed: 31941598
DOI: 10.1016/j.cgh.2018.10.039 -
Medicina (Kaunas, Lithuania) Jul 2021The standard ATLS protocol calls for chest drain insertion in patients with hemothorax before performing further diagnostic steps. However, if trauma-induced thoracic...
The standard ATLS protocol calls for chest drain insertion in patients with hemothorax before performing further diagnostic steps. However, if trauma-induced thoracic aortic rupture is the underlying cause, such drainage can lead to massive bleeding and death of the patient. This report describes a case of a polytrauma patient (car accident), aged 21, with symmetrical chest and decreased breath sounds dorsally on the left. An urgent CT scan revealed subadventitial Grade III thoracic aortic transection with mediastinal hematoma, a massive left-sided hemothorax with mediastinal shift to the right, and other injuries. Stent-graft implantation with subsequent left hemithorax drainage was urgently performed, during which the patient became increasingly unstable from the circulatory point of view. This traumatic hemorrhagic shock was successfully managed at the ICU. Although hemothorax is a serious condition requiring rapid treatment, the knowledge of its origin is of utmost importance; performing chest drainage without bleeding control can lead to circulatory instability and death of the patient. Hence, where aortic injury can be suspected based on the mechanism of the injury, it is beneficial to perform spiral CT angiography for accurate diagnosis first and, in cases of aortic injury, to control the bleeding prior to drainage.
Topics: Aortic Rupture; Hemothorax; Humans; Tomography, X-Ray Computed
PubMed: 34440997
DOI: 10.3390/medicina57080790 -
The British Journal of Surgery Sep 2006
Topics: Aorta, Thoracic; Aortic Rupture; Humans; Treatment Outcome
PubMed: 16915589
DOI: 10.1002/bjs.5504 -
Tijdschrift Voor Diergeneeskunde Apr 1999Mortality in poultry due to aortic rupture is characterized by sudden death. The condition is seen in fast-growing male turkeys but has also been described in chickens,... (Review)
Review
Mortality in poultry due to aortic rupture is characterized by sudden death. The condition is seen in fast-growing male turkeys but has also been described in chickens, ostriches, and waterfowl. Losses in affected flocks usually only reach 1-2%. Post-mortem examination shows a large blood clot in the abdominal cavity subsequent to a dissecting aneurysm. Fragmentation of elastic fibres and degenerative changes of smooth muscle cells are seen in the region of the rupture. Intimal sclerotic plaques are present adjacent to the site of rupture. Copper deficiency, hypertension, hormonal influences, diet, lathyrism, zinc deficiency, pharmaceuticals, and parasites are precipitating factors for aortic rupture. Field studies suggest that favourable results are obtained with reserpine and copper as treatment for ruptured aorta.
Topics: Animals; Aortic Rupture; Causality; Death, Sudden; Male; Poultry; Poultry Diseases
PubMed: 10231919
DOI: No ID Found -
JAMA Jul 1974
Topics: Accidents, Traffic; Adolescent; Aortic Rupture; Aortography; Diagnosis, Differential; Female; Humans; Lung; Posture; Prognosis; Thoracic Injuries; Time Factors
PubMed: 4406883
DOI: No ID Found -
The Journal of Thoracic and... Feb 2021
Topics: Aortic Dissection; Aortic Aneurysm, Thoracic; Aortic Rupture; Dissection; Humans
PubMed: 31859067
DOI: 10.1016/j.jtcvs.2019.11.031 -
The Indian Journal of Medical Research Nov 2020
Topics: Aortic Rupture; Humans
PubMed: 35345093
DOI: 10.4103/ijmr.IJMR_1783_19 -
RN Nov 1996
Topics: Aged; Aortic Rupture; Humans; Male; Nursing Assessment; Patient Care Planning; Patient Discharge; Risk Factors
PubMed: 8945421
DOI: No ID Found