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Journal of Vascular Surgery Oct 2003Penetrating atheromatous ulceration of the infrarenal aorta is a rare entity. There are few reported cases of this lesion, and most of the published data is in regards... (Review)
Review
Penetrating atheromatous ulceration of the infrarenal aorta is a rare entity. There are few reported cases of this lesion, and most of the published data is in regards to the thoracic aorta. Spontaneous rupture of a nonaneurysmal noninfected atherosclerotic infrarenal aorta is a rare event. We report the eleventh case of this occurrence and present the first reported case of endovascular stent-graft placement in treating this entity. We review the literature regarding ulcerative disease of the aorta and specifically discuss the published data on spontaneous rupture of the nondilated, noninfected infrarenal aorta secondary to penetrating atheromatous ulceration.
Topics: Aged; Aged, 80 and over; Aorta, Abdominal; Aortic Rupture; Arteriosclerosis; Blood Vessel Prosthesis Implantation; Humans; Male; Radiography; Rupture, Spontaneous; Stents; Ulcer
PubMed: 14560239
DOI: 10.1016/s0741-5214(03)00557-3 -
Grudnaia Khirurgiia (Moscow, Russia) 1985
Review
Topics: Aorta, Thoracic; Aortic Rupture; Blood Vessel Prosthesis; Humans
PubMed: 3884466
DOI: No ID Found -
Pediatric Cardiology 2001A 3-year-old boy with early rupture of an aortic aneurysm due to infantile Marfan's syndrome is presented. In an emergency operation we prepared a composite graft using...
A 3-year-old boy with early rupture of an aortic aneurysm due to infantile Marfan's syndrome is presented. In an emergency operation we prepared a composite graft using a 17-mm St. Jude prosthesis with an 18-mm vascular conduit. The postoperative period was complicated by pneumothoraces, transient bilateral phrenic nerve paralysis, cerebral convulsion, and supraventricular tachycardia. Four months postop the composite graft was replaced with an aortic homograft due to severe stenosis. His condition after 12 months is excellent.
Topics: Aortic Rupture; Blood Vessel Prosthesis Implantation; Child, Preschool; Humans; Male; Marfan Syndrome; Ultrasonography
PubMed: 11178676
DOI: 10.1007/s002460010185 -
Journal Belge de Radiologie Dec 1993
Topics: Adult; Aorta, Thoracic; Aortic Rupture; Aortography; Humans; Male; Thoracic Injuries; Wounds, Nonpenetrating
PubMed: 8163443
DOI: No ID Found -
Annals of Emergency Medicine Jul 1985The chest radiographs of 86 patients with suspected aortic rupture from blunt chest trauma were reviewed. Seventy-three patients had no evidence of aortic rupture on...
The chest radiographs of 86 patients with suspected aortic rupture from blunt chest trauma were reviewed. Seventy-three patients had no evidence of aortic rupture on aortography or surgical exploration, and 13 patients had surgically confirmed rupture. Sixteen radiographic findings were analyzed for sensitivity and specificity in detecting aortic rupture. The following findings were not statistically significant: hemothorax on either side; rib fractures on either side; pneumothorax on either side; lung contusion; widened left paravertebral stripe; and widening of the mediastinum, along with an increased ratio of mediastinal width to chest width. The most helpful findings leading to suspicion of aortic rupture included nasogastric tube or tracheal deviation to the right at the T4 level; depression of the left mainstem bronchus; and loss of the aortic contour or knob and left apical cap. False positives and false negatives occurred with each radiographic sign, indicating that there is no single finding that is absolutely reliable in predicting or excluding significant injury in every patient with suspected aortic rupture. Analysis of combinations of findings found that when the aortic contour and knob are normal and the nasogastric tube and trachea are not deviated, there was no case of aortic rupture in four consecutive years of experience. These four signs can be used to exclude aortic rupture.
Topics: Aortic Rupture; Emergencies; False Negative Reactions; False Positive Reactions; Humans; Radiography; Thoracic Injuries; Wounds, Nonpenetrating
PubMed: 4014812
DOI: 10.1016/s0196-0644(85)80879-9 -
Annals of Emergency Medicine Mar 1988Rupture of an abdominal aortic aneurysm often presents with a pulsatile abdominal mass, abdominal pain, and hypotension. Recent clinical reports describe patients with...
Rupture of an abdominal aortic aneurysm often presents with a pulsatile abdominal mass, abdominal pain, and hypotension. Recent clinical reports describe patients with less apparent clinical signs and symptoms who were found later in their evaluation to have a contained rupture of an abdominal aortic aneurysm. Even more unusual is a chronic contained rupture of an abdominal aortic aneurysm. Our patient had a chronic contained rupture of an abdominal aortic aneurysm that presented with erosion into the lumbar vertebral bodies and subsequent lumbar neuropathy. CT scan confirmed the contained rupture of the aortic aneurysm and the patient underwent successful repair of his aortic aneurysm. Our report discusses the significance of atypical presentations of abdominal aortic aneurysm rupture and the importance of prompt diagnosis and definitive repair.
Topics: Aged; Aorta, Abdominal; Aortic Rupture; Chronic Disease; Humans; Male; Spinal Cord Diseases; Tomography, X-Ray Computed
PubMed: 3345024
DOI: 10.1016/s0196-0644(88)80125-2 -
Journal of Medical Primatology Dec 2018Eosinophilic aortitis is a rare condition in animals and humans, and it has been occasionally reported associated with parasitic migration and with a poorly understood...
Eosinophilic aortitis is a rare condition in animals and humans, and it has been occasionally reported associated with parasitic migration and with a poorly understood complex group of autoimmune vasculitides. Here, we describe a case of eosinophilic aortitis with thoracic aortic aneurysm and rupture in a captive-born owl monkey and discuss the differential diagnoses.
Topics: Animals; Animals, Laboratory; Aortic Aneurysm, Thoracic; Aortic Rupture; Aortitis; Aotidae; Eosinophils; Male; Monkey Diseases
PubMed: 30187922
DOI: 10.1111/jmp.12373 -
BMJ (Clinical Research Ed.) Jan 2011
Review
Topics: Aortic Rupture; Diagnosis, Differential; Echocardiography; Humans; Magnetic Resonance Imaging; Risk Factors; Tomography, X-Ray Computed
PubMed: 22236596
DOI: 10.1136/bmj.d8290 -
Emergency Medicine Clinics of North... Nov 2005Emergency physicians (EPs) are commonly faced with life-threatening entities. Particularly challenging are the aortic catastrophes, such as penetrating aortic ulcers... (Review)
Review
Emergency physicians (EPs) are commonly faced with life-threatening entities. Particularly challenging are the aortic catastrophes, such as penetrating aortic ulcers (PAUs), intramural hematomas (IMHs), and atypical presentations of acute aortic dissections and ruptured abdominal aortic aneurysms. Several factors account for this: (1) the rapidly evolving knowledge (particularly in the pathogenesis and precursors of aortic dissection [AD]), (2) the lack of comfort caused by infrequent exposure, (3) the misconceptions about the work up and treatment, (4) the lack of emergent vascular surgery back up in the community, and finally (5) the high short-term mortality and missed rates. Finally, the media has publicized cases of celebrities and other patients who experienced fatal outcomes when their aortic catastrophes went undiagnosed. Practitioners of emergency care should, therefore, understand the challenges, be aware of the recent advances, and help limit the controversies in the evaluation and management of these patients.
Topics: Aortic Aneurysm, Abdominal; Aortic Rupture; Diagnosis, Differential; Diagnostic Techniques, Cardiovascular; Humans; Treatment Outcome; Vascular Surgical Procedures
PubMed: 16199343
DOI: 10.1016/j.emc.2005.07.010 -
European Journal of Vascular and... Jul 1995
Topics: Aged; Angiography, Digital Subtraction; Aortic Rupture; Aortography; Bacterial Infections; Endocarditis, Bacterial; Female; Humans; Male; Middle Aged; Tomography, X-Ray Computed
PubMed: 7633960
DOI: 10.1016/s1078-5884(05)80208-4