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Khirurgiia 2013Despite the increased volume of patients undergoing selective reconstruction on the occasion of abdominal aortic aneurysms (AAA) in the last decades, the number of... (Review)
Review
Despite the increased volume of patients undergoing selective reconstruction on the occasion of abdominal aortic aneurysms (AAA) in the last decades, the number of patients with rupture of abdominal aortic aneurysms (RAAA) is not significantly decreased. RAAA is catastrophic and life-threatening condition. It remains a challenge to every practitioner. To optimize the surgical practice we studied the literature for the treatment of symptomatic and rupture aneurysm of the abdominal aorta.
Topics: Aorta, Abdominal; Aortic Aneurysm, Abdominal; Aortic Rupture; Endovascular Procedures; Humans; Plastic Surgery Procedures
PubMed: 24151748
DOI: No ID Found -
Arquivos Brasileiros de Cardiologia Nov 2006We report a patient admitted to our hospital with aortic valve rupture due to blunt chest trauma. The aortic rupture was accurately identified by the transesophageal...
We report a patient admitted to our hospital with aortic valve rupture due to blunt chest trauma. The aortic rupture was accurately identified by the transesophageal echocardiogram, allowing a better surgical approach.
Topics: Adult; Aortic Rupture; Echocardiography, Doppler; Echocardiography, Transesophageal; Heart Valve Prosthesis; Humans; Male; Thoracic Injuries; Treatment Outcome; Wounds, Nonpenetrating
PubMed: 17396194
DOI: 10.1590/s0066-782x2006001800028 -
Cardiology 2006Sinus of Valsalva aneurysms are rare cardiac anomalies which may be acquired or congenital, most commonly involving the right or noncoronary sinuses. The congenital... (Review)
Review
Sinus of Valsalva aneurysms are rare cardiac anomalies which may be acquired or congenital, most commonly involving the right or noncoronary sinuses. The congenital aneurysms are more common and often caused by weakness at the junction of the aortic media and the annulus fibrosus. Acquired aneurysms are caused by conditions affecting the aortic wall, such as infections (syphilis, bacterial endocarditis, or tuberculosis), trauma, or connective tissue disorders. Unruptured aneurysms are usually found incidentally during diagnostic studies. More commonly, sinus of Valsalvaaneurysms are diagnosed after clinical sequelae of rupture. Diagnosis of sinus of Valsalva aneurysm is facilitated by echocardiography, contrast aortography, and more recently, magnetic resonance imaging. Repair is generally required for ruptured aneurysms; unruptured aneurysms encroaching on nearby structures, causing myocardial ischemia, or having the potential to rupture warrant repair. A review of the literature is presented focusing on anatomy, clinical presentation of ruptured and unruptured aneurysms, noninvasive diagnostic modalities, and techniques for repair of this anomaly.
Topics: Aortic Aneurysm; Aortic Rupture; Humans; Sinus of Valsalva
PubMed: 16612073
DOI: 10.1159/000092635 -
Surgery Aug 2020
Topics: Aortic Aneurysm, Abdominal; Aortic Rupture; Health Care Costs; Humans; Palliative Care; Standard of Care
PubMed: 32461000
DOI: 10.1016/j.surg.2020.03.035 -
The Annals of Thoracic Surgery Jan 1995In an attempt to prevent paraplegia, a devastating complication common after the repair of traumatic rupture of the aorta, we have used partial cardiopulmonary bypass....
In an attempt to prevent paraplegia, a devastating complication common after the repair of traumatic rupture of the aorta, we have used partial cardiopulmonary bypass. Most of the patients in our series (79.5%) underwent other major surgical procedures immediately before or after the aortic repair. Eight of the 110 patients died before aortic repair could be performed. The aorta was not repaired in 3, because of other injuries. In 9, the repair was done without a shunt or bypass; 4 patients died and 2 (22.2%) survived without paraplegia. One of the 2 who underwent repair with a Gott shunt died; the survivor suffered no cord damage. Of the 88 patients whose repair was carried out under cardiopulmonary bypass, 6 died and 80 (90.9%) survived without paraplegia. None of the last 39 patients has become paraplegic, as vasodilator treatment is now discontinued during the cross-clamp period. Serious intracranial injury was present in 19 patients; in 3 (15.8%) the injury became worse after repair. There was no evidence of new or increased intraabdominal bleeding during heparinization. Except in the event of pulmonary lacerations, systemic heparin therapy was not associated with major problems.
Topics: Adult; Aged; Aorta; Aortic Rupture; Aortography; Cardiopulmonary Bypass; Female; Humans; Male; Middle Aged; Paraplegia; Postoperative Complications
PubMed: 7818366
DOI: 10.1016/0003-4975(94)00719-N -
Annals of Vascular Surgery Jan 2016Focal aortic rupture may result from expanding aneurysms, penetrating aortic wall ulcerations, or virulent infections. An urgent repair of paravisceral focal aortic...
BACKGROUND
Focal aortic rupture may result from expanding aneurysms, penetrating aortic wall ulcerations, or virulent infections. An urgent repair of paravisceral focal aortic rupture is associated with high morbidity. A staged repair approach may provide an alternative option.
CASE REPORT
A 64-year-old woman presented with acute focal rupture of the posterior paravisceral aortic wall and was progressing to hemorrhagic shock and mesenteric ischemia. Given the patient's dire condition, an endovascular approach was used to plug her focal aortic wall defect using a ventricular septal defect occluder device. Subsequently, the patient underwent resuscitation, stabilization, and operative exploration. Postoperatively, she recovered well from this staged approach.
CONCLUSIONS
This case provides an example of a staged endovascular plugging of an acute paravisceral focal aortic rupture. In select cases, this type of repair strategy is feasible, until off-the-shelf endovascular repair options become a reality.
Topics: Aortic Rupture; Endovascular Procedures; Female; Humans; Middle Aged; Septal Occluder Device
PubMed: 26522581
DOI: 10.1016/j.avsg.2015.07.033 -
American Family Physician/GP Mar 1970
Topics: Aortic Rupture; Female; Humans; Male
PubMed: 5263783
DOI: No ID Found -
Seminars in Thoracic and Cardiovascular... 2006Aneurysms of the sinus of Valsalva (ASVs) are rare. They can be congenital or acquired through infection, trauma, or degenerative diseases. They frequently co-occur with... (Review)
Review
Aneurysms of the sinus of Valsalva (ASVs) are rare. They can be congenital or acquired through infection, trauma, or degenerative diseases. They frequently co-occur with ventricular septal defects, aortic valve dysfunction, or other cardiac abnormalities. Although unruptured ASVs are usually asymptomatic, ruptured ASVs often cause symptoms similar to those of heart failure and produce a continuous, mechanical-sounding murmur. Transsternal or transesophageal echocardiography is usually effective in detecting ASVs. Because symptomatic ASVs pose significant risks for the patient, and because the repair of asymptomatic ASVs generally produces excellent outcomes, surgery is indicated in most cases. The primary goals of surgical repair are to close the ASV securely, remove or obliterate the aneurysmal sac, and repair any associated defects. Operative mortality is generally low except in patients with concomitant bacterial endocarditis or other infections. Late events are uncommon and tend to be related to aortic valve prothesis or Marfan syndrome.
Topics: Adolescent; Adult; Aged; Aortic Aneurysm; Aortic Rupture; Cardiac Surgical Procedures; Child; Child, Preschool; Female; Heart Failure; Heart Murmurs; Humans; Incidence; Male; Middle Aged; Sinus of Valsalva
PubMed: 16638563
DOI: 10.1053/j.pcsu.2006.02.014 -
European Journal of Pediatric Surgery :... Aug 2005Aortic disruption is a well documented cause of death in motor vehicle accidents and falls from heights. These injuries also affect children. About 10 % who survive...
Aortic disruption is a well documented cause of death in motor vehicle accidents and falls from heights. These injuries also affect children. About 10 % who survive despite aortic injury could potentially be saved provided the diagnosis is established and surgical intervention is undertaken early enough. We present here 2 cases of adolescents aged 17 years, treated in our hospitals with different results. In the first case, timely diagnosis of aortic pseudoaneurysm could not be made, which resulted in its rupture and the death of the patient. In the other patient an early diagnosis of aortic injury was established already in the Emergency Department. The patient was then transferred for further surgical treatment which proved successful. Diagnosis of traumatic aortic rupture is impossible at the accident site and can also be missed in hospital. The symptoms of aortic rupture are not characteristic. The knowledge of the mechanism of injury is extremely important. The diagnosis is established based on chest X-ray, computed tomography, and transoesophageal echocardiography. In cases of doubt, aortography remains decisive in the identification of an aortic injury.
Topics: Accidents, Traffic; Adolescent; Aneurysm, False; Aortic Rupture; Aortography; Fatal Outcome; Female; Humans; Male; Stomach; Tomography, X-Ray Computed
PubMed: 16163597
DOI: 10.1055/s-2005-837610 -
Circulation Aug 2005
Topics: Aorta; Aortic Rupture; Disease Outbreaks; Elasticity; Humans; Metalloproteases
PubMed: 16116065
DOI: 10.1161/CIRCULATIONAHA.105.564682