Beruflich Dokumente
Kultur Dokumente
Heart Disease
Braunwald
CV R4
Supervisor:
Aorta
Intima, media, adventitia
ascending, arch, descending
Aortic isthmus: arch-descending junction
Aortic aneurysm
Definition: pathological dilatation of the normal
aortic lumen involving one or several segments
Asymptom
Rupture triad: abdominal or back pain; palpable/
pulsatile abdominal mass; hypotension (<1/3 cases)
Bruit (+/-)
Abdomianl echo, CT, MRA, aortography
Coronary angiography
Medication control: Hyperlipidemia,
hypertension, cigarette smoking
Aortic dissection
Aortic dissection
Aortic dissection
Severe tearing pain (sudden onset), CHF,
syncope, CVA, ischemic peripheral
neuropathy, paraplegia, cardiac arrest,
sudden death
Anterior pain only: 90% ascending
Interscapular pain only: 90% descending
Aortic dissection
Hypertension (descending), hypotension (ascending)
Pseudohypotension (involving brachiocephalic
vessel)
Aortic dissection
Calcium sign: 1.0cm (suggestive, not
diagnostic)
Aortic dissection
old, hypertension
no false lumen,
Aortography is standard
no definite treatment
< 50 Cases
Equal in thoracic and abdomen aorta
Back pain
Aortography, biopsy
Prevent embolization
Thromboangitis obliterans
Young smokers
Medium and smalll vessels of the arms
Cause unknown? Type I and III collagen
Pain, digit ulceration, Raynaud phenomenon
Abnormal allen test (2/3)
Tx: Cessation smoking, prostacyclin analogue,