Abdominal aortic aneurysm as an incidental finding in abdominal ultrasonography

1991 ◽  
Vol 78 (10) ◽  
pp. 1261-1263 ◽  
Author(s):  
G. J. M. Akkersdijk ◽  
A. C. de Vries ◽  
J. B. C. M. Puylaert
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Incidental Finding ◽  
Abdominal Ultrasonography ◽  
Abdominal Aortic

Abdominal Aortic Aneurysm With Renal Arteries Originating Above the Superior Mesenteric Artery

2016 ◽  
Vol 51 (1) ◽  
pp. 36-37
Author(s):  
Ajit Rao ◽  
Adam Korayem ◽  
Rami Tadros ◽  
Peter Faries ◽  
Michael Marin ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Superior Mesenteric Artery ◽  
Stent Graft ◽  
Mesenteric Artery ◽  
Incidental Finding ◽  
Endovascular Aneurysm Repair ◽  
Renal Arteries ◽  
Preoperative Imaging ◽  
Abdominal Aortic

A 63-year-old female presented to clinic following an incidental finding of an abdominal aortic aneurysm (AAA). Preoperative imaging was consistent with an infrarenal AAA over 5-cm in diameter with both renal arteries originating above the superior mesenteric artery (SMA). The patient subsequently underwent an endovascular aneurysm repair (EVAR) using the AFX stent-graft (Endologix, Inc, Irvine, Calif). Notably, the proximal stent-graft piece was unsheathed with the image intensifier in a lateral position to ensure deployment below the SMA. Postoperative course was unremarkable and the patient is currently recovering well.

Abstract 18096: Screening of Abdominal Aortic Aneurysm during Transthoracic Echocardiography

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Takao Kato ◽  
Masahiro Kimura ◽  
Moritoshi Funasako ◽  
Eisaku Nakane ◽  
Toshiaki Izumi ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Abdominal Aorta ◽  
Transthoracic Echocardiography ◽  
Multivariate Logistic Regression Model ◽  
Multivariate Logistic Regression ◽  
Abdominal Ultrasonography ◽  
Confounding Bias ◽  
Abdominal Aortic ◽  
Male Sex

Introduction: We previously reported that the prevalence of abdominal aortic aneurysm (AAA) in patients who underwent scheduled transthoracic echocardiography (TTE) was higher than that of AAA in patients who underwent abdominal ultrasonography (AUS). However, the patient backgrounds differed significantly between the two groups. Hypothesis: We hypothesized TTE detected AAA as similarly as AUS, one of standard methods for the screening of AAA. Methods: A total of 7,619 patients who were scheduled for TTE from 2009 to 2010 in our hospital were prospectively included. The abdominal aorta was evaluated at the end of the routine protocol. All patients who received scheduled abdominal ultrasonography (AUS) during the same period, a total of 15,433 patients, were included. The patients with known AAA and those without consent were excluded. In order to compare the TTE group to AUS group, we developed a propensity score for profiles of patients who received TTE or AUS for potential confounding bias. Specifically, a multivariate logistic regression model was fit with TTE or AUS as a dependent variable, which included age, sex, numbers of comorbidities, and the presence of each comorbidity. Consequently, 4,388 patients in each group were matched for analyses. Results: In propensity-matched patients, AAA was detected in 59 patients of TTE group and 48 patients of AUS group and the prevalence of the detection of AAA was not different between TTE and AUS (p=0.331). Positive associations were observed between AAA detected and male sex (adjusted odds ratio [OR], 3.25; 95% CI, 2.05-5.15; P<.001), older age (adjusted OR, 1.029; 95% CI, 1.01-1.046; P<.001), having ischemic heart disease (adjusted OR, 1.78; 95% CI, 1.04-3.03; P=0.033), and having hypertension (adjusted OR, 2.16; 95% CI, 1.38-3.38; P=001). Conclusions: TTE detected AAA as similarly as AUS. This result suggested that additional examination of the abdominal aorta during scheduled TTE was efficient for the screening of AAA.

Descending thoracic and abdominal aortic aneurysm in perfusion ventilation scintigraphy. An incidental finding

2010 ◽  
Vol 29 (5) ◽  
pp. 270-271
Author(s):  
F.J. Hidalgo Ramos ◽  
P. Contreras Puertas ◽  
F.R. Maza Muret ◽  
M. Portero De la Torre ◽  
R. Del Real Núñez ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Incidental Finding ◽  
Abdominal Aortic ◽  
Ventilation Scintigraphy ◽  
Thoracic And Abdominal

Abdominal Aortic Aneurysm as an Incidental Finding

2003 ◽  
Vol 348 (19) ◽  
pp. 1884-1884
Author(s):  
Peter H. Lin ◽  
Alan B. Lumsden
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Incidental Finding ◽  
Abdominal Aortic

Open abdominal aortic aneurysm repair with incidental finding of an extra-adrenal pheochromocytoma of the organ of Zuckerkandl

Vascular ◽  
2020 ◽  
pp. 170853812095086
Author(s):  
Kathy Gonzalez ◽  
Michael J Singh
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Adrenal Medulla ◽  
Chromaffin Cells ◽  
Incidental Finding ◽  
Abdominal Aortic Aneurysm Repair ◽  
Aortic Aneurysms ◽  
Common Location ◽  
Abdominal Aortic ◽  
Adrenal Pheochromocytoma

Objectives Pheochromocytomas are rare catecholamine-secreting neuroendocrine tumors that arise from chromaffin cells of the adrenal medulla or extra-adrenal paraganglia. The most common location of these tumors is within the adrenal medulla. Extra-adrenal pheochromocytomas (EAPs) may occur in any portion of the paraganglion system. The most common location of EAPs is at the organ of Zuckerkandl, which is a collection of chromaffin cells near the origin of the inferior mesenteric artery. Methods We present a case of an EAP of the organ of Zuckerkandl incidentally discovered and resected during urgent open repair of a symptomatic 6.7-cm juxtarenal abdominal aortic aneurysm (AAA). Results The patient underwent successful open surgical repair of a juxtarenal AAA and resection of the pheochromocytoma. Conclusions Concomitant pheochromocytomas and abdominal aortic aneurysms are rare, with a small number described in the literature. We describe the case of a simultaneous EAP of the organ of Zuckerkandl and AAA repair. This case demonstrates that these lesions can be safely resected in the same setting as AAA repair.

scholarly journals “Blue-toe” syndrome as a possible complication of the abdominal aortic aneurysm: A report of two cases

2014 ◽  
Vol 142 (3-4) ◽  
pp. 229-232
Author(s):  
Petar Popov ◽  
Slobodan Tanaskovic ◽  
Vuk Sotirovic ◽  
Srdjan Babic ◽  
Dragoslav Nenezic ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Tissue Loss ◽  
Surgical Reconstruction ◽  
Mural Thrombus ◽  
Abdominal Ultrasonography ◽  
Digital Ischemia ◽  
Pulsatile Mass ◽  
Abdominal Aortic ◽  
Blue Toe Syndrome

Introduction. Severe extremity ischemia and the presence of the ?blue-toe? syndrome are rarely the first complications of the present abdominal aortic aneurysm. We report two interesting cases of this rare entity. Outline of Cases. A 61-year-old man presented with the rest pain of his toes accompanied with digital ischemia of both feet. Physical examination confirmed regular arterial pulses at lower extremities accompanied with palpable pulsate mass in the abdomen. Vascular ultrasound and multidetector tomography (MDCT) of blood vessels revealed small abdominal aortic aneurysm (37 mm in diameter), filled with the irregular, ulcerated, heterogeneous thrombotic masses. Aneurysm sac resection was performed with an aorto-bi-iliac bypass reconstruction. A week later, it was mandatory to amputate the fifth toe on the left foot because of the advanced gangrenous process. The second case was a 77-year-old woman with 7-day history of severe feet pain. Abdominal examination revealed pulsatile mass paraumbilical to the left. Performed abdominal ultrasonography and MDCT angiography confirmed coexistence of the infrarenal aortic aneurysm, 40.5 mm in diameter, covered by significant mobile mural thrombus and ulcerations. Surgical reconstruction was mandatory and patient underwent aneurysm sac resection and aortobifemoral reconstruction. Conclusion. Embolic phenomenon and peripheral embolic occlusion from the mural thrombus within the abdominal aortic aneurysm are relatively rare events, but associated with tissue loss. Thorough diagnostic examinations and prompt management are required regardless of the aneurysm size once these signs occurred.

scholarly journals Endovascular repair of ruptured abdominal aortic aneurysm

2014 ◽  
Vol 71 (1) ◽  
pp. 78-82 ◽  
Author(s):  
Momir Sarac ◽  
Ivan Marjanovic ◽  
Aleksandar Tomic ◽  
Sanja Sarac ◽  
Mihailo Bezmarevic
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Abdominal Ultrasonography ◽  
Diffuse Abdominal Pain ◽  
Retroperitoneal Haematoma ◽  
Abdominal Aortic ◽  
Open Reconstruction ◽  
Complete Exclusion ◽  
The Right

Introduction. Rupture of an abdominal aortic aneurysm (AAA) is a potentially lethal state. Only half of patients with ruptured AAA reach the hospital alive. The alternative for open reconstruction of this condition is endovascular repair (EVAR). We presented a successful endovascular reapir of ruptured AAA in a patient with a number of comorbidities. Case report. A 60-year-old man was admitted to our institution due to diffuse abdominal pain with flatulence and belching. Initial abdominal ultrasonography showed an AAA that was confirmed on multislice computed tomography scan angiography which revealed a large retroperitoneal haematoma. Because of patient?s comorbidites (previous surgery of laryngeal carcinoma and one-third laryngeal stenosis, arterial hypertension and cardiomyopathy with left ventricle ejection fraction of 30%, stenosis of the right internal carotid artery of 80%) it was decided that endovascular repair of ruptured AAA in local anaesthesia and analgosedation would be treatment of choice. Endovascular grafting was achieved with aorto-bi-iliac bifurcated excluder endoprosthesis with complete exclusion of the aneurysmal sac, without further enlargment of haemathoma and no contrast leakage. The postoperative course of the patient was eventless, without complications. On recall examination 3 months after, the state of the patient was well. Conclusion. The alternative for open reconstruction of ruptured AAA in haemodynamically stable patients with suitable anatomy and comorbidities could be emergency EVAR in local anesthesia. This technique could provide greater chances for survival with lower intraoperative and postoperative morbidity and mortality, as shown in the presented patient.

scholarly journals Opportunistic Screening for Abdominal Aortic Aneurysm

1994 ◽  
Vol 1 (4) ◽  
pp. 220-222 ◽  
Author(s):  
Neil D J Derbyshire ◽  
David R M Lindsell ◽  
Jack Collin ◽  
Terence S Creasy
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Aortic Diameter ◽  
Radiology Department ◽  
Current Debate ◽  
Opportunistic Screening ◽  
Abdominal Ultrasonography ◽  
Abdominal Aortic ◽  
John Radcliffe Hospital ◽  
One Year

To contribute to the current debate on screening for abdominal aortic aneurysm (AAA). Radiology department of the John Radcliffe Hospital, Oxford. The prevalence of AAA in 317 clinically referred male patients aged 65–74 undergoing abdominal ultrasonography with no clinical suspicion of an AAA was investigated over a period of one year. Over the year 15/317 (5%) patients were found to have an aneurysm (defined as aortic diameter (≥30mm), with eight (3%) patients having an aortic diameter of ≥40 mm. Six months later appropriate management for the AAA had been started for only four patients. A knowledge assessment questionnaire sent to 245 hospital clinicians and general practitioners showed that 17 (12%) of the 139 respondents would initiate no review of patients found to have an aneurysm of 30–39 mm and two would take no action with aneurysms of 40–49 mm. Thirty two (23%) respondents would seek advice on management for all categories of aneurysm, 14% from the radiologist. Opportunistic screening for AAA in men undergoing clinically indicated abdominal ultrasonography is easy, productive, without discernible cost, and discloses a prevalence of AAA comparable with that of population screening programmes. Routine opportunistic measurement of aortic diameter during abdominal ultrasonography in the at risk group would allow 12–15% of men aged 65–74 to be screened for AAA within five years without the need for any additional resources.

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