Comparison of volume and diameter measurement in assessing small abdominal aortic aneurysm expansion examined using computed tomographic angiography

2011 ◽  
Vol 79 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Adam Parr ◽  
Chanaka Jayaratne ◽  
Petra Buttner ◽  
Jonathan Golledge
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Computed Tomographic Angiography ◽  
Diameter Measurement ◽  
Computed Tomographic ◽  
Abdominal Aortic ◽  
Tomographic Angiography

Giant Abdominal Aortic Aneurysm: a Wondrous Image with Multidetector Computed Tomographic Angiography

2017 ◽  
Vol 20 (2) ◽  
pp. 183-184
Author(s):  
Mehmet Tuğrul Göncü ◽  
Burak Erdolu ◽  
Mesut Engin ◽  
Orhan Güvenç ◽  
Arda Aybars Pala
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Abdominal Aortic ◽  
Tomographic Angiography

Endovascular versus Conventional Open Repair of Acute Abdominal Aortic Aneurysm: Feasibility and Preliminary Results

2002 ◽  
Vol 9 (4) ◽  
pp. 443-448 ◽  
Author(s):  
Marc R.H.M. van Sambeek ◽  
Lukas C. van Dijk ◽  
Johanna M. Hendriks ◽  
Martine van Grotel ◽  
Jan-Willem Kuiper ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Hemodynamic Instability ◽  
Computed Tomographic Angiography ◽  
Preliminary Results ◽  
Computed Tomographic ◽  
Abdominal Aortic ◽  
Tomographic Angiography ◽  
Aneurysm Diameter

Purpose: To evaluate the feasibility of endovascular treatment of acute abdominal aortic aneurysm (AAA) with commercially prepared bifurcated systems. Methods: From January through July 2001, 22 patients (17 men; mean age 73.6 years, range 59–89) were referred with an acute (symptomatic/ruptured) AAA. Six patients were treated with emergent open surgery because of hemodynamic instability, but the other 16 patients underwent computed tomographic angiography with multidirectional reconstruction. Six (27%) aneurysms were suitable for endovascular repair (EVR) and were successfully treated. Procedural variables, morbidity, and mortality were compared between the EVR group and 6 patients of equivalent hemodynamic status from among the conventionally treated patients. Results: There was no mortality in either group. The median aneurysm diameter in the EVR group was 63 mm (range 48–84) versus 80 mm (45–82) in the matched surgically treated AAAs (p=0.628). Procedural duration was 193 minutes (150–265) for the EVR group compared to 203 minutes (130–270) for the matched group (p=0.630). Median blood loss was significantly less (p=0.010) in the EVR group (125 versus 3400 mL). Median length of stay (LOS) in intensive care was 8 hours (0–21) versus 62 hours (48–112) for the surgical group (p=0.004). Hospital LOS was significantly reduced (p=0.024) for the EVR patients (7.5 [2–16] versus 15.5 [10–34] days). Conclusions: Endovascular treatment of acute aneurysm is feasible, and preliminary results are promising.

Spontaneous regression of the abdominal aortic aneurysm in a middle age female patient

Vascular ◽  
2020 ◽  
Vol 28 (4) ◽  
pp. 481-484
Author(s):  
Mesut Engin ◽  
Orhan Güvenç ◽  
Mehmet Tuğrul Goncu
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Female Patient ◽  
Spontaneous Regression ◽  
Systemic Disease ◽  
Treatment Success ◽  
Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Abdominal Aortic ◽  
Tomographic Angiography

Introduction Abdominal aortic aneurysm is an important cardiovascular disease affecting especially the elderly. Early diagnosis of this disease is particularly important for treatment success. Spontaneous regression of aneurysms has rarely been reported in the literature. Methods A 63-year-old female patient was admitted to the internal medicine outpatient clinic with abdominal pain three years ago. A urinary ultrasonography was requested, which revealed no urinary pathology, but an abdominal aortic aneurysm of 5 cm. There were no pathological findings in routine blood tests and physical examination of the patient. Contrast-enhanced computed tomographic angiography showed an infrarenal Abdominal aortic aneurysm of approximately 4.30 × 3.24 cm. Three years later, the patient had come to the hospital for check-up with no complaints. In control computed tomographic angiography, the aneurysm was found to have regressed almost completely (2 × 2.15 cm). Results and Conclusion In this case report, to the best of our knowledge, we aimed to share the first spontaneous regression of an abdominal aortic aneurysm in a patient without any systemic disease or use of immunosuppressive medication.

scholarly journals Isolated ascending aorta dilatation is associated with increased risk of abdominal aortic aneurysm

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Enrique Gallego-Colon ◽  
Chaim Yosefy ◽  
Evgenia Cherniavsky ◽  
Azriel Osherov ◽  
Vladimir Khalameizer ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Multiple Logistic Regression Analysis ◽  
Ascending Aorta ◽  
Predictive Tool ◽  
Computed Tomographic ◽  
Hemodynamic Compromise ◽  
Abdominal Aortic ◽  
Imaging Results ◽  
Increased Risk

Abstract Background Abdominal aortic aneurysm (AAA) is an asymptomatic condition characterized by progressive dilatation of the aorta. The purpose of this study is to identify important 2D-TTE aortic indices associated with AAA as predictive tools for undiagnosed AAA. Methods In this retrospective study, we evaluated the size of the ascending aorta in patients without known valvular diseases or hemodynamic compromise as predictive tool for undiagnosed AAA. We studied the tubular ascending aorta of 170 patients by 2-dimensional transthoracic echocardiography (2D-TTE). Patients were further divided into two groups, 70 patients with AAA and 100 patients without AAA with normal imaging results. Results Dilatation of tubular ascending aorta was measured in patients with AAA compared to the group with absent AAA (37.5 ± 4.8 mm vs. 31.2 ± 3.6 mm, p < 0.001, respectively) and confirmed by computed tomographic (CT) (35.6 ± 5.1 mm vs. 30.8 ± 3.7 mm, p < 0.001, respectively). An increase in tubular ascending aorta size was associated with the presence of AAA by both 2D-TTE and CT (r = 0.40, p < 0.001 and r = 0.37, p < 0.001, respectively). The tubular ascending aorta (D diameter) size of ≥33 mm or ≥ 19 mm/m2 presented with 2–4 times more risk of AAA presence (OR 4.68, CI 2.18–10.25, p = 0.001 or OR 2.63, CI 1.21–5.62, p = 0.02, respectively). In addition, multiple logistic regression analysis identified tubular ascending aorta (OR 1.46, p < 0.001), age (OR 1.09, p = 0.013), gender (OR 0.12, p = 0.002), and LVESD (OR 1.24, p = 0.009) as independent risk factors of AAA presence. Conclusions An increased tubular ascending aortic diameter, measured by 2D-TTE, is associated with the presence of AAA. Routine 2D-TTE screening for silent AAA by means of ascending aorta analysis, may appear useful especially in older patients with a dilated tubular ascending aorta (≥33 mm).

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