scholarly journals Patient with Syphilitic Thoracic and Abdominal Aortic Aneurysms

2010 ◽  
Vol 10 (2) ◽  
pp. 131-133 ◽  
Author(s):  
Kaspars Kisis ◽  
Dainis Krievins ◽  
Marcis Gedins ◽  
Janis Savlovskis ◽  
Natalija Ezite ◽  
...  
Keyword(s):  
Abdominal Aorta ◽  
Disease Patient ◽  
Specific Treatment ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Aortic Hiatus ◽  
Previous Trauma ◽  
Thoracic And Abdominal ◽  
Graft Migration

Patient with Syphilitic Thoracic and Abdominal Aortic AneurysmsWe are presenting a rare case of patient with two syphilitic aneurysms localized in thoracic and abdominal aorta. Routine lung computer tomography (CT) for the patient with complains about irritating and unclear ethiology cough revealed 10 cm diameter aneurysm of descending thoracic aorta (TAA) and additionally 4.8 cm aneurysm of abdominal aorta (AAA) just below the aortic hiatus. As there was no evidence of previous trauma, Marfan syndrome or connective tissue disease patient was screened for syphilis. Diagnosis of tertiary syphilis was confirmed and specific treatment started. As complains of irritating cough intensified - patients TAA was successfully treated endovascularly with thoracic stent graft (Valiant®Captivia, Medtronic Ltd.) on emergency basis. On control CT angiography 3 month after treatment there was no evidence of graft migration, endoleaks and aneurysmal sac was thrombosed. AAA has not increased in size, and open repair is planned.

Abdominal aortic aneurysm screening programme

2019 ◽  
Vol 13 (9) ◽  
pp. 430-434
Author(s):  
Ian Peate
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Abdominal Aorta ◽  
Screening Programme ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Ultrasound Scan ◽  
Abdominal Aneurysm ◽  
Abdominal Aortic ◽  
The Uk

This is the second article in a series of articles regarding screening programmes. In this article, an overview of the abdominal aorta is provided. The article also considers the abdominal aortic aneurysm screening programme. Aortic abdominal aneurysm is described. The majority of abdominal aortic aneurysms are asymptomatic; however, if there are any symptoms, these are explained. All four UK countries offer men aged 65 years and over a screening opportunity using an ultrasound scan, the fundamental aspects of abdominal aortic aneurysm screening programmes is offered. It is emphasised that screening is not mandatory in the UK; the man has a right to decline the invitation to attend any screening programme.

scholarly journals Comparing Trends in Ruptured Thoracic and Abdominal Aortic Aneurysms

2014 ◽  
Vol 60 (4) ◽  
pp. 1103-1104
Author(s):  
Rumi Faizer ◽  
Eric D. Weinhandl ◽  
Sue Duval ◽  
Aaron Ashley ◽  
Niki C. Oldenburg ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal

Differences in observer variability of ultrasound measurements of the proximal and distal abdominal aorta

1998 ◽  
Vol 5 (2) ◽  
pp. 104-108 ◽  
Author(s):  
H J C M Pleumeekers ◽  
A W Hoes ◽  
P G H Mulder ◽  
E van der Does ◽  
A Hofman ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Abdominal Aorta ◽  
Screening Programme ◽  
Interobserver Variability ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Aortic Diameter ◽  
Observer Variability ◽  
Abdominal Aortic ◽  
Ultrasound Measurements

Objective To assess the observer variability of ultrasound measurements of the abdominal aorta and to study whether observer variability is influenced by the site of measurement or cardiovascular risk factors. Setting Population based screening programme for abdominal aortic aneurysms. Methods For 135 subjects taking part in a screening programme for abdominal aortic aneurysms, two of the three ultrasonographers measured the distal and proximal ultrasound diameter of the abdominal aorta, using B-mode ultrasound, according to the Rotterdam study scanning protocol. Results The mean difference between two different observers was 0.06 mm (95% CI –0.15 to 0.27) for measurements of the distal aorta and 0.32 mm (95% CI 0.09 to 0.55) for the proximal aorta. Maximal differences between observers for measurements of both the distal and proximal aortic diameter were 4.0 mm. Interobserver variability in the proximal and distal measurements of the abdominal aorta was not related to the level of the major cardiovascular risk indicators. However, interobserver variability in ultrasound measurements of the proximal aorta increased with increasing waist circumference and increasing diameter of the proximal aorta. Conclusion Ultrasonographic readings of the distal and proximal aortic measurements can be interpreted within a range of plus or minus 3 mm. Ultrasound measurements are more accurate for the distal than for the proximal measurement. Definition of the aortic diameter based on a combination of both distal and proximal measurement may be more accurate.

Die klinische Wertigkeit des routinemäßigen Screenings nach abdominellen Aortenaneurysmen während der Echokardiographie

VASA ◽  
2000 ◽  
Vol 29 (4) ◽  
pp. 265-268 ◽  
Author(s):  
Matthias H. Seelig ◽  
Malouf ◽  
Klingler ◽  
Oldenburg ◽  
Atkinson
Keyword(s):  
Abdominal Aorta ◽  
Screening Method ◽  
Abdominal Aortic Aneurysms ◽  
Abdominal Ultrasound ◽  
Aortic Aneurysms ◽  
Tertiary Referral Center ◽  
Abdominal Aortic ◽  
Cardiac Assessment ◽  
Echocardiography Laboratory ◽  
Low Prevalence

Background: The aim of this study was to determine the clinical utility of transthoracic echocardiography (TTE) as a screening method for the detection of abdominal aortic aneurysms (AAA). Patients and methods: Each patient who was referred to the echocardiography laboratory TTE was included into the study. After complete cardiac assessment the abdominal aorta was evaluated. Patients with a known, a clinically suspected, or a previously operated AAA were excluded. Results: During the study period, 14876 patients underwent TTE. 13166 (88.5%) of the patients were 50 years and older. Of these 6953 (52.8%) were men and 6213 (47.2%) were women. A total of 108 (0.82%; 95% confidence interval (CI) 0.67–0.99) clinically unsuspected AAA of at least 3 cm in diameter (range 3 cm – 6.8 cm) were detected. There were 93 (86.1%) men and 15 (13.9%) women with a mean age of 73.8 years (range 59–90). In 7 patients an AAA was suspected by TTE but not verified on subsequent abdominal ultrasound, as the diameter of the abdominal aorta was less than 3 cm. The prevalence of an AAA in patients 50 years and older was 1.34% (95% CI 1.08–1.64) for men and 0.24% (95% CI 0.14–0.40) for women. In patients less than 50 years old no aneurysm was detected. Seventeen patients who were found to have an AAA with a mean diameter of 4.4 cm (range 3–6 cm) underwent successful elective conventional AAA repair after a mean interval of 13.9 months (range 0.2–49 months) following the initial diagnosis. Conclusions: TTE performed in a highly selected cardiac patient group in a tertiary referral center is not a useful tool to screen for clinically unsuspected abdominal aortic aneurysms due to the low prevalence. The detection of an aneurysm should be confirmed by conventional abdominal ultrasound.

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