Thoracic aortic aneurysm natural history, complications and prognosis: Difference between revisions
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==Overview== | |||
==Natural History== | |||
==Complications== | ==Complications== | ||
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*[[Microembolization]] | *[[Microembolization]] | ||
*Aortoesophageal fistula | *Aortoesophageal fistula | ||
==Prognosis== | |||
Factors responsible for worsening prognosis are: | |||
*Diastolic dysfuncrion | |||
*Traumatic aneurysm | |||
*Associated coronary artery disease | |||
*Carotid artery disease | |||
==References== | ==References== |
Revision as of 06:30, 7 October 2012
Thoracic aortic aneurysm Microchapters |
Differentiating Thoracic Aortic Aneurysm from other Diseases |
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Thoracic aortic aneurysm natural history, complications and prognosis On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]
Overview
Natural History
Complications
Bleeding-complication for all aneurysm repairs
Neurologic injuries
- Stroke- major cause of mortality
- Due to an obstructed blood vessel of atherosclerotic debris
- Patients undergoing arch repairs are at the highest risk
Cardiac and pulmonary failure (acute respiratory distress syndrome)
- Due to technical problems with coronary ostia implantation during root replacement for ascending aortic aneurysms; may require reoperation
- Pulmonary and renal dysfunction are also morbid complications:
Paraparesis and paraplegia-
- Complications due to thoracic and thoracoabdmonial aneurysm repairs
Endovascular stenting complications
- Endoleaks
- Stent fractures
- Stent graft migration or thromobosis
- Iliac artery rupture
- Retrograde dissection
- Microembolization
- Aortoesophageal fistula
Prognosis
Factors responsible for worsening prognosis are:
- Diastolic dysfuncrion
- Traumatic aneurysm
- Associated coronary artery disease
- Carotid artery disease