Thoracic aortic aneurysm natural history, complications and prognosis: Difference between revisions

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===Dissection===
===Dissection===
Aortic dissection is one of the most feared complications of an aortic aneurysm. Patients who have a prior dissection as a cause of an aneurysm are at increased risk of rapid expansion in re-dissection of the aneurysm.
Aortic dissection is one of the most feared complications of an aortic aneurysm. Patients who have a prior dissection as a cause of an aneurysm are at increased risk of rapid expansion in re-dissection of the aneurysm.
===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]])
[[Myocardial infarction]]
*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==
==Prognosis==

Revision as of 20:08, 21 October 2012

Thoracic aortic aneurysm Microchapters

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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

Dissection

Aortic dissection is one of the most feared complications of an aortic aneurysm. Patients who have a prior dissection as a cause of an aneurysm are at increased risk of rapid expansion in re-dissection of the aneurysm.

Prognosis

Factors associated with a worse prognosis are:

References

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