An abdominal aortic aneurysm (AAA) is an area in the lower part of the aorta that becomes enlarged.1 The aorta is usually about the width of a garden hose,1 but when it dilates 1.5 times the diameter of its normal width (commonly about 3 cm) it is then termed a AAA.2 Although an aneurysm can occur along any part of the aorta, it is termed “abdominal” along any segment below the diaphragm.3 An aneurysm above the level of the diaphragm is termed “thoracic.”1 The most common location for a AAA to occur is the infrarenal segment,2 therefore it is common practice to restrict the term AAA to that portion of the aorta.3 There are two types of AAA, bulging and dissecting.1,3 Bulging (or ballooning) aneurysms can be either fusiform or saccular.4 Most aneurysms are fusiform since the whole artery is affected, but in more rare cases can be saccular.3 An aortic dissection occurs when the inner layer of the aorta tears and perfusion of blood …show more content…
Risk factors for an AAA include: age of 65 years old, smoking, atherosclerosis, male gender, and family history.1,2,3,4 The three most powerful predictors are age, smoking and male gender, and smoking accounts for 78% of the excess prevalence of AAA.2 Gene defects with some of the connective tissue disorders associated with AAA have been identified in chromosome 11 and 15,4 but genetic background paired with environmental factors is a more likely cause of AAA than genetics alone.3 Family members are four times more at risk for an AAA if a parent, adult child, or sibling has had an AAA4 (15-19% in relatives, compared to 1-3% in unrelated cases).3 Additional risk factors that are seen in individuals with an aortic dissection include: hypertension, pre-existing aortic aneurysms, an aortic valve defect, aortic coarctation, certain genetic diseases (Turner’s syndrome, Marfan syndrome, Ehlers-Danlos syndrome, and Loeys-Dietz syndrome), and inflammation or infection (giant cell arteritis, syphilis, and sexually transmitted
It was established that the patient’s symptoms were due to an aortic regurgitation this was confirmed by echocardiogram. The use of the SOAPIER model is an effective means of providing rationale for a holistic clinical decision making. The findings and treatment options were discussed in a multidisciplinary meeting including Mr Jones and family. The family were informed that surgery was the safest treatment option. Complications that could happen with or without surgery were also explained ensuring that the patient had adequate understanding to make a valid choice about his treatment. Mr Jones agreed that a replacement of the aortic valve with a mechanical valve was necessary, thus it last for more than twenty years or more . Mr Jones
6 days old female with TOF, pulomanry atresia large VSD, right sided aortic arch with mirror image branching, left sided large PDA originating from the left innominate artery, confluent PA branches, and no significant AP collaterals.
AS can occur in the congenital period or later in life, but is more common in adults due to lack of exercise, and nutrition causing calcium buildup. If it is congenital it will occur within the first eight weeks of pregnancy, which the cause is unknown. In a child with AS, the pressure is much higher than normal in the left chamber pumping. Blood that has leaked back into the left ventricle through the valve in between heartbeats, causing the ventricle to be enlarged. There are three stages of AS. Stage A occurs in patients with bicuspid aortic valve or aortic sclerosis who are symptom free but are at risk for AS. In stage B people have progressive AS with mild or moderate calcify valve leaflets, leaflets mobility, or mild or
Aortic Dissection: She doesn’t experience from this condition because she doesn’t have sever hypertension and absent peripheral pulses. Also, she doesn’t have a wide mediastinum with extension of the aortic wall beyond the calcific border.
Aortic regurgitation(AR) refers to the failure of incompetent aortic valve to prevent the flow of blood from aorta back to the left ventricle.
There were no early or late postoperative deaths and we achieved 100% follow-up for included patients. No patient had aortic valve replacement after one year. Preoperatively the mean ejection fraction in group S was 62.33±4.39% while in group R was 59.53±6.10%, the width of the regurgitant jet in group S was 34.67±2.72 % and in the group, R was 35.73±1.87 % ( p-value non-significant). Postoperatively after 1 year follow up the width of the regurgitant jet in group S increased significantly to 37.27±4.67% ( p > 0.5) while in group S almost remained unchanged 34.73±4.13% ( p <
Mrs. K, 72, was admitted to the critical care unit following an elective abdominal aortic aneurysm repair. Before the surgery, Mrs. K, a retired elementary teacher, worked part-time at the local library running a children’s reading program. She was completely independent in her activities of daily living and lives alone in a one-bedroom apartment. Mrs. K has regular contact with her only child, a daughter, whom she sees every night for a visit.
[1] Unassociated aneurysms: this type of aneurysm occurs on the circle of Willis in a location that is not associated hemodynamically with the
Aortic insufficiency is a condition where the aortic valve does not close all the way. The aortic valve is a gate-like structure that is located between the lower left chamber of the heart (left ventricle) and the blood vessel that leads away from the heart (aorta). The aortic valve opens when the left ventricle squeezes to pump blood into the aorta, and it closes when the left ventricle relaxes.
March 23, 2016. He is remembered as a generous, kind-hearted soul. Initially, he checked into
Since the age of seven I have been fighting what many think is the impossible. When I was seven I was diagnosed with a ruptured aneurysm and an arteriovenous malformation also know as a AVM. My case wasn't rare in the case of a ruptured aneurysm but was rare in the case that such a young child had a ruptured aneurysm. I was a lost cause in what many doctors told my mom, in a last ditch effort to save my life I was life-flighted to Iowa University Hospitals where a doctor took a chance on my life when no one else would and he was able to save my life. I had beat the impossible that I was still alive and wasn't dead, not in a wheelchair, could still talk, I was able to feed my myself. It was a long journey through, constant doctor visits
Introduction: Acute aortic dissection (AAD) e life-threatening condition that characterizes the high mortality worldwide (7-8%). When AAD is split in the wall of the aorta where the blood circulates between layers of the wall which can lead to its rupture. Early recognition of symptoms and appropriate response to the medical team is crucial to the outcome of the patient. On receipt of a patient with chest pain to bear in mind the possibility of AAD. Standard diagnostics when fasting suspected AAD include: ECG, NIBP to the left and right hand the puts 2 venous lines, laboratory, echocardiography,
Throughout history, artists had many different motivations for creating what they did. Some created pieces with religious significance, while others used art as an emotional outlet. The twentieth century carried in a period of artists with new ideas and intentions. Two twentieth century movements, Bauhaus and Minimalism, were not created to be symbolic or emotionally stirring as much of the art of the past had been. Instead, they were movements focused on functionality and simplicity. They disregarded the complex, realistic styles that had been popular throughout history and exchanged it with minimalistic styles. These movements ushered in a style that would heavily impact artists even today. Minimalism was followed very closely by Op Art and Conceptual art, both of which disregarded previous beliefs about what art was and its purpose. Op Art showcased illusions created with skillful tricks of line and shape. Conceptual art focused on idea, giving the concept more power than the actual execution. Despite their obvious visual differences, these four movements had quite a few similarities, including their disregard for the methods and mindset of classical art as well as their extreme simplicities. All of these movements have heavily influenced today’s modern art and built upon one another over time.
The Sexual Revolution was a social movement that challenged traditional codes of behaviour related to sexuality and interpersonal relationships throughout the Western world from the 1960s to the 1980s. Sexual liberation included increased acceptance of sex outside of traditional heterosexual, monogamous relationships; primarily marriage. The normalization of contraception and the pill, premarital sex, homosexuality and alternative forms of sexuality, and the legalization of abortion all followed.
I knew from a young age that I wanted to be a nurse. As I applied to many schools in the early season of my senior year, I questioned what I would take into consideration as I chose a college. Choosing a school based on my major is something I thought was normal. For this reason, I really took the time to consider and weigh my options. Hence, one option that was very apparent, is the location of the nursing school. Some colleges have a separate medical campus located in major cities with access to large hospitals, while some have the hospitals and offices right down the street on campus. I weighed the option of what would best fit my experience for a lot longer than I was expecting. At times, I considered maybe it would be beneficial to stay on campus since college only happens once and people say it is the best years of your life. I was simultaneously thinking, maybe it is better to stay focused on my career by moving away. As this decision came closer, I decided I would visit a few schools with either an on-campus medical center, such as the University of Missouri and the University of Utah, or an off-campus medical center, like that of Baylor or the University of Oklahoma. Baylor’s nursing school is the one that definitely ensured my choice of where I wanted to attend college from the welcoming community it appears to have. However, I was still unsure about the moving after junior year. If you are like me considering the location of the nursing campus, you possibly