Presentation
Dilation of the aortic root or ascending aorta was present in 28.0% and 41.6% of patients, respectively. Moderate or severe aortic root or ascending aortic dilation (z-score > 4) was present in 8.2% and 13.7%, respectively. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
Symptoms of aortic root enlargement include back and abdominal pain, leg pain and numbness due to nerve compression, and clammy skin. [wisegeek.com]
Patients with Turner syndrome, their families, and the physicians who care for them should be aware of the significance of unexplained chest pain, dyspnea, or hypotension as potential manifestations of aortic dissection or rupture. [ncbi.nlm.nih.gov]
The pain in the chest or pain may be particularly severe, and may mimic a heart attack. In ruptured aneurysm or dissection, internal bleeding will occur. [emedicinehealth.com]
Still, you might have: Back pain A deep pain on the side of your abdomen A throbbing sensation near your navel If the aneurysm ruptures, you might feel sick to your stomach, or suddenly develop an intense pain in your back or abdomen. [webmd.com]
- Asymptomatic
METHODS: A total of 115 subjects with asymptomatic bicuspid aortic valves were enrolled from 2003 to 2008 and followed prospectively over 5 years. [ncbi.nlm.nih.gov]
Overall, there are conflicting data regarding whether asymptomatic patients with bicuspid aortic valve and an aortic root or ascending aorta Surgical intervention to the aortic root or ascending aorta is reasonable in asymptomatic patients with a bicuspid [acc.org]
Asymptomatic AS is not a rare condition; from the moment AS becomes symptomatic, authors suggest an average survival of less than 2-3 years. [pubs.sciepub.com]
- Coarctation of the Aorta
OBJECTIVES: To determine the prevalence of aortic valve dysfunction, aortic dilation, and aortic valve and ascending aortic intervention in adults with coarctation of the aorta (CoA). [ncbi.nlm.nih.gov]
CT scan reconstruction images of the aorta. Left insert : pre-operative situation, showing dilation of the ascending aorta and coarctation at the level of aortic isthmus. [pubs.sciepub.com]
In 1928, Abbott [23] has theorized that bicuspid aortic valve, coarctation of the aorta, aortic wall thinning, and rupture were related to a common developmental abnormality. [annalspc.com]
- Falling
But I was pulled back into reality last fall when my echo did in fact show that my aorta had become slightly dilated. This is no immediate concern, but it painfully shattered my denial and smacked me into reality -so to speak. [tissuetales.com]
The pressure half-time index is the time it takes for the initial maximal pressure gradient in diastole to fall by 50%. In patients with mild aortic regurgitation, this fall in pressure is gradual. [healio.com]
The impairment of cusp opening in the setting of AS will lead to a pressure overload, with a compensatory left ventricular hypertrophy (LVH), followed from a fall in the ventricular compliance [ 3 ]. [pubs.sciepub.com]
My son was diagnosed with a bav and a 4cm dilated ascending aorta in the fall when he was 15. He was very resistant to quitting competitive sports. [medhelp.org]
Injury: Injury to the chest or abdomen, as in a car wreck or bad fall, can damage an area of the aorta. This leaves the aorta vulnerable to bulging. In many cases, the cause of an aortic aneurysm is never known. [emedicinehealth.com]
- Swelling
Aortic aneurysm A term for any swelling of the aorta. The condition places the patient at risk of aortic dissection and/or aortic rupture. It is a feature of Marfan syndrome. Aortic dilation / dilatation Terms for any swelling of the aorta. [exstent.com]
When the bulb of the aorta swells beyond normal levels, it is called dilation of the aortic root. This condition can be caused by a number of factors. The wear and tear of age on the aortic root, for example, has been linked to dilation. [wisegeek.com]
Symptoms of an aortic aneurysm include: Upper back pain Coughing and wheezing Difficulty swallowing Swelling in the neck or arms Symptoms of an aortic dissection usually appear suddenly. [uwhealth.org]
Respiratoric
- Pneumonia
People are treated with inhalers for asthma, x-rayed for pneumonia or other lung problems, their chronic shoulder or back pain is assumed to be from their back, etc. but the aorta is overlooked! [valvereplacement.org]
[…] patients after AAA repair. 28 Additionally, roxithromycin (a macrolide antibiotic not available in the United States) and doxycycline have weak evidence for inhibiting AAA growth, because secondary infection in the aortic wall, likely from Chlamydophila pneumoniae [aafp.org]
- Dyspnea
Patients with Turner syndrome, their families, and the physicians who care for them should be aware of the significance of unexplained chest pain, dyspnea, or hypotension as potential manifestations of aortic dissection or rupture. [ncbi.nlm.nih.gov]
When the legs are elevated at night, the fluid redistributes centrally, causing pulmonary edema that results in orthopnea (dyspnea while lying flat) or paroxysmal nocturnal dyspnea. [healio.com]
Cardiovascular
- Heart Disease
WHAT IS NEW: • In patients with aortic dilation concurrent congenital heart disease is frequently diagnosed. • Almost 18 % of cases in the present study had a defined presumptive or confirmed genetic diagnosis. [ncbi.nlm.nih.gov]
Section 5.1.3 of the valvular heart disease guideline. [onlinejacc.org]
- Hypotension
Patients with Turner syndrome, their families, and the physicians who care for them should be aware of the significance of unexplained chest pain, dyspnea, or hypotension as potential manifestations of aortic dissection or rupture. [ncbi.nlm.nih.gov]
Rarely, the patient may present with symptoms and signs of rupture (e.g. pain, hypotension). [radiopaedia.org]
Dobutamine may be needed if the patient remains hypotensive with a low cardiac output. [healio.com]
At birth, the infant was cyanotic with respiratory distress and hypotension requiring ventilator and inotropic support. [pediatrics.aappublications.org]
Ruptured abdominal aortic aneurysm is a medical emergency presenting with hypotension, shooting abdominal or back pain, and a pulsatile abdominal mass. It is associated with high prehospitalization mortality. [aafp.org]
- Heart Murmur
The majority of people sent for a heart scan and found to have bicuspid aortic valve are sent for the scan due to the presence of a heart murmur. Patients may be sent for a heart scan due to some unrelated reason and found to have a bicuspid valve. [myheart.net]
Presentation See also the separate Heart Auscultation, Heart Murmurs in Children and Pulse Examination articles. AR is diagnosed by the presence of a characteristic diastolic murmur, exaggerated arterial pulsations and low diastolic pressure. [patient.info]
Workup
I had been having chest pains and skipped beats and skipped beats with pain, i went to a cardio for the full workup. My bp was a little high resting 130/90 and a little high on the stress test..this runs in my family. [medhelp.org]
Treatment
Both proper perioperative treatment and close monitoring are required for the successful surgery. [ncbi.nlm.nih.gov]
Groenink and colleagues randomly assigned 117 patients to remain on their medication and not receive further treatment. Another 116 patients were treated with losartan at a starting dose of 50 mg daily. [medpagetoday.com]
Conditions, tests and treatments A-Z [rbht.nhs.uk]
We have vast experience in endovascular treatment, and it may be a treatment option for you. However, we must evaluate each patient individually and consider many factors to determine your best treatment plan. [umcvc.org]
Prognosis
Prognosis [ 2 ] Patients with acute severe AR have a poor prognosis without intervention, due to their haemodynamic instability. Patients with chronic severe AR and symptoms also have a poor long-term prognosis. [patient.info]
Treatment and prognosis As with other aortic aneurysms, increasing size results in an increased risk of rupture with the risk of rupture of ~7% per year in patients with an aneurysm >6.0 cm 5. [radiopaedia.org]
Prognosis and risk factors in patients with asymptomatic aortic stenosis and their modulation by atorvastatin (20 mg). Am J Cardiol. 2008 Sep 15;102(6):743-8. doi: 10.1016/j.amjcard.2008.04.060. Epub 2008 Jul 2. [clinicaltrials.gov]
even a normally functioning BAV can progress and damage gradually to reveal abnormal folding and creasing throughout the cardiac cycle, with more turbulent flow, as well as restricted motion (12) Aortopathy and coarctation have implications on the prognosis [escardio.org]
Etiology
Although the etiology and optimal management of aortic dilation associated with BAV remain the subject of debate, recent data have suggested that L-R and R-N cusp fusion phenotypes represent distinct pathological entities. [ncbi.nlm.nih.gov]
Regarding etiology, structural abnormalities, such as a bicuspid aortic valve or prolapse of the AV may be seen. [healio.com]
Etiology True aneurysms can result from a wide variety of conditions: atherosclerosis (uncommon) connective tissue diseases Marfan syndrome Ehlers-Danlos syndrome Loeys-Dietz syndrome aortitis syphilis Takayasu disease rheumatoid arthritis ankylosing [radiopaedia.org]
Epidemiology
Presents revisions by a new authorship of experts in infectious disease, genetics and epidemiology, sports medicine, neurology, cardiac surgery, cardiac anesthesiology, and more. [books.google.ro]
Epidemiology [ 2 ] Rheumatic heart disease is the most common cause of AR throughout the world. In developed countries, congenital and degenerative valve abnormalities are the most common cause and the peak age of presentation is 40-60 years. [patient.info]
"Low prevalence of abdominal aortic aneurysm among 65-year-old Swedish men indicates a change in the epidemiology of the disease." Circulation 124.10 (2011): 1118-1123. CONTINUE SCROLLING FOR RELATED SLIDESHOW [medicinenet.com]
Moreover, recent USA data from 2006–2007 of isolated descending thoracic aorta aneurysms found 23% of ideal candidate (uncomplicated, elective descending aortic aneurysms) underwent to TEVAR, the remaining 77% underwent open surgical repair. [18] Epidemiology [en.wikipedia.org]
Pathophysiology
We used cardiovascular MR to understand the pathophysiology better by examining the links between 3-dimensional flow abnormalities, aortic function, and aortic dilation. [ncbi.nlm.nih.gov]
Additionally, it is important to understand the pathophysiologic basis of this association in order to determine the appropriate surveillance and monitoring. [academic.oup.com]
Cardiol Res Pract. 2012;2012:478259. doi: 10.1155/2012/478259. 26 - Pathophysiological implications of different bicuspid aortic valve configurations. Kari FA, Beyersdorf F, Siepe M. [escardio.org]
Prevention
Additionally, we learned that rapid progression of aortic dilation should lead to immediate surgery to prevent more risky urgent intervention following the dissection. [ncbi.nlm.nih.gov]