Edit concept Question Editor Create issue ticket

Aortic Rupture


Presentation

  • In the emergent setting, patients presenting with acute interscapular pain along with haemodynamic instability require immediate evaluation.[ncbi.nlm.nih.gov]
  • Presentation A dissecting or ruptured aneurysm usually presents with pain and collapse. Thoracic aortic aneurysm (TAA) It will cause chest pain that may be indistinguishable from acute myocardial infarction in terms of nature and distribution.[patient.co.uk]
Collapse
  • Considering patient's clinical conditions, the graft collapse wasn't treated at that time.[ncbi.nlm.nih.gov]
  • Presentation A dissecting or ruptured aneurysm usually presents with pain and collapse. Thoracic aortic aneurysm (TAA) It will cause chest pain that may be indistinguishable from acute myocardial infarction in terms of nature and distribution.[patient.co.uk]
  • Someone told me to go outside and get some fresh air, but as I stood up I blacked out and collapsed to the floor.” Max came round slowly and was taken to hospital.[bhf.org.uk]
Pathologist
  • In certain circumstances, the combination of PMCT and PMCTA is helpful for forensic pathologists to determine the cause of death in cases involving traumatic vascular injury.[ncbi.nlm.nih.gov]
  • While pathologists can thoroughly evaluate a formalin-fixed aorta, there has been no systematic early detection or inspection of vessel injury at the prevention stage. Non-obstructive angioscopy can provide intra-arterial live imaging in vivo.[jstage.jst.go.jp]
Inguinal Hernia
  • Occasionally the presentation can be atypical - eg, intestinal obstruction from haematoma or an apparent irreducible inguinal hernia.[patient.co.uk]
  • Abdominal aortic aneurysm rupture masquerading as strangulated inguinal hernia. Am J Emerg Med 2001; 19 :604–5. [CrossRef] [Medline] Mastracci AM, Garrido-Olivares L, Cinà CS, et al ..[zarinslab.stanford.edu]
Arachnodactyly
  • Moreover, arachnodactyly and other skeletal deformities in combination with the histological finding of a pseudocystic medionecrosis of the aortic wall were noted.[ncbi.nlm.nih.gov]
Respiratory Distress
  • Other lesions seen with MRI were focal lung contusions in 5 patients (Fig 4 ), diffuse bilateral lung opacity in a respiratory distress syndrome in 1 patient, rib fractures associated with pleural effusions in 5 patients, and liver focal contusions in[circ.ahajournals.org]
  • This study also demonstrated a clear trend toward an increased rate of complications, such as sepsis, myocardial infarction, acute respiratory distress syndrome, and prolonged ventilation with conventional surgical repair (66%) compared with endovascular[ejcts.oxfordjournals.org]
Hypertension
  • The phenomenon has been uniformly found in individuals with hypertension. The author reports a sudden unexpected death caused by spontaneous rupture of the ascending aorta in a 57-year-old man with a history of hypertension.[ncbi.nlm.nih.gov]
  • Risk factors The presence of an aneurysm is a risk for rupture. [ 3, 4 ] The larger the lesion, the more likely it is to bleed; aneurysms over 6 cm have a 25% annual risk of rupture. [ 2 ] Smoking and hypertension are additional risks.[patient.co.uk]
  • Risk factors The presence of an aneurysm is a risk for rupture. [ 3 , 4 ] The larger the lesion, the more likely it is to bleed; aneurysms over 6 cm have a 25% annual risk of rupture. [ 2 ] Smoking and hypertension are additional risks.[patient.info]
  • A 49-year-old man with hypertension, hyperlipidemia, and diabetes mellitus was admitted due to atypical chest pain.[jstage.jst.go.jp]
  • ) Reduced resistance aortic wall Increasing age pregnancy (debatable) EXAMINATION Features include: aortic regurgitation is common hypertension (if hypotensive ensure it is not due to limb discrepancy caused by an occluded vessel – check BP in the arm[lifeinthefastlane.com]
Chest Pain
  • Thoracic aortic aneurysm (TAA) It will cause chest pain that may be indistinguishable from acute myocardial infarction in terms of nature and distribution. Haemoptysis can occur.[patient.co.uk]
  • Postoperatively, the patient complained of dyspnea and chest pain. In 25 minutes after arrival in the postanesthesia care unit (PACU), the patient was in asystole.[ncbi.nlm.nih.gov]
  • When present, symptoms of an aortic rupture may include: Severe chest pain Severe back pain Severe abdominal pain Signs of external chest injury Causes and Risk Factors The condition is caused by trauma to the aorta.[cedars-sinai.edu]
  • Case Report In May 2014 a 72 year-old man was admitted to the Emergency Room for chest pain radiating to the back, acute dyspnea and hypotension. Blood samples presented mild anemia (Hb: 9 g/dl) and leucocytosis (WBC: 19.500).[omicsonline.org]
Osteophyte
  • We present an unusual case of an osteophyte impaling the abdominal aorta treated by endovascular repair.[ncbi.nlm.nih.gov]
Short Neck
  • Imaging showed the contained AAA rupture measuring 8 cm, with 2 blisters at the proximal short neck and narrow calcified iliac arteries.[ncbi.nlm.nih.gov]
Irritability
  • Bleeding causes peritoneal irritation and it may appear as an acute abdomen. Occasionally the presentation can be atypical - eg, intestinal obstruction from haematoma or an apparent irreducible inguinal hernia.[patient.co.uk]
  • Changes in sensation to light touch, pain or temperature, or the sense of body position Other Fluoroquinolone Complications: Digestive distress, nausea, diarrhea, constipation, stomach pain, heartburn, vomiting Headache, dizziness Agitation, anxiety, irritability[peoplespharmacy.com]
Flank Pain
  • Louis, Missouri Primary signs of Aortic Aneurysm rupture Aortic aneurysm rupture is the most important diagnosis you want to be able to exclude in patients with acute abdominal pain especially when they present with back or flank pain.[radiologyassistant.nl]
  • pain, SOB haemoptysis aortic regurgitation hypertension most have ischaemic heart disease Atypical presentations are common consider the diagnosis of acute aortic dissection if there is a combination of chest/ back pain and new or evolving neurological[lifeinthefastlane.com]

Workup

  • The diagnostic workup starts with a chest radiograph. 20 34 Mirvis et al, 20 studying 205 patients with TAR, found that chest radiographs had a low specificity but high positive predictive value of 96% in patients in the supine position and 98% in patients[circ.ahajournals.org]
Staphylococcus Aureus
  • To present a technique for endovascular treatment using a fenestrated stent-graft in a patient with ascending aortic rupture in the setting of methicillin-resistant Staphylococcus aureus infection.[ncbi.nlm.nih.gov]
  • One further patient (39-year-old male) died from graft infection with methicillin-resistant Staphylococcus aureus (MRSA) 8 months after the implantation, despite successful explantation of the device and interposition of a conventional Dacron graft.[ejcts.oxfordjournals.org]
Gram-Positive Bacteria
  • Intraoperative microscopic examination of the resected aortic wall revealed Gram-positive bacteria (alpha-streptococcus in bacterial cultivation).[ncbi.nlm.nih.gov]

Treatment

  • AIM: To present our experience and results of endovascular treatment of thoracic aortic ruptures. METHODS: Since 1998, we have performed endovascular treatment for aortic lesions in 1,598 patients.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis No more than one in three patients with a ruptured aortic aneurysm will reach hospital alive; 20% of those who do, fail to reach theatre. Delay in diagnosis is likely to result in death.[patient.co.uk]
  • […] aortic aneurysm 7 cm reduced thrombus size thrombus fissuration discontinuity in calcification hyperattenuating crescent sign well defined peripheral crescent of increased attenuation within the thrombus of a large abdominal aortic aneurysm Treatment and prognosis[radiopaedia.org]
  • A prospective registration trial concerning the relationship between angioscopic findings and prognosis is ongoing.[jstage.jst.go.jp]

Etiology

  • Chronic hypertension and a penetrating atherosclerotic ulcer of the ascending aorta were the apparent underlying etiologies of the aortic rupture in the present case.[ncbi.nlm.nih.gov]
  • This summary describes theoretical and practical considerations of the etiology, pathophysiology, classification, natural history, diagnostic strategies, and treatment approaches of annular rupture.[interventions.onlinejacc.org]
  • Etiology Thoracic aortic injury can result from either blunt or penetrating trauma: blunt trauma (more common) rapid deceleration (eg. motor vehicle accident, fall from great height) crush injury penetrating trauma stab wound gunshot wound Location aortic[radiopaedia.org]
  • Complete full-thickness transection of the thoracic aorta is rapidly fatal in the field and is rarely the presenting etiology for exsanguinating hemorrhage during hospital trauma resuscitations.[scielo.br]

Epidemiology

  • @gmail.com. 2 Department of Vascular Surgery, University of Athens Medical School, "Attikon" University Hospital, Athens, Greece. 3 Department of Hygiene, Epidemiology and Medical Statistics, Athens University, Medical School, Athens, Greece.[ncbi.nlm.nih.gov]
  • It is updated with the most recent basic clinical research, epidemiological findings, medical, surgical and endovascular therapies of the aorta.[books.google.com]
  • Epidemiology Ruptured abdominal aortic aneurysms (AAAs) cause 12,000 deaths per year; 8,000 of these are infra-renal. [ 2 ] Women are much less frequently affected.[patient.co.uk]
  • Aortic dissection: epidemiology, pathophysiology, clinical presentation, and medical and surgical management. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 81.[medlineplus.gov]
Sex distribution
Age distribution

Pathophysiology

  • This summary describes theoretical and practical considerations of the etiology, pathophysiology, classification, natural history, diagnostic strategies, and treatment approaches of annular rupture.[interventions.onlinejacc.org]
  • Aortic dissection: epidemiology, pathophysiology, clinical presentation, and medical and surgical management. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 81.[medlineplus.gov]
  • […] subclavian artery Svensson (defines type of acute aortic syndrome) classic dissection with true and false lumen intramural haematoma or haemorrhage subtle dissection without haematoma atherosclerotic penetrating ulcer iatrogenic or traumatic dissection PATHOPHYSIOLOGY[lifeinthefastlane.com]
  • Pathophysiology of abdominal aortic aneurysms: insights from the elastase-induced model in mice with different genetic backgrounds. Ann N Y Acad Sci 2006; 1085 :59–73. [CrossRef] [Medline] Lederle FA, Johnson GR, Wilson SE, et al ..[zarinslab.stanford.edu]

Prevention

  • […] facilitating the development of new prevention strategies and devices.[ncbi.nlm.nih.gov]
  • An aortic occlusion balloon can be placed to stabilize the patient and prevent further blood loss prior to the induction of anesthesia.[en.wikipedia.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!