AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesInformation ScienceHealth Care
Aortic RuptureRuptureSplenic RuptureHeart RuptureAortographyDecelerationAneurysm, DissectingUterine RuptureAortic Aneurysm, ThoracicWounds, NonpenetratingBlood Vessel Prosthesis ImplantationAortic AneurysmHeart Rupture, Post-InfarctionThoracic InjuriesAorta, ThoracicFetal Membranes, Premature RuptureAortic Aneurysm, AbdominalAortitisTomography, X-Ray ComputedBlood Vessel ProsthesisStentsAneurysm, FalseAortic DiseasesUlcerFatal OutcomeVascular Surgical ProceduresAneurysm, RupturedAorta, AbdominalStomach RuptureHematomaAccidents, TrafficEndovascular ProceduresTreatment OutcomeSurgical Procedures, Minimally InvasiveTendon InjuriesRupture, SpontaneousReoperationAcute DiseaseRetrospective StudiesTime FactorsHemoperitoneumAchilles TendonAortaIntracranial AneurysmFollow-Up StudiesHeart InjuriesSuture TechniquesVaginal Birth after CesareanAneurysmChordae TendineaeAnterior Cruciate LigamentExtraembryonic MembranesHernia, Diaphragmatic, TraumaticPregnancySubarachnoid HemorrhagePlaque, AtheroscleroticTrial of Labor
AneurysmsAscending aortaTranscatheter Aortic Valve ImplantationThoracoabdominalImportant cause of unheraldedDiagnosisDissectionMorphologyAnnulusSymptomaticAbdominal cavityMortalityUltrasoundStentEVARAAAsEndovascularArteryTAVIClinicalDisruptionSurgical RepairSevereSymptomsDiameterValvePredictorsVesselRiskProfuseMethodsPatientsInflammationProceduralOccurIncidenceRepairMechanismsOutcomesBedsideAbdomenTreatmentDiseaseReportManagementHigherDeaths
Aneurysms14
  • Abdominal aortic aneurysms (AAAs) are segmental dilatations of the aortic wall that cause the vessel to be larger than 1.5 times its normal diameter or that cause the distal aorta to exceed 3 cm. (medscape.com)
  • On Dec. 10, Allgood had a stent replacement procedure at Memorial Hermann-Texas Medical Center, one of two options used to treat aortic aneurysms. (uth.edu)
  • CONCLUSIONS: USPIO-enhanced MRI is a novel approach to the identification of aortic wall cellular inflammation in patients with abdominal aortic aneurysms and predicts the rate of aneurysm growth and clinical outcome. (ed.ac.uk)
  • The present study suggests that vitamin D deficiency promotes development of large rupture-prone aortic aneurysms in an experimental model. (edu.au)
  • CCF administration limited both growth and rupture of established aneurysms. (edu.au)
  • Epidemiology and contemporary management of abdominal aortic aneurysms. (nih.gov)
  • Abdominal Aortic Aneurysms (Etiology, Epidemiology, and Natural History). (nih.gov)
  • Walker A, Brenchley J et al (2004) Ultrasound by emergency physicians to detect abdominal aortic aneurysms: a UK case series. (springeropen.com)
  • Abdominal aortic aneurysms are bulges (dilations) in the wall of the aorta in the part that passes through the abdomen (abdominal aorta). (msdmanuals.com)
  • Abdominal aortic aneurysms typically slowly expand and sometimes rupture. (msdmanuals.com)
  • Aneurysms may cause a pulsing sensation in the abdomen and, when they rupture, cause deep, excruciating pain, low blood pressure, and death. (msdmanuals.com)
  • Overview of Aortic Aneurysms and Aortic Dissection The aorta, which is about 1 inch (2.5 centimeters) in diameter, is the largest artery of the body. (msdmanuals.com)
  • About 20% of abdominal aneurysms eventually rupture. (msdmanuals.com)
  • Smoking is a major risk factor for development of abdominal aortic aneurysms, especially in men. (msdmanuals.com)
Ascending aorta3
  • A study of people who died after traumatic aortic rupture found that in 55-65% of cases the damage was at the aortic isthmus and in 10-14% it was in the ascending aorta or aortic arch. (wikipedia.org)
  • The aortic root is the direct continuation of the left ventricular outflow tract (LVOT) and forms a bridge between the left ventricle and the ascending aorta. (icrjournal.com)
  • The STJ represents the zenith of the aortic root which continues as the ascending aorta. (icrjournal.com)
Transcatheter Aortic Valve Implantation4
  • Transcatheter aortic valve implantation (TAVI) is the treatment of choice in patients with symptomatic severe aortic stenosis who are either inoperable or at high risk for conventional surgical aortic valve replacement. (icrjournal.com)
  • Transcatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for symptomatic severe aortic stenosis in patients deemed to be at high operative risk for conventional surgical aortic valve replacement (SAVR). (icrjournal.com)
  • Transcatheter aortic valve implantation (TAVI) is a well-recognized and established therapy for severe aortic stenosis, with expanding indications toward younger patients with low surgical risk profile. (frontiersin.org)
  • Transcatheter aortic valve implantation (TAVI) has been widely recognized as a safe and effective treatment for aortic stenosis (AS) in patients who cannot undergo surgical aortic valve replacement (SAVR) or are at high or intermediate surgical risk ( 1 - 4 ). (frontiersin.org)
Thoracoabdominal3
  • INTRODUCTION: The risks and benefits of operating on patients with ruptured thoracoabdominal aortic aneurysm (TAAA) have not been defined. (ncl.ac.uk)
  • We report a case of a compassionate treatment of a ruptured thoracoabdominal aortic aneurysm in a 92-year-old patient. (unicampus.it)
  • Computed tomography angiography showed the presence of a thoracoabdominal aortic aneurysm with a contained rupture at infrarenal level. (unicampus.it)
Important cause of unheralded2
  • AAA rupture is an important cause of unheralded deaths in people older than 55 years. (medscape.com)
  • Ruptured abdominal aortic aneurysm (AAA) is an important cause of unheralded death in people older then 65 years, making early recognition and intervention vital [ 1 ]. (springeropen.com)
Diagnosis4
  • Diagnosis is further complicated by the fact that many patients with the injury experienced multiple other serious injuries as well, so the attention of hospital staff may be distracted from the possibility of aortic rupture. (wikipedia.org)
  • Clinical and radiologic findings are consistent with a diagnosis of contained AAA rupture with left retroperitoneal hematoma. (medscape.com)
  • This article discusses the causes, mechanisms and diagnosis of aortic annular rupture. (icrjournal.com)
  • The diagnosis of ruptured abdominal aortic aneurysm (AAA) is often missed as a result of an unusual presentation, resulting in increased mortality. (springeropen.com)
Dissection2
  • Occasional features underlying systemic connective tissue involvement include aortic rupture and arterial dissection, subdural hygroma, insufficiency of cardiac valves, bluish sclerae, bladder diverticula, inguinal or umbilical herniae, and premature rupture of membranes during pregnancy. (nih.gov)
  • For these peculiarities and the higher rates of paravalvular leak (PVL), new permanent pacemaker (PPM), need for a second transcatheter heart valve (THV), risk of annulus rupture or aortic dissection, and brain injury ( 13 - 15 ) BAV patients have been initially excluded from the randomized trials. (frontiersin.org)
Morphology2
  • Objectives: To describe the re-interventions after endovascular and open repair of rupture and investigate whether these were associated with aortic morphology. (le.ac.uk)
  • Pre-operative aortic morphology was assessed in a core laboratory. (le.ac.uk)
Annulus1
  • The basal ring, frequently referred to as the "aortic annulus" by those involved in TAVI, is a virtual (rather than anatomic) ring found at the insertion point of the basal attachments of the aortic valve leaflets within the LVOT. (icrjournal.com)
Symptomatic1
  • In order to define new geometric features associated with rupture, we performed a case-control study in which we compared 63 cases with ruptured or symptomatic AAA and 94 controls with asymptomatic AAA. (umontreal.ca)
Abdominal cavity1
  • The first graphic pictures an anterior (front) cut-away view of the abdominal cavity showing the appearance of the aortic aneurysm. (doereport.com)
Mortality4
  • USPIO enhancement was associated with reduced event-free survival for aneurysm rupture or repair ( P =0.0275), all-cause mortality ( P =0.0635), and aneurysm-related mortality ( P =0.0590). (ed.ac.uk)
  • Although uncommon, the high mortality associated with annular rupture mandates careful procedural planning and execution. (icrjournal.com)
  • The mortality of AAA rupture is high, 65-75% of patients die before they arrive at hospital and up to 90% die before they reach the operating room. (springeropen.com)
  • [ 17 ] (eg, a 7-cm AAA has a 19-32% rate of rupture per year) and because the mortality rate is much lower with elective repair than with emergency repair (3-5% vs 50%), the general recommendation is that AAAs larger than 5.0-5.5 cm should be electively repaired. (medscape.com)
Ultrasound5
  • The most commonly used noninvasive methods to identify abdominal aortic aneurysm are ultrasound and computed tomography. (medscape.com)
  • METHODS: In a prospective multicenter open-label cohort study, 342 patients with abdominal aortic aneurysm (diameter ≥40 mm) were classified by the presence of USPIO enhancement and were monitored with serial ultrasound and clinical follow-up for ≥2 years. (ed.ac.uk)
  • It has been shown that Emergency Physicians can accurately perform aortic ultrasound scans with a relatively short training period [ 2 ]. (springeropen.com)
  • Brown LC, Powell JT (1999) Risk factors for aneurysm rupture in patients kept under ultrasound surveillance. (springeropen.com)
  • Kuhn M, Bonnin RL, Davey MJ et al (2000) Emergency department ultrasound scanning for abdominal aortic aneurysm: accessible, accurate, and advantageous. (springeropen.com)
Stent3
  • Randy Allgood, 65, of Fairhope, Alabama was able to enjoy a home-cooked meal with his family while staying with his daughter following a procedure to place a branch stent to repair a ruptured aortic aneurysm. (uth.edu)
  • The decision to use a less invasive stent procedure for Allgood was based on several factors, including his age, previous medical history, the anatomy of the aneurysm and the rupture. (uth.edu)
  • Current Evidence on Management of Aortic Stent-graft Infection: A Systematic Review and Meta-Analysis. (nih.gov)
EVAR4
  • Participants 20 489 patients treated with four device types used for endovascular abdominal aortic aneurysm repair (EVAR): 40.6% (n=8310) received the Excluder (Gore), 32.2% (n=6606) the Endurant (Medtronic), 16.0% (n=3281) the Zenith (Cook Medical), and 11.2% (n=2292) the AFX (Endologix). (bmj.com)
  • Conclusions The linked registry claims surveillance data identified a device specific risk in long term reintervention after EVAR of abdominal aortic aneurysm. (bmj.com)
  • Amputation, an uncommon re-intervention but that most feared by patients, occurred in 12 patients after open repair and 1 patient after EVAR within 1 year after rupture across 3 trials, with metayielding an odds ratio 0.2 [95%CI 0.05,0.88]. (le.ac.uk)
  • Conclusions: The rate of midterm re-interventions after rupture is more than double that after elective repair for both EVAR and open repair, suggesting the need for bespoke surveillance protocols. (le.ac.uk)
AAAs1
Endovascular1
  • Oderich is the director of the Advanced Endovascular Aortic Program at McGovern Medical School and Memorial Hermann - TMC. (uth.edu)
Artery3
  • Traumatic aortic rupture, also called traumatic aortic disruption or transection, is a condition in which the aorta, the largest artery in the body, is torn or ruptured as a result of trauma to the body. (wikipedia.org)
  • By far the most common site for tearing in traumatic aortic rupture is the proximal descending aorta, near where the left subclavian artery branches off from the aorta. (wikipedia.org)
  • An angiogram will often show an irregular outpouching beyond the takeoff of the left subclavian artery at the aortic isthmus, representing an aortic pseudoaneurysm caused by the trauma. (wikipedia.org)
TAVI2
  • As bicuspid aortic valve (BAV) affects ~1-2% of the population, it may be speculated that an increasing number of patients with degenerated BAV may eventually need TAVI during the course of the disease. (frontiersin.org)
  • Peculiar features such as larger dimensions of the aortic valve components, higher calcium burden, presence of a heavily calcified raphe, and associated aortopathy represent some pitfalls when treating BAV patients with TAVI. (frontiersin.org)
Clinical4
  • In patients with abdominal aortic aneurysm, we assessed whether USPIO-enhanced MRI can predict aneurysm growth rates and clinical outcomes. (ed.ac.uk)
  • This article is intended to provide a comprehensive review of the predictors, management and clinical outcomes of aortic annular rupture. (icrjournal.com)
  • A high index of clinical suspicion of ruptured AAA should be maintained in elderly patients presenting with history of syncope. (springeropen.com)
  • The clinical manifestation of ruptured AAA can include low back pain, flank, abdominal or groin pain, which usually leads to hypovolaemic shock and altered mental status. (springeropen.com)
Disruption1
  • In fact, aortic disruption due to blunt chest trauma is the second leading cause of injury death behind traumatic brain injury. (wikipedia.org)
Surgical Repair2
Severe1
  • A leaking or ruptured AAA classically presents in patients who are older than 60 years who have a history of hypertension and atherosclerosis and who experience severe abdominal, back, or flank pain after an episode of syncope. (medscape.com)
Symptoms1
  • People who have an abdominal aortic aneurysm often have no symptoms, but some people become aware of a pulsing sensation in their abdomen. (msdmanuals.com)
Diameter1
  • Therefore, it often causes underestimation of the true aortic diameter. (medscape.com)
Valve6
  • The aortic valve leaflets arise from their attachment in the muscular LVOT, which forms the haemodynamic ventriculo-arterial junction, and ascend to come together to form the trileaflet valve at the STJ. (icrjournal.com)
  • The area of the aortic root and LVOT adjacent to the basal attachment of the valve leaflets is particularly relevant to a discussion on aortic annular rupture. (icrjournal.com)
  • Aortic Valve Endocarditis Leading to Rupture of Sinus of Valsalva in the right-sided heart chambers is an unusual complication. (qscience.com)
  • Here we have presented a case where infective Endocarditis of Aortic Valve lead to Rupture of Sinus of Valsalva into the right atrium. (qscience.com)
  • Yoshikai M , Ishitoya H , Kato H , Truchiya K , Ida Y , Seto T . A case report of ruptured aneurysm of sinus of Valsalva resulted in tricuspid valve endocarditis. (qscience.com)
  • Bicuspid aortic valve (BAV) is the most common congenital cardiac malformation, affecting 1-2% of the population, and is the cause of a significant proportion of aortic valve disease in young adults ( 9 ). (frontiersin.org)
Predictors1
Vessel1
  • Two years earlier, Allgood had been diagnosed with an aortic aneurysm - a dangerous condition where the aorta, the vessel that pumps blood from the heart to the rest of the body, is enlarged. (uth.edu)
Risk9
  • Our preliminary results suggest that incorporating geometrical indices obtained by segmentation of CT shows a trend toward improvement of the classification accuracy of AAA with high rupture risk at CT over a traditional model based on Dmax and sex alone. (umontreal.ca)
  • Addition of flow and biomechanical simulations should be investigated to improve rupture risk prediction based on AAA modeling. (umontreal.ca)
  • He also said the risk of a rupture goes up depending on the aneurysm's size. (uth.edu)
  • Techniques to minimise the risk of annular rupture and therapeutic strategies to improve outcomes in patients that experience this complication will be examined. (icrjournal.com)
  • Background: Associations between atmospheric pressure and abdominal aortic aneurysm (AAA) rupture risk have been reported, but empirical evidence is inconclusive and largely derived from studies that did not account for possible nonlinearity, seasonality, and confounding by temperature. (uu.nl)
  • neither the time series analysis nor the case-crossover study showed a significant association between atmospheric pressure (P =.627 and P =.625, respectively, for mean daily atmospheric pressure) or atmospheric pressure variation (P =.464 and P =.816, respectively, for 24-hour change in mean daily atmospheric pressure) and AAA rupture risk. (uu.nl)
  • Conclusion: This study failed to support claims that atmospheric pressure causally affects AAA rupture risk. (uu.nl)
  • Making firm claims regarding these conditions in relation to AAA rupture risk is difficult at best. (uu.nl)
  • Furthermore, despite the fact that we used one of the largest case series to date to investigate the effect of atmospheric pressure on AAA rupture risk, it is possible that this study is simply too small to demonstrate a causal link. (uu.nl)
Profuse2
  • The condition is frequently fatal due to the profuse bleeding that results from the rupture. (wikipedia.org)
  • Tearing of the aortic wall generally associated with profuse internal bleeding. (nih.gov)
Methods1
  • Methods: 502 patients from the IMPROVE randomised trial (ISRCTN48334791) with repair of rupture started were followed up for re-interventions for at least 3 years. (le.ac.uk)
Patients3
  • PATIENTS: Between 1 January 1983 and 30 June 1996, 188 consecutive patients with TAAA were operated on, of whom 23 (12%) were operated for rupture. (ncl.ac.uk)
  • meteorological data and a case series of 358 patients admitted to hospital for ruptured AAA during the study period, January 2002 to December 2012. (uu.nl)
  • Unfortunately, less than 50% of patients with ruptured AAA present with the classic triad of syncope followed by back, flank, or abdominal pain and a pulsatile abdominal mass. (medscape.com)
Inflammation1
  • Key pathobiologic processes of AAA progression and rupture include neovascularization, necrotic inflammation, microcalcification, and proteolytic degradation of the extracellular matrix. (medscape.com)
Procedural1
  • Advances in pre-procedural screening and patient selection have reduced the incidence of annular rupture. (icrjournal.com)
Occur1
  • Thus traumatic aortic rupture is a common killer in automotive accidents and other traumas, with up to 18% of deaths that occur in automobile collisions being related to the injury. (wikipedia.org)
Incidence1
  • [ 7 ] Although AAA is more common in men than in women, the incidence of rupture is greater in women because the growth rate of AAA is significantly greater in women than in men. (medscape.com)
Repair2
  • The primary end point was the composite of aneurysm rupture or repair. (ed.ac.uk)
  • This finding was similar for each component of rupture (6.8% versus 3.7%, P =0.1857) or repair (41.8% versus 32.5%, P =0.0782). (ed.ac.uk)
Mechanisms1
Outcomes1
  • Objective To evaluate long term outcomes (reintervention and late rupture of abdominal aortic aneurysm) of aortic endografts in real world practice using linked registry claims data. (bmj.com)
Bedside2
  • As an emergent maneuver, an intra-aortic balloon was percutaneously deployed at the bedside without fluoroscopic guidance. (nih.gov)
  • [ 14 ] The main disadvantages in bedside ultrasonography are that a leaking or ruptured aneurysm can be difficult to distinguish from an enlarged but nonruptured aneurysm. (medscape.com)
Abdomen1
  • The surgeon explained that his aneurysm had ruptured and was now leaking into his abdomen, and that there was nothing they were equipped to do medically to fix the problem. (uth.edu)
Treatment1
  • Type B Aortic Dissections: Current Guidelines for Treatment. (nih.gov)
Disease1
  • This examination provides key information about the extent of aneurysmal disease, and it can be used to confirm and localize the site of rupture (see the image below). (medscape.com)
Report1
  • The aim of the present study is to report this unit's experience with operations performed for ruptured TAAA over a 10-year period. (ncl.ac.uk)
Management1
Higher1
  • In the multivariate logistic regression analysis, adjusting for Dmax and sex, the AAA with a higher bulge location and higher mean averaged surface area were associated with AAA rupture. (umontreal.ca)
Deaths1