CH 8 SG 45-57

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Questions and Answers

What is an aneurysm?

A permanent localized dilation of the artery with an increase in diameter greater than 1.5 times its normal diameter.

What are the two main types of aneurysms?

  • Saccular and Fusiform (correct)
  • Linear and Circular
  • Acute and Chronic
  • Simple and Complex

Ultrasound is a highly accurate way to detect aortic aneurysms.

True (A)

Which of the following is NOT a possible location for an aortic aneurysm?

<p>Cerebral (A)</p> Signup and view all the answers

What is the most common location for an aortic aneurysm?

<p>Infrarenal</p> Signup and view all the answers

What is the most common site of rupture in an aortic aneurysm?

<p>Lateral wall below renal vessels</p> Signup and view all the answers

What is considered a normal diameter for the aorta?

<p>Less than 3 cm</p> Signup and view all the answers

What is aortic dissection?

<p>Separation of layers of the aortic wall, with blood coursing through the false lumen.</p> Signup and view all the answers

Which of the following is a risk factor for aortic dissection?

<p>All of the above (E)</p> Signup and view all the answers

What is Type 1 aortic dissection?

<p>Starts at the root, can extend the length of the arch, can cut off the arch vessels blood supply.</p> Signup and view all the answers

What is an arteriovenous fistula?

<p>Abnormal connection between artery and vein.</p> Signup and view all the answers

When the IVC is obstructed, what system takes over and acts as the IVC?

<p>Azygos and/or the hemiazygos system.</p> Signup and view all the answers

What condition may cause the flow in the portal vein to be reversed?

<p>Portal hypertension.</p> Signup and view all the answers

What is the most common predisposing factor for portal hypertension?

<p>Intrinsic liver disease.</p> Signup and view all the answers

Flashcards

Aneurysm

Permanent localized dilation of the artery with an increase in diameter greater than 1.5 times its normal diameter.

2 types of Aneurysms

Saccular and fusiform

Accuracy rate for ultrasound in detecting aortic aneurysms

98.8%, making it the modality of choice

Possible locations of an aortic aneurysm

Infrarenal, suprarenal, perirenal

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Most common location for an aortic aneurysm

Infrarenal

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Most common site of rupture in an aortic aneurysm

Lateral Wall below Renal vessels

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Normal Diameter of the AORTA

Less than 3 CM

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Aortic Dissection

Separation of layers of the aortic wall, with blood coursing through the false lumen.

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Risk factors for development of an Aortic Dissection

Known aneurysm, sudden onset of excruciating chest pain radiating to the back, 40-60 years of age, more common in males.

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Type 1 Aortic Dissection

Starts at the root, can extend the length of the arch, and can cut off the arch vessels' blood supply

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Type 2 Aortic Dissection

Starts at or below the subclavian, extends down the descending aorta.

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Type 3 Aortic Dissection

Lower end of descending aorta extends into abdominal aorta, can spiral and cut off renal arteries.

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Arteriovenous fistula

Abnormal connection between artery and vein

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System that takes over when the IVC is obstructed

Azygos and/or the hemiazygos system

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Condition that causes reversed flow in the portal vein

Portal Hypertension

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Most common predisposing factor of Portal Hypertension

Intrinsic liver disease

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Study Notes

Aneurysms

  • An aneurysm is a permanent dilation of an artery, where the diameter increases more than 1.5 times the normal size.
  • Two main types of aneurysms are saccular and fusiform.
  • Ultrasound for detecting aortic aneurysms has a high accuracy rate (98.8%) when performed correctly, making it the preferred diagnostic method.
  • Aortic aneurysms can occur in the infrarenal, suprarenal, and perirenal regions.
  • The most common location is infrarenal.
  • The most common rupture site is the lateral wall below the renal vessels.
  • A normal aorta diameter is less than 3 cm.

Aortic Dissection

  • Aortic dissection is a separation of the aortic wall layers, with blood flowing through a false lumen.
  • Risk factors include a known aneurysm, sudden severe chest pain radiating to the back, age (40-60), and a higher prevalence in males.
  • Type 1 dissection is the most dangerous, starting at the root of the aorta and potentially extending to the arch, which can cut off blood supply to arch vessels.
  • Type 2 dissection begins at or below the subclavian artery, extending down the descending aorta, often associated with Marfan syndrome.
  • Type 3 dissection involves the lower descending aorta, extending into the abdominal aorta and potentially affecting blood supply to the renal arteries.

Other Vascular Conditions

  • An arteriovenous fistula is an abnormal connection between an artery and a vein.
  • If the inferior vena cava (IVC) is blocked, the azygos and/or hemiazygos systems may take over its function.
  • Portal hypertension can cause reversed portal vein flow.
  • The most common cause of portal hypertension is intrinsic liver disease.

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