There are two types of aneurysms: true and false. A true aneurysm involves all three vessel wall layers. False aneurysms or pseudoaneurysms occur when the intimal and medial layers a...
Asymptomatic AAA (majority)
USPSTF recommends a one-time screen for an AAA by abdominal ultrasonography for men aged 65 to 75 years with a smoking history (2)[A].
Selective screening for AAAs...
Treat atherosclerotic risk factors: HTN, dyslipidemia, diabetes mellitus, and smoking (2)[A].
Smoking was associated with a 0.35 mm/year AAA growth, twice as fast as AAA grow...
May do a CT scan 5 years after an open repair for possible late aortic dilatation or pseudoaneurysm (2)[C]
Follow-up imaging should be tailored ...
I71.4 Abdominal aortic aneurysm, without rupture
I71.3 Abdominal aortic aneurysm, ruptured
233985008 Abdominal aortic aneurysm (disorder)
14336007 Ruptured abdominal aortic aneurysm
75878...
Men with a smoking history aged 65 to 75 years should undergo a one-time screening abdominal ultrasound to evaluate for an AAA. Men and women with a first degree relative with an AAA s...
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Long, slender fingers (arachnodactyly) in a patient with Marfan syndrome.
Polyarteritis nodosa. The intense inflammatory cell infiltrate in the arterial wall and surrounding connective tissue is associated with fibrinoid necrosis and disruption of the vessel wall.
Polyarteritis nodosa. The intense inflammatory cell infiltrate in the arterial wall and surrounding connective tissue is associated with f...
FIGURE 62.5. Marfan syndrome with hyperinflation, bullous changes, dilated tortuous aorta, and "tall" lungs.
Figure 51.1. Classification of aortic dissections. (A) Dissection of ascending aorta.
Figure 51.1. Classification of aortic dissections. (B) Dissection of descending aorta.
Figure 51.2. Chest x-ray film of a 65-year-old woman with type A dissection. Note the widened mediastinum, indistinct aortic knob (arrows), tracheal deviation (triangles), and left pleural effusion.
Figure 51.2. Chest x-ray film of a 65-year-old woman with type A dissection. Note the widened mediastinum, indistinct aortic knob (arrows...
<bold>FIG. 96.1.</bold> Marfan syndrome in a 14-year-old boy. Note arachnodactyly, relatively long limbs (dolichostenomelia), pectus carinatum, sparse subcutaneous fat, unilateral genu valgum, and pes planus. Ectopia lentis and scoliosis also were present. This patient died of aortic rupture at age 15 years.
<bold>FIG. 96.1.</bold> Marfan syndrome in a 14-year-old boy. Note arachnodactyly, relatively long limbs (dolichostenomelia), ...
<bold>FIG. 96.3.</bold> The wrist sign in a patient with Marfan syndrome. In a positive test, the first phalanges of the thumb and fifth digit substantially overlap when wrapped around the opposite wrist.
<bold>FIG. 96.3.</bold> The wrist sign in a patient with Marfan syndrome. In a positive test, the first phalanges of the thumb...
<bold>Fig CA 9-9 Marfan's syndrome.</bold> Arteriogram shows enormous dilatation of the aneurysmal ascending aorta.
<bold>Fig GU 7-2 Polyarteritis nodosa.</bold> An aortogram demonstrates innumerable small aneurysms arising from vessels throughout the abdomen. The aorta and its major branches are spared.
<bold>Fig GU 7-2 Polyarteritis nodosa.</bold> An aortogram demonstrates innumerable small aneurysms arising from vessels throu...
<bold>FIGURE 7-7</bold> Turner syndrome. Short stature, stocky build, crest chest, lack of breast development, and cubitus valgus are evident in this 13-year-old girl.
<bold>FIGURE 7-7</bold> Turner syndrome. Short stature, stocky build, crest chest, lack of breast development, and cubitus val...
Nodular, painful, hemorrhagic skin lesion in a patient with polyarteritis nodosa.
Areas of conjunctival edema and necrosis in polyarteritis nodosa.
Acute aortic dissection - In acute aortic dissection, an intimal tear permits blood to dissect the media, separating the intima from the adventitia. Type A is located in the ascending aorta and is more common. Type B is located in the descending aorta
Acute aortic dissection - In acute aortic dissection, an intimal tear permits blood to dissect the media, separating the intima from the a...
Blood Clot Causing Aneurysm and Breakage Labeled
Aneurysm, aortic - Illustration showing abdominal aneurysm of the descending aorta