If you’re not having any symptoms, and your aneurysm is small, your doctor may choose to simply monitor it over time. It’s likely you’ll need regular tests to check on its size and growth. But if it’s growing fast, or causing you problems, your doctor may decide to operate. He...
The decision to operate on an abdominal aortic aneurysm is made on consideration of two factors: the size of the aneurysm and the fitness of the patient. If an aneurysm ruptures, the community mortality rate is in the region of 90%. If the patient reaches hospital and has an operation, ...
The decision to operate on a patient with an aortic aneurysm is based on the risk of aneurysm rupture versus the risk of aneurysm repair, within the context of the patient's overall life expectancy. Risk of rupture is still primarily based on the maximum aneurysm diameter, with some allowance...
Abdominal Aortic Aneurysm in High-risk Patients Low mortality rates for the elective surgical treatment of abdominal aortic aneurysms justify an aggressive approach in most patients. However, in high-risk patients with small aneurysms and no symptoms, the decision to operate remains a... EF Bernstein...
a TAAA whom we had been following with serial computed tomographic angiography scans. The decision to operate was made when the aneurysm began revealing growth in diameter. Her anatomy was not conducive to endovascular treatment; therefore, we repaired her aneurysm using a traditional open approach....
Bicuspid aortic valve (BAV) disease is the most common congenital heart lesion and occurs in 1% to 2% of the population.1, 2 Although the exact mechanism is not yet fully understood, BAV is a significant risk factor for aortic dilatation, aneurysm (AN) development, and acute dissection.2 Re...
Full size image Western blotting We analyzed by WB two proteins: biglycan, not detected by SRM and periostin with the goal in mind of confirming the reliability of both techniques. Overexpression of these proteins in AS valves compared to the control valves was confirmed (p = 0.021, p ...
nature of his cancer should have been subjected to the aortoaortic graft procedure or whether it would not have been more appropriate to operate on the pancreas alone and let the aneurysm take its course which may be presumed to have culminated in a rupture followed by the patient's decease....
12 Endovascular stent repair requires the existence of a 1-cm-long nontapered region of aorta on either end of the aneurysm, often called the aneurysm neck, to provide a landing zone for each end of the graft. Furthermore, aneurysms that span essential aortic branch vessels require extra-...
Full size image The aneurysm is mobilized at the neck and the common iliac arteries are controlled at their bifurcations to prepare for clamping. Intravenous heparin is administered, vascular clamps are applied, and the aneurysmal sac is opened. Atherosclerotic debris and thrombi are removed, and ...