Thoreacic Aortic Aneurysm Research Paper

To begin with, the word aneurysm derives from the Latin word “aneurysma.” In Latin “aneurysma” means dilation and dilation means that act of expanding. From this, it is easier to figure out what an aneurysm really is. The definition of the English word aneurysm means, blood-filled dilation of a blood vessel. There are several different types of aneurysm, but this report will only cover a cerebral one.

AS can occur in the congenital period or later in life, but is more common in adults due to lack of exercise, and nutrition causing calcium buildup. If it is congenital it will occur within the first eight weeks of pregnancy, which the cause is unknown. In a child with AS, the pressure is much higher than normal in the left chamber pumping. Blood that has leaked back into the left ventricle through the valve in between heartbeats, causing the ventricle to be enlarged. There are three stages of AS. Stage A occurs in patients with bicuspid aortic valve or aortic sclerosis who are symptom free but are at risk for AS. In stage B people have progressive AS with mild or moderate calcify valve leaflets, leaflets mobility, or mild or

Aortic arch angiogram: shows right aortic arch with the following branching pattern (from proximal to distal): left common carotid, right common carotid, right subclavian artery. The origin of left subclavian (with anomalous origin) was not seen as it was ligated previously. However, the distal portion is filled with diluted contrats likely through a retrograde flow through the left vertebral artery. Patent Rt MAPCA with no intimal ingrowth was seen in the previously placed stent at the origin of Rt MAPCA. Dilated tortus RIMA which is likely profusion the right upper lung lobe (aortopulmonary collaterals) left BT shunt is wide patent (connected left common carotid artery to the interposition graft) with good caliber with mild narrowing at its insertion in the interposition graft.

Mrs. K, 72, was admitted to the critical care unit following an elective abdominal aortic aneurysm repair. Before the surgery, Mrs. K, a retired elementary teacher, worked part-time at the local library running a children’s reading program. She was completely independent in her activities of daily living and lives alone in a one-bedroom apartment. Mrs. K has regular contact with her only child, a daughter, whom she sees every night for a visit.

March 23, 2016. He is remembered as a generous, kind-hearted soul. Initially, he checked into

aortic valve, and ascending aortic arch. The right side has to work harder but can't sustain

It occurs when plaque develops in the arteries and the blood vessels, blocking many important nutrients and oxygen from reaching your heart (Heart Disease Causes - Mayo Clinic). This usually results from obesity, diabetes, high cholesterol, being physically inactive, smoking, eating an unhealthy diet, clinical depression, or a family history of heart disease (Heart Disease Causes - Mayo Clinic). If you're going through any of the things listed above, then you should take it within yourself to start making some changes in order to prevent heart disease, and you can do that by, exercising regularly, maintaining a healthy diet, maintaining a healthy weight, reducing stress in your life, stop smoking, stop drinking, start taking supplements as advised by your doctor, and start getting annual physicals from your doctor to detect abnormalities, to assess risk factors, and to know the warning signs of heart disease, heart attacks, and strokes(Heart Disease Causes - Mayo

Thoracic outlet syndrome surgery consists of one or two procedures to treat thoracic outlet syndrome (TOS). TOS is a group of signs and symptoms that result when blood vessels or nerves that supply the arm and hand are squeezed (compressed). The goal of this procedure is to reduce compression that causes TOS. During TOS surgery, you may have one or both of these procedures done:

Objectives: the current work evaluates the course of untreated moderate rheumatic aortic incompetence following mitral valve surgery over a period of one year.

Sometimes people who have problems with the valve that blood flows through as it leaves your heart have an increased risk of thoracic aortic aneurysm.

In aortic insufficiency, blood in the aorta leaks through the aortic valve after it has closed. As a result, the heart works harder to pump the same amount of blood through the valve as it would if the valve closed tightly. When left untreated, aortic insufficiency causes enlargement and weakening of the left ventricle. When this happens,

Aneurysm Embolization is done in Interventional Radiology, by an Interventional Neuroradiologist. The radiologist uses guide wires, known as catheters to locate the aneurysm. Through the catheter a small coil can be placed into the aneurysm. With these coils the body will develop blood clots around them which prevent blood from entering the aneurysm. This eliminates the risk of rupturing aneurysms. There are many different types of stents that can be used for aneurysm embolization. Many of these stents depend on the type of aneurysm. A stent that’s commonly used is the Solitaire AB Stent. This stent is used for the treatment of wide-necked aneurysms in the brain as well as small intracranial aneurysms. Another type of embolization device that’s used is pipeline; this device is used for dissecting cerebral aneurysms.

With an incidence once as high as 40%, spinal cord paralysis in thoracoabominal procedures has declined, however, still remains a devastating threat post-surgery (Roman, Grewal, Taylor, & Grigore, 2014). Modern techniques for repair of thoracic aneurysms and dissections include an open incision with extracorporeal bypass and aortic clamping. This surgical procedure puts patients at great risk for spinal cord paralysis. Open procedures required meticulous reimplantation of intercostal blood vessels, deep hypothermic cardiac arrest, epidural cooling, and various pharmacologic interventions. As surgical technique has advanced to percutaneous endograft repair, most of these techniques are no longer needed. However, the incidence of paralysis is still prevalent in patients having a TEVAR procedure. Naloxone, an opioid antagonist, has been studied as an additional pharmacologic adjunct in the prevention of spinal cord paralysis (Roman, Grewal, Taylor, & Grigore, 2014). Spinal cord injury can be multifactorial and a review of the literature indicates for patients undergoing endovascular repair of thoracic aneurysms, the use of multiple spinal cord protection strategies collectively reduce spinal cord injury compared to the use of naloxone as a primary measure.

As a person with keen interest and enthusiasm in surgery and fascinated by the inventions and discoveries in this field, I have always wanted to participate in this march towards excellence and be a cog, albeit small, but significant in the wheel of evolution. With this sublime goal I have always striven to excel in my studies and acquire knowledge in this field. My desire to enter general surgery began when I was just 14. Of course I didn’t know what I was doing back then, but I enjoyed dissecting frogs and other animals!

“It’s not stress that kills us, it is our reaction to it.” That is a famed quote from Hans Selye, a famous Hungarian endocrinologist, that relates to moments when a life is in a physician’s hands. One wrong move of a doctor and a patient could die. Learning to overcome fears and concentrate on the task at hand is the most needed skill for a surgeon, a brain surgeon to be exact. Focusing on the central nervous system I can fix the abnormalities and diseases of the brain. One of the highest pressure surgeries neurosurgeons perform are the clipping of aneurysms.