Diseases Of Aorta

Front 1

What do we know about AO (3 Layers)

Back 1

Adventia-. Medial. Intima.

Front 2

Vasa vasorum

Back 2

small blood vessels that nourish the outer part of the vessel

Front 3

This is stretched in----- recoils in ---- to maintain the forward flow of blood throughout the cardiac cycle

Back 3

systole
diastole

Front 4

LV is contracting in systole the aorta is

Back 4

stretching to accommodate the blood

Front 5

What are things that can cause premature loos of elasticity

Back 5

HTN, HIGH CHOLESTEROL, CAD, AGE

Front 6

What can we do to image the AO

Back 6

CHEST X-RAY, MR, CT, TEE, THE,

Front 7

what is Aortic dissection in a artery

Back 7

Happens when you have entry of blood into the medial layer due to a tear in the vasa vasorum or due to tear in the aortic intima

Front 8

What is a complication of aortic dissection

Back 8

Marfan Syndrome

Front 9

Possible complication of AOrtic dissection

Back 9

pregnancy

Front 10

Majority of pts that show up with Aortic dissection

Back 10

Middle age/elderly men with systemic HTN

Front 11

What is systemic HTN

Back 11

greater than 140/90

Front 12

Symptoms of AOrtic dissection

Back 12

CP,

Front 13

Debakey Classification

Back 13

TYPE 1
TYPE 2
TYPE 3 A & B

Front 14

Stanford Classification

Back 14

TYPE A
TYPE B

Front 15

Stanford which one is more common dissection TYPE A OR B

Back 15

TYPE A accounts for 2/3 of cases

Front 16

Dissection usually occurs

Back 16

few cm above the AO valve, Right after LSA

Front 17

Which one is more worrysome stanford

Back 17

Type A requires immediate surgical repair

Front 18

What can cause AO dissection

Back 18

TRAUMA, 15-20% pts with AO dissection have intramural hematoma.

Front 19

Intramural Hematoma

Back 19

increase echogencity along the wall which represents thrombus between the INTIMA and ADVENTIA

Front 20

Intramural Hematoma precursor to

Back 20

AO dissection

Front 21

it can occlude branches of descending AO examples?

Back 21

BLOCK renal arteries- damage the kidney, Block iliac arteries - lower extremity will be affected .

Front 22

if it tears backwards to the proximal ascending AO you will see

Back 22

AI, or occlude coronary artery

Front 23

PT with dissection 2 problems

Back 23

Rupture of the AO, Compromising blood flow to organ

Front 24

Aortic rupture common cause

Back 24

TRAUMA status post MVA

Front 25

what is holding the descending AO in place

Back 25

Descending AO held back to spine by the intercostal arteries. the intercostal arteries anchor the descending AO

Front 26

what anchors the AO ARCH

Back 26

Nothing Holds the AO arch

Front 27

Most common place for Rupture

Back 27

right below the LSA

Front 28

Which aneurysm is more common abdominal or thoracic

Back 28

abdominal

Front 29

Which aneurysm is more common ascending or descending?

Back 29

Descending is more common

Front 30

Aneurysm in AO ARCH is

Back 30

RARE

Front 31

What is usually causes aneurysm in the descending AO

Back 31

atheroscelorsis- primary and common causes of aneurysms descending AO. Due to atrophy of the media and advent with fibrous replacement

Front 32

What is the most likely cause of ascending thoracic AO aneurysm

Back 32

CYSTIC MEDIAL NECROSIS

Front 33

CYSTIC MEDIAL NECROSIS. Aneurysm is located? Can be associated with?

Back 33

is when the medial layer weakens and expands due to the degenerative change. AO ROOT. AI.

Front 34

Marfan SYndrome associated with

Back 34

MVP, AO ROOT DILATATION, HIGH RISK for AO dissection or aneurysm

Front 35

Sinus of valsalva Aneurysm. Located

Back 35

right after the leaflets of AO valve

Front 36

3 causes of sinus of valsalva aneurysm

Back 36

congenital, infection, inflammatory

Front 37

Sinus of valsalva aneurysm can compress

Back 37

RV, RA

Front 38

Rupture into cardiac CH present as a ---- where would it rupture to?

Back 38

Shunt defect. Rupture to the right side of the heart.

Front 39

How is pt going to feel sinus of valsalva ruptures?

Back 39

Abrupt onset CP, Brealthlessness, Cardiac failure will develop

Front 40

Coaractation of AO

Back 40

is narrowing of the descending AO usually immediately distal to the LSA

Front 41

Coaractation is associated with

Back 41

Turner syndrome, Congenital Anomalies- bicuspid AO valve, PDA,VSD aneurysm of circle of willis.

Front 42

Doppler area of narrowing you should see

Back 42

increase velocity

Front 43

Pt with HTN should always be evaluated with Coaractation of the AO why?

Back 43

if you have coaractation of the descending thoracic aorta what will happen above it. ARCH OF AO increase pressure .