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19 Cards in this Set
- Front
- Back
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Thoracic vs. Abd. Ao surg.
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There are special considerations in thoracic
surg. |
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Pathophysiology of aortic dissection
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Thoracic Ao Dissection:
Clinical presentation |
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Manifestations of end-organ ischemia:
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Brain: CVA, hemiparesis, hemiplegia, syncope, speech/visual defects
Kidney:hematuria, oliguria, elevated BUN/creatinine Intestines:abdominal pain, elevated WBC, absent bowel sounds Spinal Cord: paraplegia Lower extremities:peripheral neuropathy, pulse deficits |
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Temporizing Measures of Dissection:
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Preoperative evaluation for dissection repair
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Indications for dissection repair
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Describe monitoring for dissecting
thoracic aneurysm.* |
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Ascending aorta repair:
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Aortic arch repair:
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Descending aorta repair:
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In which 3 situations during
thoracic Ao surgery should NTG be given?* |
1. When BP > 20% above normal.
2. When myocardial contractility decreases. 3. When Signs of myocardial ischemia develop. |
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Blood is supplied to the spinal
cord via which 3 routes?* |
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Is the anterior or posterior portion
of the spinal cord more vulnerable to ischemia?* |
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What is anterior spinal artery
syndrome?* |
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Describe the Artery of
Adamkiewicz.* |
A.K.A. great radicular artery;
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Protection of Spinal cord during dissection surgery:
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Post-operative care after dissection repair:
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After surgery for a thoracic Ao
aneurysm where should the BP be maintained?* |
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