scholarly journals Isolated Dissections of Superior Mesenteric and Celiac Arteries Associated With Aortic Ectasia

Cureus ◽  
2020 ◽  
Author(s):  
Ejaz Latif ◽  
Amr Fares ◽  
Zahoor Ahmed ◽  
Shameel Musthafa ◽  
Imran Mazhar
Keyword(s):  
Aortic Ectasia

12. Annulo-aortic ectasia syndrome: Diagnosis and treatment

1965 ◽  
Vol 15 (1) ◽  
pp. 127-128
Author(s):  
Don W. Chapman ◽  
H.L. Beazley ◽  
Paul K. Peterson ◽  
John A. Webb ◽  
Denton A. Cooley
Keyword(s):  
Diagnosis And Treatment ◽  
Syndrome Diagnosis ◽  
Aortic Ectasia

Appropriateness of Abdominal Aortic Aneurysm Screening With Ultrasound: Potential Cost Savings With Guideline Adherence and Review of Prior Imaging

2020 ◽  
pp. 084653712092086
Author(s):  
Matthew Murray ◽  
Andreu F. Costa
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Task Force ◽  
Cost Savings ◽  
Preventive Health Care ◽  
Screening Tests ◽  
Canadian Society ◽  
Potential Cost ◽  
Abdominal Aortic ◽  
Aortic Ectasia

Objective: To assess the appropriateness of abdominal aortic aneurysm (AAA) screening with ultrasound (US) and potential cost savings by adhering to guidelines and reviewing prior imaging. Methods: Screening aortic US performed in Nova Scotia from January 1 to April 30, 2019, were reviewed. Patient sex, age, risk factors, and study result (negative, <2.5 cm; ectatic, 2.5-2.9 cm; positive for AAA, ≥3 cm) were recorded. Previous imaging tests were reviewed for the presence/absence of aortic ectasia or aneurysm. Appropriateness was based on the Canadian Task Force on Preventive Health Care (CTFPHC) and the Canadian Society of Vascular Surgery (CSVS) guidelines. The number of potentially averted US, subsequent missed positive findings, and cost savings (over the 4-month period) were calculated according to: 1) each guideline; and 2) each guideline combined with review of imaging done 0 to 5 years and 0 to 10 years previously. Results: There were 17 (4.6%) of 369 ectatic aortas and 18 (4.9%) of 369 AAAs. The number of potentially averted examinations, missed ectatic aortas, missed AAAs, and cost savings were as follows, respectively: CTFPHC, 222 (60.2%) of 369, 8, 7, and CAD$20 501.70; CSVS, 117 (31.7%) of 369, 4, 2, and CAD$10 804.95. The model that would yield the greatest cost savings and fewest missed positive findings was the combination of CSVS guidelines with review of prior imaging within 5 years; this would avert 189 (51.2%) of 369 examinations, save CAD$17 454.15 over 4 months, and miss only 2 AAAs and 2 ectatic aortas. Conclusion: Over half of aortic US screening tests can be safely averted by adhering to CSVS guidelines and reviewing imaging performed within 5 years.

Coronary Artery Disease as a Relevant Risk Factor in Screening of Abdominal Aortic Ectasia and Aneurysm

2018 ◽  
Author(s):  
Ahmed Koshty ◽  
Magdalena Bork ◽  
Andreas Böning ◽  
Dursun Gündüz ◽  
Sebastian Pleger
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Screening Program ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Sonographic Examination ◽  
Screening Programs ◽  
Abdominal Aortic ◽  
Artery Disease ◽  
Aortic Ectasia

Background The aim of this study was to investigate the prevalence of abdominal aortic aneurysm (AAA) and abdominal aortic ectasia (AAE) in coronary artery disease (CAD) patients in a multicenter setting to obtain significant data to establish an AAA screening program in our departments. Methods Between January and September 2016, 500 patients with suspected or diagnosed CAD planned for coronary angiography or coronary artery bypass graft (CABG) underwent a sonographic examination of the infrarenal abdominal aorta to diagnose AAA or AAE. We calculated the prevalence of AAA and AAE in patients diagnosed of CAD and investigated factors potentially associated with the occurrence of AAA. Results The overall prevalence in all grades of CAD for AAE was 35.1% and for AAA 5.4%. In patients with three-vessel CAD, the prevalence of AAE was 34% and of AAA 6.8%. Significant correlation was found between the three-vessel CAD and AAA (p = 0.039). The logistic regression analysis showed significant correlation between AAA and age > 65 years (p = 0.05). The multivariate analysis of risk factors and CAD revealed significant correlations between one-vessel CAD and arterial hypertension (AH) (p = 0.004) and age > 65 years (p = 0.001) as well as between three-vessel CAD and AH (p = 0.01), peripheral artery disease (p = 0.01), and age > 65 years (p = 0.03). Conclusion Our results confirm, that in comparison to other data, the prevalence of AAA in patients with CAD is high. Thus, it is recommended to include patients with CAD, especially elderly patients with three-vessel CAD, in future AAA screening programs.

scholarly journals CLINICAL CONSIDERATIONS AND SURGICAL TREATMENT OF ANNULO-AORTIC ECTASIA

1961 ◽  
Vol 42 (3) ◽  
pp. 363-370 ◽  
Author(s):  
Paul R. Ellis ◽  
Denton A. Cooley ◽  
Michael E. De Bakey
Keyword(s):  
Surgical Treatment ◽  
Clinical Considerations ◽  
Aortic Ectasia

Annulo-aortic ectasia

1985 ◽  
Vol 407 (3) ◽  
pp. 279-288 ◽  
Author(s):  
Timo Savunen ◽  
Heikki J. Aho
Keyword(s):  
Aortic Ectasia

scholarly journals The borohydride-reducible compounds of human aortic elastin. Demonstration of a new cyclic amino acid in alkali hydrolysate, and changes with age and in patients with annulo-aortic ectasia including one with Marfan syndrome

1985 ◽  
Vol 232 (1) ◽  
pp. 169-175 ◽  
Author(s):  
T Halme ◽  
M Jutila ◽  
T Vihersaari ◽  
P Oksman ◽  
N D Light ◽  
...  
Keyword(s):  
Acid Hydrolysis ◽  
Marfan Syndrome ◽  
Aldol Condensation ◽  
Condensation Product ◽  
Hydrolysis Product ◽  
Exchange Chromatography ◽  
Spectrometric Analysis ◽  
Cross Link ◽  
Aortic Ectasia ◽  
And Control

Human aortic elastin reduced with [3H]borohydride was analysed by ion-exchange chromatography after alkali or acid hydrolysis. Alkali hydrolysates of elastins contained a radioactive peak that was eluted between proline and leucine. This peak was not present in foetal elastin, but its proportion increased steadily during aging. Aortic samples from patients with annulo-aortic ectasia (aneurysm of the ascending aorta), including one with classical Marfan syndrome, contained less elastin (CNBr-insoluble material) than did the age-matched controls. The proportion of radioactivity in the new peak of all these aortas was low when compared with age-matched controls. Gas-chromatographic/mass-spectrometric analysis suggested that it contained a cyclic derivative of a hydrated aldol-condensation product. The concentration of the cross-link precursors, lysine aldehyde and aldol-condensation product (estimated from the acid-hydrolysis product 6-chloronorleucine and the acid-degradation product of reduced aldol-condensation product) was high in very young aortas but remained quite stable after childhood. No differences were observed in cross-link profiles of acid hydrolysates between pathological and control aortas. A low proportion of radioactivity in the new peak may indicate the presence of young or immature elastin in the pathological aortas.

scholarly journals Abdominal aortic ectasia resulting from peripheral traumatic arteriovenous fistulization

1987 ◽  
Vol 5 (6) ◽  
pp. 882-886 ◽  
Author(s):  
Teresa M. Kieser ◽  
Virginia M. Walley ◽  
Neil V. McPhail
Keyword(s):  
Abdominal Aortic ◽  
Aortic Ectasia
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