Ascending Aortic Aneurysm, Wandering towards Old Problem with New Insight

Authors

  • KK Tiwari Department of CTVS, College of Medical Sciences Teaching Hospital, Bharatpur
  • S Bevilacqua Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Massa
  • A Salvati The Salam Center for Cardiac Surgery, Khartoum
  • E Varone Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Massa
  • M Solinas Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Massa
  • M Glauber Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Massa

DOI:

https://doi.org/10.3126/jucms.v2i2.11175

Keywords:

Ascending aortic aneurysm

Abstract

Ascending aortic aneurysm is a silent and highly lethal disease. Generally, ascending aorta grows asymptomatically until it dissect or rupture. In case of acute complication mortality is as high as 90%, whereas if treated on time mortality and morbidity decreases significantly. Pathophysiology of the Ascending aortic aneurysm is a complex process. Aorta itself is an organ and it should not be considered merely as a tube transporting blood from heart to the organs. Several non-invasive and invasive imaging methods are available at disposition to diagnose this indolent killer at early stage. However, discrepancies exists about when to operate these patients. Several other methods has been reported to identify these patients at risk of dissection or rupture. Conservative treatment could be used in patients with small aortic diameter, but effectiveness of such approach is under scrutiny. Emerging endovascular treatment using stents should be advocated with caution. Surgical treatment, the gold standard, is recommended for asymptomatic patients with aortic diameter of 5.5cm, whereas 4-4.5cm for patients with Marfan's disease. Postoperative morbidity and mortality has significantly decreased due to better anesthetic management, improved surgical techniques and progress in preoperative and postoperative care.

DOI: http://dx.doi.org/10.3126/jucms.v2i2.11175

Journal of Universal College of Medical Sciences (2014) Vol.2(2): 49-59

Downloads

Download data is not yet available.
Abstract
759
PDF
1616

Downloads

Published

2014-09-28

How to Cite

Tiwari, K., Bevilacqua, S., Salvati, A., Varone, E., Solinas, M., & Glauber, M. (2014). Ascending Aortic Aneurysm, Wandering towards Old Problem with New Insight. Journal of Universal College of Medical Sciences, 2(2), 49–59. https://doi.org/10.3126/jucms.v2i2.11175

Issue

Vol. 2 No. 2 (2014)

Section

Review Articles

License

Authors have to give the following undertakings along with their article:

  1. I/we declare that this article is original and has not been submitted to another journal for publication.
  2. I/we declare that I/we surrender all the rights to the editor of the journal and if published will be the property of the journal and we will not publish it anywhere else, in full or part, without the permission of the Chief Editor.
  3. Institutional ethical and research committee clearance certificate from the institution where work/research was done, is required to be submitted.
  4. Articles in the Journal are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)
  5. This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.