Pub Date : 2023-01-01DOI: 10.5455/azjcvs.2023.03.03
Sevket Turkkolu, Sayagat Musayeva
The blood necessary for sustaining life passes into the aorta through the pump function of the left ventricle and is distributed to the systemic arterial bed via the aorta and its branches. In an average lifetime, about 200 million liters of blood, the basis of life, are delivered to the organs via the aorta and its branches Acute Aortic Syndromes, especially Aortic Dissection, can impair this vital function of the aorta. Aortic Dissection (AD) is not one of the most common diseases encountered by physicians in daily clinical practice, but it is frequently associated with life threatening complications. It has a high mortality rate of 1% to 2%/h if it is not diagnosed quickly and appropriate treatment is not started immediately. However, this diagnosis is not always easy to make. The main reason for this is the lack of a very specific symptom that would allow physicians, especially emergency physicians, cardiologists and cardiovascular surgeons, who encounter AD more frequently, to easily suspect AD and its course with nonspecific symptoms. In this review, we will evaluate new developments in the diagnosis and treatment of AD in the light of the American College of Cardiology (ACC) and American Heart Association (AHA) 2022.
{"title":"Approach to aortic dissection in light of the American College of Cardiology (ACC) and American Heart Association (AHA) 2022 Guidelines","authors":"Sevket Turkkolu, Sayagat Musayeva","doi":"10.5455/azjcvs.2023.03.03","DOIUrl":"https://doi.org/10.5455/azjcvs.2023.03.03","url":null,"abstract":"The blood necessary for sustaining life passes into the aorta through the pump function of the left ventricle and is distributed to the systemic arterial bed via the aorta and its branches. In an average lifetime, about 200 million liters of blood, the basis of life, are delivered to the organs via the aorta and its branches Acute Aortic Syndromes, especially Aortic Dissection, can impair this vital function of the aorta. Aortic Dissection (AD) is not one of the most common diseases encountered by physicians in daily clinical practice, but it is frequently associated with life threatening complications. It has a high mortality rate of 1% to 2%/h if it is not diagnosed quickly and appropriate treatment is not started immediately. However, this diagnosis is not always easy to make. The main reason for this is the lack of a very specific symptom that would allow physicians, especially emergency physicians, cardiologists and cardiovascular surgeons, who encounter AD more frequently, to easily suspect AD and its course with nonspecific symptoms. In this review, we will evaluate new developments in the diagnosis and treatment of AD in the light of the American College of Cardiology (ACC) and American Heart Association (AHA) 2022.","PeriodicalId":498143,"journal":{"name":"Ürək və damar cərrahiyyəsi jurnalı","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135711041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.5455/azjcvs.2023.10.018
Mehmet Donbaloglu
Aim: It was aimed to determine the prognosis and treatment in relation to the risk factors of the patient group by recording the changes in aneurysm sac, thrombus diameter and thrombus load in the follow-up of patients treated with endovascular stent-graft for abdominal aortic aneurysm (AAA). Material and Methods: Preoperative and postoperative 1st, 3rd, 6th and 12th month CT-A's of 112 patients who were followed up regularly were performed and changes in aneurysm sac diameter, thrombus diameter and thrombus percentage were recorded. Results: When the measurements were evaluated, an increase was detected in the mean thrombus diameter at post-operative month 1 with a gradual reduction over time; however, it was observed to be higher than the pre-operative values even at month 12. These changes were statistically significant (p<0.001). Aneurysm sac diameters of the cases in the pre-operative work-up ranged between 50mm and 108mm with a mean of 65.53±12.08mm. Pre-operative thrombus burden was measured to be 28% minimum and 96% maximum with a mean of 61.8±18.69%. In the post-operative measurements, the mean thrombus burden was 86.0±13.47 at month 1, 85.9±15.46 at month 3, 82.94±14.27 at month 6 and 82.27±13.82 at month 12. Similar to the changes in thrombus diameter, there was an increase at month 1 with a gradual reduction over time; however, the values at month 12 were still higher than the pre-operative values. These changes were also statistically significant (p<0.001). Conclusion: The present study showed that the changes in aneurysm sac diameter and endoleak formation may affect prognosis and single antiaggregant treatment would be more suitable compared to the combination treatment.
{"title":"Is there a Relationship Between Endoleak and Antiaggregant Treatments in the Change of the Aneurysm Sac After Endovascular Treatment in Abdominal Aortic Aneurysm?","authors":"Mehmet Donbaloglu","doi":"10.5455/azjcvs.2023.10.018","DOIUrl":"https://doi.org/10.5455/azjcvs.2023.10.018","url":null,"abstract":"Aim: It was aimed to determine the prognosis and treatment in relation to the risk factors of the patient group by recording the changes in aneurysm sac, thrombus diameter and thrombus load in the follow-up of patients treated with endovascular stent-graft for abdominal aortic aneurysm (AAA). Material and Methods: Preoperative and postoperative 1st, 3rd, 6th and 12th month CT-A's of 112 patients who were followed up regularly were performed and changes in aneurysm sac diameter, thrombus diameter and thrombus percentage were recorded. Results: When the measurements were evaluated, an increase was detected in the mean thrombus diameter at post-operative month 1 with a gradual reduction over time; however, it was observed to be higher than the pre-operative values even at month 12. These changes were statistically significant (p<0.001). Aneurysm sac diameters of the cases in the pre-operative work-up ranged between 50mm and 108mm with a mean of 65.53±12.08mm. Pre-operative thrombus burden was measured to be 28% minimum and 96% maximum with a mean of 61.8±18.69%. In the post-operative measurements, the mean thrombus burden was 86.0±13.47 at month 1, 85.9±15.46 at month 3, 82.94±14.27 at month 6 and 82.27±13.82 at month 12. Similar to the changes in thrombus diameter, there was an increase at month 1 with a gradual reduction over time; however, the values at month 12 were still higher than the pre-operative values. These changes were also statistically significant (p<0.001). Conclusion: The present study showed that the changes in aneurysm sac diameter and endoleak formation may affect prognosis and single antiaggregant treatment would be more suitable compared to the combination treatment.","PeriodicalId":498143,"journal":{"name":"Ürək və damar cərrahiyyəsi jurnalı","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135158152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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