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Aortic and Arterial Aneurysms

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Atlas of Vascular Disease

Abstract

The aorta is the body’s major conductance vessel, through which all oxygenated blood passes. As an elastic artery, the aortic wall consists of three layers: intima, media, and adventitia. The arteries arising along its course give rise to the vasa vasorum, which supply a capillary network to the adventitia and media of the thoracic aorta; however, vasa vasorum do not supply the media of the abdominal aorta. Systolic ejection of blood from the left ventricle creates a pressure wave that traverses the aorta producing radial expansion and contraction and transfer of energy to the aortic wall. During diastole, the aortic wall recoils, transforming potential to kinetic energy and driving blood into the peripheral vessels.

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References

  1. Dubost C: Resection of an aneurysm of the abdominal aorta: reestablishment of the continuity by a preserved human arterial graft with results after 5 months. Arch Surg 1952, 64: 405–408.

    Article  CAS  Google Scholar 

  2. Nichols WW, O’Rourke MF: Aging, high blood pressure and disease in humans. In McDonald’s Blood Flow in Arteries: Theoretic, Experimental and Clinical Principles, edn 3. Edited by Nichols WW, O’Rourke ME. Philadelphia: Lea & Febiger; 1990: 398–420.

    Google Scholar 

  3. Diminick K, Kaplan S, Salmeron J: Peripheral vascular disease. In Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty. Edited by Lilly LS. Philadelphia: Lea & Febiger; 1993: 239–254.

    Google Scholar 

  4. Schoen FJ: Interventional and Surgical Cardiovascular Pathology. Philadelphia: WB Saunders Co.; 1989.

    Google Scholar 

  5. Creager MA, Halperin JL, Whittemore AD: Aneurysmal disease of the aorta and its branches. In Vascular Medicine: A Textbook of Vascular Biology and Diseases. Edited by Loscalzo J, Creager MA, Dzau VJ. Boston: Little, Brown & Co.; 1992: 903–930.

    Google Scholar 

  6. Cooley DA: Experience with hypothermic circulatory arrest and the treatment of aneurysms of the ascending aorta. Semin Thorac Cardiovasc Surg 1991, 3: 166–170.

    PubMed  CAS  Google Scholar 

  7. Crawford ES, Coselli JS: Thoracoabdominal aortic aneurysms. Semin Thorac Cardiovasc Surg 1991, 3: 300–322.

    PubMed  CAS  Google Scholar 

  8. Whittemore AD, Mannick JA: Principles of vascular surgery. In Vascular Medicine: A Textbook of Vascular Biology and Diseases. Edited by Locscalzo J, Creager MA, Dzau VJ. Boston: Little, Brown & Co.; 1992: 683–713.

    Google Scholar 

  9. Ernst CB: Abdominal aortic aneurysm. N Engl J Med 1993, 328: 1167–1172.

    Article  PubMed  CAS  Google Scholar 

  10. Lederle FA, Johnson GR, Wilson SE, et al.: The aneurysm detection and management study screening program: validation cohort and final results. Arch Intern Med 2000, 160:1425–1430.

    Google Scholar 

  11. Scott RA, Bridgewater SG, Ashton HA: Randomized clinical trial of screening for abdominal aortic aneurysm in women. Br J Surg 2002, 89: 283–285.

    Article  PubMed  CAS  Google Scholar 

  12. Brown LC, Powell JT: Risk factors for aneurysm rupture in patients kept under ultrasound surveillance. Ann Surg 1999, 230: 289–296.

    Article  PubMed  CAS  Google Scholar 

  13. Szilagyi DE, Smith RF, DeRusso FJ, et al.: Contribution of abdominal aortic aneurysmectomy to prolongation of life. Ann Surg 1966, 164:678–699.

    Google Scholar 

  14. Long-term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002, 346: 1445–1452.

    Google Scholar 

  15. Lederle FA, Wilson SE, Johnson GR, et al.: Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med 2002, 346: 1437–1444.

    Google Scholar 

  16. Greenhalgh RM: Vascular Surgical Techniques: An Atlas. Philadelphia: WB Saunders Co.; 1989.

    Google Scholar 

  17. Crawford ES, Saleh SA, Babb JW III, et al.: Infrarenal abdominal aortic aneurysm: factors influencing survival after operation performed over a 25-year period. Ann Surg 1981,193:699–709.

    Google Scholar 

  18. McCabe CJ, Coleman WS, Brewster DC: The advantage of early operation for abdominal aortic aneurysm. Arch Surg 1981, 116: 1025–1029.

    Article  PubMed  CAS  Google Scholar 

  19. Diehl JT, Cali RF, Hertzer NR, et al.: Complications of abdominal aortic reconstruction: an analysis of perioperative risk factors in 557 patients. Ann Surg 1983,197:49–56.

    Google Scholar 

  20. Hertzer NR, Avellone JC, Farrell CJ, et al.: The risk of vascular surgery in a metropolitan community: with observations on surgeon experience and hospital size. J Vasc Surg 1984,1:13–21.

    Google Scholar 

  21. Donaldson MC, Rosenberg JM, Bucknam CA: Factors affecting survival after ruptured abdominal aortic aneurysm. J Vasc Surg 1985, 2: 564–570.

    PubMed  CAS  Google Scholar 

  22. Reigel MM, Hollier LH, Kazmier FJ, et al.: Late survival in abdominal aortic aneurysm patients: the role of selective myocardial revascularization on the basis of clinical symptoms. J Vasc Surg 1987, 5:222–227.

    Google Scholar 

  23. Green RM, Ricotta JJ, Ouriel K, DeWeese JA: Results of supraceliac aortic clamping in the difficult elective resection of infrarenal abdominal aortic aneurysm. J Vasc Surg 1989, 9: 124–134.

    PubMed  CAS  Google Scholar 

  24. Johnston KW: Multicenter prospective study of nonruptured abdominal aortic aneurysms: II. Variables predicting morbidity and mortality. J Vasc Surg 1989, 9: 437–447.

    PubMed  CAS  Google Scholar 

  25. Leather RP, Shah DM, Kaufman JL, et al.: Comparative analysis of retroperitoneal and transperitoneal aortic replacement for aneurysm. Surg Gynecol Obstet 1989,168:387–393.

    Google Scholar 

  26. Sicard GA, Allen BT, Munn JS, et al.: Retroperitoneal versus transperitoneal approach for repair of abdominal aortic aneurysms. Surg Clin North Am 1989, 69:795–806.

    Google Scholar 

  27. Golden MA, Whittemore AD, Donaldson MC, et al.: Selective evaluation and management of coronary artery disease in patients undergoing repair of abdominal aortic aneurysms: a 16-year experience. Ann Surg 1990, 212:415–423.

    Google Scholar 

  28. AbuRahma AF, Robinson PA, Boland JP, et al.: Elective resection of 332 abdominal aortic aneurysms in a southern West Virginia community during a recent five-year period. Surgery 1991, 109:244–251.

    Google Scholar 

  29. Wakefield TW, Whitehouse WM Jr, Wu SC, et al.: Abdominal aortic aneurysm rupture: statistical analysis of factors affecting outcome of surgical treatment. Surgery 1982, 91:586–596.

    Google Scholar 

  30. Hoffman M, Avellone JC, Plecha FR, et al.: Operation for ruptured abdominal aortic aneurysms: a community-wide experience. Surgery 1982, 91:597–602.

    Google Scholar 

  31. Meyer AA, Ahlquist RE Jr, Trunkey DD: Mortality from ruptured bdominal aortic aneurysms: a comparison of two series. Am J Surg 1986, 152: 27–33.

    Article  PubMed  CAS  Google Scholar 

  32. Shackleton CR, Schechter MT, Bianco R, et al.: Preoperative predictors of mortality risk in ruptured abdominal aortic aneurysm. I Vasc Surg 1987, 6:583–589.

    Google Scholar 

  33. Chang BB, Shah DM, Paty PSK, et al.: Can the retroperitoneal approach be used for ruptured abdominal aortic aneurysms? J Vasc Surg 1990,11:326–330.

    Google Scholar 

  34. Ouriel K, Geary K, Green RM, et al.: Factors determining survival after ruptured aortic aneurysm: the hospital, the surgeon and the patient. J Vasc Surg 1990, 11:493–496.

    Google Scholar 

  35. Sullivan CA, Rohrer MJ, Cutler BS: Clinical management of the symptomatic but unruptured abdominal aortic aneurysm. J Vasc Surg 1990, 11: 799–803.

    PubMed  CAS  Google Scholar 

  36. AbuRahma AF, Woodruff BA, Lucente FC, et al.: Factors affecting survival of patients with ruptured abdominal aortic aneurysm in a West Virginia community. Surg Gynecol Obstet 1991,172:377–382.

    Google Scholar 

  37. Harris LM, Faggioli GL, Fiedler R, et al.: Ruptured abdominal aortic aneurysms: factors affecting mortality rates. J Vasc Surg 1991, 14:812–820.

    Google Scholar 

  38. Johansen K, Kohler TR, Nicholls SC, et al.: Ruptured abdominal aortic aneurysm: the Harborview experience. J Vasc Surg 1991, 13:240–247.

    Google Scholar 

  39. Gloviczki P, Pairolero PC, Mucha P Jr, et al.: Ruptured abdominal aortic aneurysms: repair should not be denied. J Vasc Surg 1992, 15:851–859.

    Google Scholar 

  40. Hollier LH, Plate G, O’Brien PC, et al.: Late survival after abdominal aortic aneurysm repair: influence of coronary artery disease. I Vasc Surg 1984, 1:290–299.

    Google Scholar 

  41. Parodi JC, Palmaz JC, Barone HD: Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991, 5: 491–499.

    Article  PubMed  CAS  Google Scholar 

  42. Zarins CK, White RA, Schwarten D, et al.: AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: multicenter prospective clinical trial. J Vasc Surg 1999, 29:292–308.

    Google Scholar 

  43. Carpenter JP, Baum RA, Barker CF, et al.: Durability of benefits of endovascular versus conventional abdominal aortic aneurysm repair. J Vasc Surg 2002, 35:222–228.

    Google Scholar 

  44. Joyce JW: Aneurysmal disease. In Cardiovascular Clinics: Clinical Vascular Disease. Edited by Spittell JA. Philadelphia: F.A. Davis; 1983: 89–101.

    Google Scholar 

  45. Squire A, Miller CM, Horowitz SF, et al.: Femoral pseudoaneurysm following nonpenetrating trauma in a patient with aortic insufficiency. Am J Med 1985, 78:719–720.

    Google Scholar 

  46. Hughes MJ, McCall JM, Nott DM, Padley SP: Treatment of iatrogenic femoral artery pseudoaneurysms using ultrasound-guided injection of thrombin. Clin Radiol 2000, 55: 749–751.

    Article  PubMed  CAS  Google Scholar 

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Gomberg-Maitland, M., Halperin, J.L., Creager, M.A. (2003). Aortic and Arterial Aneurysms. In: Creager, M.A. (eds) Atlas of Vascular Disease. Current Medicine Group, London. https://doi.org/10.1007/978-1-4757-4564-1_1

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  • DOI: https://doi.org/10.1007/978-1-4757-4564-1_1

  • Publisher Name: Current Medicine Group, London

  • Print ISBN: 978-1-4757-4566-5

  • Online ISBN: 978-1-4757-4564-1

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