Cardiovascular

Question 1

Aortic Aneurysm MC presentation

Answer 1

MC asymptomatic.

CP, Stridor, Hemoptysis (rare), Recurrent laryngeal nerve compression

Question 2

Aortic Aneurysm: 4 indications for treatment

Answer 2

1. if > 6 cm in diameter
2. symptomatic
3. rapid increases in diameter
4. rupture

Question 3

Treatment for aortic anuerysm

Answer 3

Replace with graft, open or Endovascular stent

Question 4

Aortic dissection: etiologies (6)

Answer 4

1. HTN (MC)
2. Marfans
3. Bicuspid aortic valve
4. CoA
5. Cystic medial necrosis
6. Proximal aortic aneurysm

Question 5

abrupt onset of severe chest pain radiating/”tearing” to the back

Answer 5

aortic dissection

Question 6

preoperative treatment for aortic dissection

Answer 6

control BP with sodium nitroprusside and B-blockers (esmolol)

B-blockers decrease shear stress

Question 7

postoperative treatment aortic dissection

Answer 7

lifetime control of BP and monitoring aortic size