Thoracic Aneurysm

Question 1

risk factors?

Answer 1

• Smoking
• Hypertension
• Syphilis
• Genetics-see aetiology
• High cholesterol
• Bicuspid aortic valve

Question 2

differentials?

Answer 2

AAA

Aortic dissection

Question 3

prevalence?

Answer 3

6 to 10 in every 100000

Question 4

aetiology?

Answer 4

• Genetic- Marfan’s, ED, Loeys Dietz syndrome, Turners
• Endarteritis obliterans-tertiary syphilis
• Atherosclerosis
• Inflammation
• Trauma

Question 5

clinical presentation?

Answer 5

• Can be asymptomatic
• Hoarseness of voice
• Difficulty swallowing
Pain bt shoulder blades

Question 6

Pathophysiology?

Answer 6

Weakness of blood vessels lead to expansion and impinging on nearby organs/nerves

Question 7

1st line investigation?

Answer 7

resp and cardio exam

Question 8

2nd line investigation?

Answer 8

CXR, CT MRI, Echocardiogram

Question 9

1st line management

Answer 9

lifestyle management

Question 10

2nd line management

Answer 10

regular monitoring or surgery

Question 11

3rd line management

Answer 11

anti-hypertensives

Question 12

Complications?

Answer 12

• Aortic dissection
• Endoleaks
• Airway obstruction
• Stroke
• ACF
• MI
• Aortic insufficiency
• Thromboembolism