主动脉疾病-英文ppt课件

1、nHypoplastic iris or ciliary musclenSkin and integumentnMinor onlynStriae not associated with weight change, pregnancy or stressnRecurrent or incisional herniasnPresence of mutation in FBN1 known to cause MFSnPresence of haplotype around FBN1, inherited by descent, known to be associated with unequi

2、vocally diagnosed MFS in familynHypoplastic iris or ciliary musclenSkin and integumentnMinor onlynStriae not associated with weight change, pregnancy or stressnRecurrent or incisional herniasnPresence of mutation in FBN1 known to cause MFSnPresence of haplotype around FBN1, inherited by descent, kno

3、wn to be associated with unequivocally diagnosed MFS in familyaneurysms except in patients with Marfan syndromenInvasive nature of TEE prevents it from being imaging modality of choicenYearly event rate (6.0 cm): 14.1%Davies et al. Ann Thorac Surg 2019; 73:17-28.NEJM 1994;330:1335-1341nDiscontinue t

4、obaccoLederle et al, Arch Intern Med 2000; 160:1425-30.Risk factors for presence of abdominal aortic aneurysmLederle et al, Arch Intern Med 2000; 160:1425-30.n9.4%10.2%32.5%n=52n=85n=61indicated regardless of diameter. (Level of Evidence: C)nNot mentioned:nRapid expansion (1.0 cm in 12 months)nInfla

5、mmatory of infectious etiologyundergone endovascular repair of intrarenal aortic and/or iliac aneurysms (Level of Evidence: B)surgical risk. (Level of Evidence: B)sizenRole of corticosteroids?arrests and can not be resuscitated.There is no disease more conducive to clinical humility than aneurysm of

6、 the aorta. Sir William Osler, c.1900 surgery.nIn patients with obstructive pulmonary disease, blood pressure lowering with calcium channel blockersEur Heart J 2019; 22(18):1642-81. nPericardiocentesis (lowers intrapericardial pressure; recurrent bleeding!)Eur Heart J 2019; 22(18):1642-81. nSens 90%

7、, spec 95%Eur Heart J 2019; 22(18):1642-81. JAMA 2000; 283:897-903.35%Eur Heart J 2019; 22(18):1642-81. bias)Eur Heart J 2019; 22(18):1642-81. Eur Heart J 2019; 22(18):1642-81. months.and nine days after stent procedurenOne patient with type B dissection died at seven days as a result of sepsis associated with gut and leg infarctionstenting if surgical indication and suitable anatomyEur Heart J 2019; 22(18):1642-81. ext