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Consultant Corner: Abdominal Aortic Aneurysm and Aortic Dissection

  • Shahab Toursavadakohi
  • Joseph P. MartinezEmail author
Chapter

Abstract

Abdominal aortic aneurysm (AAA) and abdominal aortic dissection are two causes of abdominal pain that have the potential to cause immediate and severe morbidity and mortality. AAA may range from asymptomatic to rapidly fatal. Emergency providers should be prepared to manage patients with decompensating aortic disease and should work to disposition them to early definitive care. Emergency providers should have contact information readily available for vascular surgery teams that can be rapidly mobilized in the event of an aortic catastrophe. Permissive hypotension for patients with aortic rupture can be lifesaving. Patients with a family history of AAA are predisposed to AAA, as are patients with peripheral arterial aneurysms. AAAs smaller than 5 cm in women and 5.5 cm in men are frequently managed nonoperatively.

Keywords

Abdominal aortic aneurysm Aortic rupture Aortic dissection Permissive hypotension Peripheral arterial aneurysm Popliteal aneurysm Femoral aneurysm 

References

  1. 1.
    Whitehouse WM Jr, Wakefield TW, Graham LM, et al. Limb-threatening potential of arteriosclerotic popliteal artery aneurysms. Surgery. 1983;93:694.PubMedGoogle Scholar
  2. 2.
    Graham LM, Zelenock GB, Whitehouse WM Jr, et al. Clinical significance of arteriosclerotic femoral artery aneurysms. Arch Surg. 1980;115:502.CrossRefGoogle Scholar
  3. 3.
    Mosorin M, Juvonen J, Biancari F, et al. Use of doxycycline to decrease the growth rate of abdominal aortic aneurysms: a randomized, double-blind, placebo-controlled pilot study. J Vasc Surg. 2001;34(4):606–10.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Surgery, Division of Vascular SurgeryUniversity of Maryland School of MedicineBaltimoreUSA
  2. 2.Aortic CenterUniversity of Maryland Medical CenterBaltimoreUSA
  3. 3.University of Maryland School of MedicineBaltimoreUSA

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