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Final

All Pathology for Arteries

QuestionAnswer
Ectasia Due to natural processes (aging) Vessels become dilated, tortuous, and elongated Have plague and calcification present
Para-aortic Masses Hypoechoic Usually lymphoma around the aorta
Aneurysm Most common pathology of aorta Sac-like dilatation of an artery wall
Aneurysm Measurements Most accurate is the transverse measurement Longitudinal measurements show the extent of the aneurysm
Types of Aneurysms Fusiform Saccular Dissecting
Fusiform Most common type Bulging may be on both walls of the aorta
Saccular Less common Bulging on one wall of the artery
Dissecting The tunica intima is separated from the tunica media. Intimal flap may occur because of the blood pushing the intima away from the arterial wall
Symptoms of Dissection Sudden pain Irregular enlargement of artery Double lumen Tear Intimal flap
Clot Aneurysms may contain clot or thrombus
Sizes of Aneurysms Less than 5 cm - will change slowly- only grows about .5 cm over several years. 1% chance of rupture Over 6 cm - will grow about .5 cm every 3 - 6 months. 40% chance of rupture Over 7 cm - will probably rupture
LOOK FOR: (with aneurysm) Location of the aneurysm with respect to the RENAL arteries. (Corrective surgery is possible below renal arteries) Clot or thrombus Measure in transverse and longitudinal Look for dissection
Created by: portn6579
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