Thoracic aortic aneurysm history and symptoms: Difference between revisions
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{{Template:Thoracic aortic aneurysm}} | {{Template:Thoracic aortic aneurysm}} | ||
{{CMG}} | {{CMG}} {{AE}} [[User:Mohammad Salih|Mohammad Salih, MD.]] | ||
==Overview== | ==Overview== | ||
Most thoracic aortic aneurysms are asymptomatic and diagnosed incidentally on imaging studies. The development of symptoms can indicate that the thoracic aortic aneurysm is expanding. When symptoms are present, they are generally due to compression of adjacent structures. These | Most thoracic aortic aneurysms are asymptomatic and diagnosed incidentally on imaging studies. The development of symptoms can indicate that the thoracic aortic aneurysm is expanding. When symptoms are present, they are generally due to compression of adjacent structures. These compressive symptoms include [[dysphagia]] (compression of the [[esophagus]]), [[dyspnea]] and chronic [[cough]] (compression of the airway), or [[hoarseness]] (compression of the [[recurrent laryngeal nerve]]). | ||
==Ascending Aorta Aneurysm== | ==History and Symptoms== | ||
====Ascending Aorta Aneurysm==== | |||
*May cause anterior [[chest pain]] and symptoms of [[superior vena cava obstruction]] ([[swollen face]], neck, upper body, and arms). | *May cause anterior [[chest pain]] and symptoms of [[superior vena cava obstruction]] ([[swollen face]], neck, upper body, and arms). | ||
==Thoracic Aortic Arch Aneurysm== | ====Thoracic Aortic Arch Aneurysm==== | ||
*May cause [[neck pain]] and [[hoarseness]] due to stretching of the | *May cause [[neck pain]] and [[hoarseness]] due to stretching of the recurrent laryngeal nerves. | ||
==Descending Aorta Thoracic Aneurysm== | ====Descending Aorta Thoracic Aneurysm==== | ||
*May cause [[back pain]] between the scapulae. | *May cause [[back pain]] between the scapulae. | ||
*May increase pressure to the [[trachea]] or [[bronchus]], consequently causing [[dyspnea]], [[stridor]], [[wheezing]], or [[cough]]. | *May increase pressure to the [[trachea]] or [[bronchus]], consequently causing [[dyspnea]], [[stridor]], [[wheezing]], or [[cough]]. | ||
==2010 | ==2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease (DO NOT EDIT)<ref name="pmid20233780">{{cite journal| author=Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE et al.| title=2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. | journal=Circulation | year= 2010 | volume= 121 | issue= 13 | pages= e266-369 | pmid=20233780 | doi=10.1161/CIR.0b013e3181d4739e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20233780 }} </ref>== | ||
===History and Physical Examination for Thoracic Aortic Disease (DO NOT EDIT)<ref name="pmid20233780">{{cite journal| author=Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE et al.| title=2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. | journal=Circulation | year= 2010 | volume= 121 | issue= 13 | pages= e266-369 | pmid=20233780 | doi=10.1161/CIR.0b013e3181d4739e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20233780 }} </ref>=== | |||
{|class="wikitable" | {|class="wikitable" | ||
|- | |- | ||
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |- | ||
|bgcolor="LightGreen" |<nowiki>"</nowiki>'''1.''' For patients presenting with a history of acute cardiac and noncardiac symptoms associated with a significant likelihood of thoracic aortic disease, the clinician should perform a focused physical examination, including a careful and complete search for arterial perfusion differentials in both upper and lower extremities, evidence of visceral ischemia, focal neurological deficits, a [[murmur]] of [[aortic regurgitation]], [[bruit]]s, and findings compatible with possible [[cardiac tamponade]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | |bgcolor="LightGreen" |<nowiki>"</nowiki>'''1.''' For patients presenting with a history of acute cardiac and noncardiac symptoms associated with a significant likelihood of thoracic aortic disease, the clinician should perform a focused physical examination, including a careful and complete search for arterial perfusion differentials in both upper and lower extremities, evidence of visceral ischemia, focal neurological deficits, a [[murmur]] of [[aortic regurgitation]], [[bruit]]s, and findings compatible with possible [[cardiac tamponade]].<ref>Townsend CM, Beauchamp RD, Evers BM, et al. Sabiston Textbook of Surgery. 18th ed. Philadelphia: Elsevier Health Sciences, 2008.</ref><ref>Libby P, Bonow RO, Mann DL, et al. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia: 2007.</ref><ref>Isselbacher E. Cecil Medicine. 23rd ed. Philadelphia: Elsevier Health Sciences, 2008.</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
|} | |} | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Vascular surgery]] | [[Category:Vascular surgery]] | ||
Latest revision as of 21:08, 22 January 2020
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Thoracic aortic aneurysm Microchapters |
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Differentiating Thoracic Aortic Aneurysm from other Diseases |
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Diagnosis |
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Treatment |
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Special Scenarios |
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Case Studies |
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Thoracic aortic aneurysm history and symptoms On the Web |
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Directions to Hospitals Treating Thoracic aortic aneurysm history and symptoms |
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Risk calculators and risk factors for Thoracic aortic aneurysm history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammad Salih, MD.
Overview
Most thoracic aortic aneurysms are asymptomatic and diagnosed incidentally on imaging studies. The development of symptoms can indicate that the thoracic aortic aneurysm is expanding. When symptoms are present, they are generally due to compression of adjacent structures. These compressive symptoms include dysphagia (compression of the esophagus), dyspnea and chronic cough (compression of the airway), or hoarseness (compression of the recurrent laryngeal nerve).
History and Symptoms
Ascending Aorta Aneurysm
- May cause anterior chest pain and symptoms of superior vena cava obstruction (swollen face, neck, upper body, and arms).
Thoracic Aortic Arch Aneurysm
- May cause neck pain and hoarseness due to stretching of the recurrent laryngeal nerves.
Descending Aorta Thoracic Aneurysm
- May cause back pain between the scapulae.
- May increase pressure to the trachea or bronchus, consequently causing dyspnea, stridor, wheezing, or cough.
2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease (DO NOT EDIT)[1]
History and Physical Examination for Thoracic Aortic Disease (DO NOT EDIT)[1]
| Class I |
| "1. For patients presenting with a history of acute cardiac and noncardiac symptoms associated with a significant likelihood of thoracic aortic disease, the clinician should perform a focused physical examination, including a careful and complete search for arterial perfusion differentials in both upper and lower extremities, evidence of visceral ischemia, focal neurological deficits, a murmur of aortic regurgitation, bruits, and findings compatible with possible cardiac tamponade.[2][3][4] (Level of Evidence: C)" |
References
- ↑ 1.0 1.1 Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE; et al. (2010). "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine". Circulation. 121 (13): e266–369. doi:10.1161/CIR.0b013e3181d4739e. PMID 20233780.
- ↑ Townsend CM, Beauchamp RD, Evers BM, et al. Sabiston Textbook of Surgery. 18th ed. Philadelphia: Elsevier Health Sciences, 2008.
- ↑ Libby P, Bonow RO, Mann DL, et al. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia: 2007.
- ↑ Isselbacher E. Cecil Medicine. 23rd ed. Philadelphia: Elsevier Health Sciences, 2008.