Abdominal aortic aneurysm causes: Difference between revisions

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__NOTOC__
__NOTOC__
{{Abdominal aortic aneurysm}}
{{Abdominal aortic aneurysm}}
{{CMG}}
{{CMG}}; {{AE}} {{VR}} {{RG}}


==Overview==
==Overview==
Common contributors to the pathophysiology of abdominal aortic aneurysm include [[atherosclerosis]], [[hypertension]] and [[smoking]].
The most common cause of abdominal aortic aneurysm is [[atherosclerosis]].


==Causes==
==Causes==
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.<ref name="The Merck manual of diagnosis and therapy">{{cite book | last = Porter | first = Robert | title = The Merck manual of diagnosis and therapy | publisher = Merck Sharp & Dohme Corp | location = Whitehouse Station, N.J | year = 2011 | isbn = 9780911910193 }}</ref>
*[[Abdominal trauma]]
*[[Bacteremia]]
*[[Gastrointestinal perforation]]
*[[Vertebral osteomyelitis]]
===Common Causes===
===Common Causes===
* [[Atherosclerosis]]
*[[Abdominal trauma]]<ref name="The Merck manual of diagnosis and therapy" />
* [[Hypertension]]
*[[Atherosclerosis]]<ref name="Santosa-2013">{{Cite journal  | last1 = Santosa | first1 = F. | last2 = Schrader | first2 = S. | last3 = Nowak | first3 = T. | last4 = Luther | first4 = B. | last5 = Kröger | first5 = K. | last6 = Bufe | first6 = A. | title = Thoracal, abdominal and thoracoabdominal aortic aneurysm. | journal = Int Angiol | volume = 32 | issue = 5 | pages = 501-5 | month = Oct | year = 2013 | doi =  | PMID = 23903309 }}</ref>
* [[Smoking]]
*[[Marfan syndrome]]<ref name="Singh-2001">{{Cite journal  | last1 = Singh | first1 = K. | last2 = Bønaa | first2 = KH. | last3 = Jacobsen | first3 = BK. | last4 = Bjørk | first4 = L. | last5 = Solberg | first5 = S. | title = Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study : The Tromsø Study. | journal = Am J Epidemiol | volume = 154 | issue = 3 | pages = 236-44 | month = Aug | year = 2001 | doi =  | PMID = 11479188 }}</ref>


===Causes by Organ System===
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Atherosclerosis]], [[aortic dissection]], [[bicuspid aortic valve]], chronic [[aortic dissection]], [[cystic medial necrosis]], [[giant cell arteritis]], [[hypertension]], Idiopathic [[aortitis]], penetrating [[atherosclerosis|atherosclerotic]] ulcer, [[vasculitis]], [[thromboembolism]], [[Takayasu's arteritis]], [[vasculitis]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Anastomosis]], [[aortic dissection]], [[arteritis]], [[atheroma]], [[atherosclerosis]], [[bicuspid aortic valve]], [[coarctation of the aorta]], [[coronary artery disease]], [[cystic medial necrosis]], [[endocarditis]], [[Valvuloplasty|heart valve surgery]], [[vasculitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Chemotherapy]], [[Glucocorticoid|chronic glucocorticoid therapy]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 43: Line 51:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Alpha 1-antitrypsin deficiency]], [[appendectomy]],  [[cholecystectomy]],  [[cholecystitis]],  [[cirrhosis]],  [[colorectal surgery]],  [[diverticulitis]],  [[esophageal varices]],  [[Endoscopy|gastrointestinal endoscopy]],  [[gastrointestinal perforation]],  [[hemorrhoids]],  [[pancreatic pseudocyst]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"| [[Marfan syndrome]], [[Ehlers-Danlos syndrome]]
|bgcolor="Beige"| [[Alpha 1-antitrypsin deficiency]],  [[arterial tortuosity syndrome]], [[bicuspid aortic valve]],  [[Ehlers-Danlos syndrome]],  [[Loeys-Dietz syndrome]],  [[Marfan syndrome]],  [[pseudoxanthoma elasticum]],  [[Turner's syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| Post- surgery
|bgcolor="Beige"| [[Appendectomy]],  [[cholecystectomy]],  [[colorectal surgery]],  [[Endoscopy|gastrointestinal endoscopy]],  [[Valvuloplasty|heart valve surgery]],  [[hemodialysis]],  [[hip replacement surgery]],  [[nerve block]],  [[oral surgery]],  [[Cardiac catheterization|percutaneous access for cardiac catheterization]],  [[Surgery|prior aortic repairs]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Syphilis]], [[Tuberculosis]], [[Mycotic aneurysm]]s from [[Salmonella]], [[Staphylococcus]], [[Streptococcus]], [[fungi]]
|bgcolor="Beige"| [[Acinetobacter]], [[arteritis]], [[aspergillus]],  [[bacteremia]],  [[bacteroides]],  [[brucella]],  [[burkholderia pseudomallei]],  [[campylobacter]],  [[candida]],  [[clostridium]],  [[corynebacterium]],  [[coxiella burnetii]],  [[cryptococcus]],  [[endocarditis]],  [[escherichia coli]],  [[haemophilus influenzae]],  [[HIV]],  [[intravenous drug use]],  [[klebsiella]],  [[lactococcus cremoris]],  [[listeria]],  [[melioidosis]],  [[methicillin-resistant staphylococcus aureus]],  [[mycobacterium tuberculosis]], [[mycosis]], [[Streptococcus|nonpneumococcal streptococcus]],  [[oral surgery]],  [[osteomyelitis]],  [[Periodontitis|periodontal infection]],  [[pneumonia]],  [[pseudallescheria boydii]],  [[pseudomonas]],  [[rothia dentocariosa]],  [[salmonella]],  [[Embolism|septic embolic]],  [[Cellulitis|soft tissue infection]],  [[staphylococcus aureus]],  [[staphylococcus epidermidis]],  [[streptococcus pneumoniae]],  [[treponema pallidum]],  [[urinary tract infection]],  [[vancomycin intermediate staphylococcus aureus]],  [[vertebral osteomyelitis]], [[yersinia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Arterial tortuosity syndrome]],  [[hip replacement surgery]],  [[osteomyelitis]],  [[vertebral osteomyelitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Inborn error of lipid metabolism|Lipid metabolism disorders]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Malignancies]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 95: Line 103:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Alpha 1-antitrypsin deficiency]],  [[chronic obstructive pulmonary disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Hemodialysis]],  [[polycystic kidney disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Behcet's syndrome]], [[Cogan syndrome]], [[Spondyloarthropathies]]
|bgcolor="Beige"| [[Arteritis]], [[giant cell arteritis]], [[immunodeficiency]],  [[Organ transplant|post-transplant]],  [[relapsing polychondritis]],  [[Takayasu disease]],  [[temporal arteritis]] 
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Abdominal trauma]],  [[chest trauma]],  [[near drowning]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| [[Aging]], [[smoking]]
|bgcolor="Beige"| [[Ehlers-Danlos syndrome]], [[pseudoaneurysm]]
|-
|-
|}
|}


===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
* [[Aging]]
{{col-begin|width=80%}}
* [[Aortic dissection]]
{{col-break|width=33%}}
* [[Atherosclerosis]]
*[[Abdominal trauma]]
* [[Behcet's syndrome]]
*[[Acinetobacter]]
* [[Bicuspid aortic valve]]
*[[Alpha 1-antitrypsin deficiency]]
* Chronic [[aortic dissection]]
*[[Anastomosis]]
* [[Cogan syndrome]]
*[[Aortic dissection]]
* [[Cystic medial necrosis]]
*[[Appendectomy]]
* [[Ehlers-Danlos syndrome]]
*[[Arterial tortuosity syndrome]]
* [[Giant cell arteritis]]
*[[Arteritis]]
* [[Hypertension]]
*[[Aspergillus]]
* Idiopathic [[aortitis]]
*[[Atheroma]]
* [[Marfan syndrome]]
*[[Atherosclerosis]]
* [[Mycotic aneurysm]]
*[[Bacteremia]]
* Penetrating atherosclerotic ulcer
*[[Bacteroides]]
* [[Smoking]]
*[[Bicuspid aortic valve]]
* [[Spondyloarthropathies]]
*[[Brucella]]
* [[Syphilis]]
*[[Burkholderia pseudomallei]]
* [[Takayasu's arteritis]]
*[[Campylobacter]]
* [[Tuberculosis]]
*[[Candida]]
* [[Thromboembolism]]
*[[Chemotherapy]]
* [[Vasculitis]]  
*[[Chest trauma]]
*[[Cholecystectomy]]
*[[Cholecystitis]]
*[[Glucocorticoid|Chronic glucocorticoid therapy]]
*[[Chronic obstructive pulmonary disease]]
*[[Cirrhosis]]
*[[Clostridium]]
*[[Coarctation of the aorta]]
*[[Colorectal surgery]]
*[[Coronary artery disease]]
*[[Corynebacterium]]
*[[Coxiella burnetii]]
{{col-break|width=33%}}
*[[Cryptococcus]]
*[[Cystic medial necrosis]]
*[[Diverticulitis]]
*[[Ehlers-Danlos syndrome]]
*[[Endocarditis]]
*[[Escherichia coli]]
*[[Esophageal varices]]
*[[Endoscopy|Gastrointestinal endoscopy]]
*[[Gastrointestinal perforation]]
*[[Giant cell arteritis]]
*[[Haemophilus influenzae]]
*[[Valvuloplasty|Heart valve surgery]]
*[[Hemodialysis]]
*[[Hemorrhoids]]
*[[Hip replacement surgery]]
*[[HIV]]
*[[Immunodeficiency]]
*[[Intravenous drug use]]
*[[Klebsiella]]
*[[Lactococcus cremoris]]
*[[Inborn error of lipid metabolism|Lipid metabolism disorders]]
*[[Listeria]]
*[[Loey's Dietz syndrome]]
*[[Malignancies]]
*[[Marfan syndrome]]
*[[Melioidosis]]
*[[Methicillin-resistant staphylococcus aureus]]
*[[Mycobacterium tuberculosis]]
*[[Mycosis]]
*[[Near drowning]]
*[[Nerve block]]
{{col-break|width=33%}}
*[[Streptococcus|Nonpneumococcal streptococcus]]
*[[Oral surgery]]
*[[Osteomyelitis]]
*[[Pancreatic pseudocyst]]
*[[Cardiac catheterization|Percutaneous access for cardiac catheterization]]
*[[Periodontitis|Periodontal infection]]
*[[Pneumonia]]
*[[Polycystic kidney disease]]
*[[Organ transplant|Post-transplant]]
*[[Surgery|Prior aortic repairs]]
*[[Pseudallescheria boydii]]
*[[Aneurysm|Pseudoaneurysms]]
*[[Pseudomonas]]
*[[Pseudoxanthoma elasticum]]
*[[Relapsing polychondritis]]
*[[Rothia dentocariosa]]
*[[Salmonella]]
*[[Embolism|Septic embolic]]
*[[Cellulitis|Soft tissue infection]]
*[[Staphylococcus aureus]]
*[[Staphylococcus epidermidis]]
*[[Streptococcus pneumoniae]]
*[[Takayasu disease]]
*[[Temporal arteritis]]
*[[Treponema pallidum]]
*[[Turner's syndrome]]
*[[Urinary tract infection]]
*[[Vancomycin intermediate staphylococcus aureus]]
*[[Vasculitis]]
*[[Vertebral osteomyelitis]]
*[[Yersinia]]
{{col-end}}


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
 
[[Category:Crowdiagnosis]]
[[Category:Disease]]
[[Category:Cardiac surgery]]
[[Category:Cardiac surgery]]
[[Category:Cardiology]]
[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Cardiology]]
[[Category:Up-To-Date cardiology]]
[[Category:Up-To-Date]]
[[Category:Up-To-Date]]
[[Category:Best pages]]
[[Category:Differential diagnosis]]

Latest revision as of 21:39, 6 January 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2] Ramyar Ghandriz MD[3]

Overview

The most common cause of abdominal aortic aneurysm is atherosclerosis.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.[1]

Common Causes

Causes by Organ System

Cardiovascular Anastomosis, aortic dissection, arteritis, atheroma, atherosclerosis, bicuspid aortic valve, coarctation of the aorta, coronary artery disease, cystic medial necrosis, endocarditis, heart valve surgery, vasculitis
Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Chemotherapy, chronic glucocorticoid therapy
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic Alpha 1-antitrypsin deficiency, appendectomy, cholecystectomy, cholecystitis, cirrhosis, colorectal surgery, diverticulitis, esophageal varices, gastrointestinal endoscopy, gastrointestinal perforation, hemorrhoids, pancreatic pseudocyst
Genetic Alpha 1-antitrypsin deficiency, arterial tortuosity syndrome, bicuspid aortic valve, Ehlers-Danlos syndrome, Loeys-Dietz syndrome, Marfan syndrome, pseudoxanthoma elasticum, Turner's syndrome
Hematologic No underlying causes
Iatrogenic Appendectomy, cholecystectomy, colorectal surgery, gastrointestinal endoscopy, heart valve surgery, hemodialysis, hip replacement surgery, nerve block, oral surgery, percutaneous access for cardiac catheterization, prior aortic repairs
Infectious Disease Acinetobacter, arteritis, aspergillus, bacteremia, bacteroides, brucella, burkholderia pseudomallei, campylobacter, candida, clostridium, corynebacterium, coxiella burnetii, cryptococcus, endocarditis, escherichia coli, haemophilus influenzae, HIV, intravenous drug use, klebsiella, lactococcus cremoris, listeria, melioidosis, methicillin-resistant staphylococcus aureus, mycobacterium tuberculosis, mycosis, nonpneumococcal streptococcus, oral surgery, osteomyelitis, periodontal infection, pneumonia, pseudallescheria boydii, pseudomonas, rothia dentocariosa, salmonella, septic embolic, soft tissue infection, staphylococcus aureus, staphylococcus epidermidis, streptococcus pneumoniae, treponema pallidum, urinary tract infection, vancomycin intermediate staphylococcus aureus, vertebral osteomyelitis, yersinia
Musculoskeletal / Ortho Arterial tortuosity syndrome, hip replacement surgery, osteomyelitis, vertebral osteomyelitis
Neurologic No underlying causes
Nutritional / Metabolic Lipid metabolism disorders
Obstetric/Gynecologic No underlying causes
Oncologic Malignancies
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Alpha 1-antitrypsin deficiency, chronic obstructive pulmonary disease
Renal / Electrolyte Hemodialysis, polycystic kidney disease
Rheum / Immune / Allergy Arteritis, giant cell arteritis, immunodeficiency, post-transplant, relapsing polychondritis, Takayasu disease, temporal arteritis
Sexual No underlying causes
Trauma Abdominal trauma, chest trauma, near drowning
Urologic No underlying causes
Dental No underlying causes
Miscellaneous Ehlers-Danlos syndrome, pseudoaneurysm

Causes in Alphabetical Order

References

  1. ↑ 1.0 1.1 Porter, Robert (2011). The Merck manual of diagnosis and therapy. Whitehouse Station, N.J: Merck Sharp & Dohme Corp. ISBN 9780911910193.
  2. ↑ Santosa, F.; Schrader, S.; Nowak, T.; Luther, B.; Kröger, K.; Bufe, A. (2013). "Thoracal, abdominal and thoracoabdominal aortic aneurysm". Int Angiol. 32 (5): 501–5. PMID 23903309. Unknown parameter |month= ignored (help)
  3. ↑ Singh, K.; Bønaa, KH.; Jacobsen, BK.; Bjørk, L.; Solberg, S. (2001). "Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study : The Tromsø Study". Am J Epidemiol. 154 (3): 236–44. PMID 11479188. Unknown parameter |month= ignored (help)
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