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Cardiothoracic Surgery

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Question:

How is etiology of fusiform aortic aneurysms?

Author: H K



Answer:

• The most common pathologic condition associated with aortic aneurysm is Atherosclerosis. • Cystic medial necrosis is the degeneration of collagen and elastic fibers in the tunica media of the aorta. • It affects the proximal part of the aorta causing a fusiform aneurysm. • The fusiform aneurysm is particularly prevalent in patients with: (Marfan’s syndrome. Pregnant women. Hypertensive patients., Valvular heart disease patients. ) • Syphyllis is an uncommon cause of aortic aneurysm. • Tuberculous and mycotic aneurysms are rare conditions. • Vasculitis. • Spondyloarthropathies. • Traumatic. • Congenital aortic anuerysms (usually associated with bicuspid aortic valve or aortic coartation).


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H K
H K