Aortic Aneurysm

A shadow in the mediastinum tumors can also occur for other reasons. For example, aortic aneurysm, enlargement of the esophagus, hiatal hernia, Haematoma paraver-vertebral abscess and tumor develops in a similar radiological appearance.

Many mediastinal tumors should be considered in the differential diagnosis of aortic aneurysm. A classification according to localization of the aortic aneurysm is divided into three: (1) ascending aorta aneurysm, (2) of the aortic arch aneurysm and (3) aneurysm of the descending aorta.
Forward and turning to the right shows a development of the ascending aorta aneurysm. Eroding the sternum and the front creates a pulsation that is an important finding for diagnosis. Aortic arch aneurysm occurred and adjacent structures by printing metallic cough, hemoptysis, hoarseness, face and upper extremities syanoza causes. This type of middle mediastinum developed aortic aneurysms daraltırlar window. Descending thoracic aortic aneurysms may cause clinical symptoms without creating abrasion vertebraliste kolumna developed. oarta descending aneurysms arteriyosklerotik many times nature. Calcification thoracic aortic aneurysms are quite common.
Clinical symptoms of the disease varies according to location and size of aortic aneurysms. If the venous pressure of superior vena cava aneurysm in an increase in pressure, neck, face and shoulders edema occurs. Trachea and bronchi pressure, cough, and dyspnea, dysphagia esophagus causing pressure. Erosion of the sternum aneurysm of the ascending aorta, aortic arch aneurysm is a serious pain symptoms. Aneurysm of the descending aorta, spine and ribs can cause premature wear. Structural injury or abnormal changes in dissecting aortic aneurysms, as if a sudden and severe pain in the retrosternal region begins, is mixed with the pain of myocardial infarction. Patients with shock, excitement, sweating, tachypnea, and hypertension are taşirkardi. When the suspicion of dissecting aneurysm of carotid, brachial, radial and femoral artery pulsations often be palpated.

Radiological examination in the diagnosis of thoracic aortic aneurysm has an important place, especially computer tomography. If you have doubt about the diagnosis should aortography. Bronchoscopy is dangerous, can be sudden death ruptürüyle aorta.

Treatment of aortic aneurysm disease lökolizasyonuna, depending on the clinical and radiological findings. Acute-serious "fatal" cases, surgical intervention is applied.

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