Diretrizes para a cirurgia das doenças da aorta

Achados incidentais de aneurismas torácicos e abdominais

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]22,23,[30][31][32] While the 60.6% of the sample were CTs of female patients, there was a predominance (although not a statistically significant difference) of diagnoses among males [15 (60%) men and 10 (40%) women].…”

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] According to the literature, they are most common in the aorta, followed by the iliac arteries and then the splenic artery. 7 They have multifactorial etiology (hereditary, traumatic, infectious, and/or inflammatory), but around 80% of aneurysms are associated with atherosclerotic degeneration of the artery wall.…”

“…3,7 Elective treatment is recommended to repair a TAA if it is symptomatic or reaches 6 cm in diameter. 1,8,20 As life expectancy has increased, diagnoses of AAA have become more common; within the population over 65 years of age, the rate is as high as 6%, and over 80 years of age it reaches 10%. 21 Diagnoses peak between 65 and 75 years of age.…”

Evaluation of preoperative computed tomography angiography in association with conventional angiography versus computed tomography angiography only, in the endovascular treatment of aortic diseases

“…AG is indicated for patients above the age of 40, with the objective of diagnosing concomitant coronary diseases. Such imaging method allows the evaluation of the vessel lumen, but does not evaluate its walls as well as the presence of mural thrombi, providing a suggestive diagnosis (2) . AG only is not sufficient to provide all the information required to enable endovascular treatment of aortic disease (3)(4)(5)(6) .…”

“…Currently, multislice CT angiography is the method of choice for the diagnosis and topographic evaluation of the aorta, since it is available in many centers and presents high sensitivity and specificity, besides being rapidly and less invasively performed (7)(8)(9) . Multislice CT angiography can provide information on structures adjacent to the aorta, ventricular wall thickness, presence of coronary calcification, pericardial effusion, aortic dimensions, disease extent, presence of thrombi, aortic wall characteristics, delamination, hematomas, ulcerations, main branching and occlusion (2) . In the authors' institution, all the patients eligible for endovascular treatment are preoperatively assessed with CT angiography and, optionally, AG as a complementary tool.…”