2014, Number 1
Advantages of the abdominal echocardiography in the diagnosis of abdominal aortic aneurysm and its complications
Clavijo RT, Carballo TL, Valencia DE, López AM, Durán SE, Rodríguez M
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ABSTRACTIntroduction: echocardiography of the abdominal aorta has a relevant place in the diagnosis and tracking of the abdominal aneurysms; and its complications; hence the use of the diagnostic imaging techniques has changed the approach to the management of many illnesses in Angiology.
Objective: to show the advantages of echocardiograpy in confirming the clinical diagnosis of the abdominal aortic aneurysm and its complications in patients seen at the National Institute of Angiology and Vascular Surgery.
Methods: longitudinal descriptive study of 56 patients, with ultrasonographic diagnosis of abdominal aortic aneurysm. following variables were used: sex, anteroposterior diameter, distance of the mesenteric, location, the renal overtaking, iliac overtaking, if there was rupture, liquid free in abdominal cavity or hematoma.
Results: big aneurysms measuring over 5 cm predominated in 42.86 % of cases and their infrarenal location was found in 94.64 % of the cases. The eccentric light observed in the 60.71 % in them big aneurysms itself most of all (30.36 %); To there was less than the superior mesenteric 20 mm four cases with renal take, nine cases (16.07 %) with take of iliac artery, four cases with bilateral take. A case with big aneurysm presented complications.
Conclusions: the ultrasonographic studies of the abdominal aorta confirmed the presence of aortic aneurysm, its characteristics and correlated complications, all of which determined the therapy to be followed.