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Aortic Aneurysm and Connective Tissue Disease 3 года назад


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Aortic Aneurysm and Connective Tissue Disease

If you have weakened connective tissue from diseases like Marfan or Ehlers-Danlos syndromes, you may be at risk for an aortic aneurysm. At UVA’s Aortic Center, we focus on building a team around your needs. Cardiac surgeon Kenan Yount, MD, explains the variety of specialties that work together to monitor and treat your connective tissue disease and aortic aneurysm. Find out more at: https://uvahealth.com/services/aortic... Transcript There are a number of diseases, or genetic mutations, acquired or inherited, that can make one vulnerable to forming an aortic aneurysm or aortic dissection. The classic diseases we think of are Marfan's Syndrome, or Ehler's-Danlos or Loeys-Dietz. Sometimes these diseases can have other manifestations throughout the body, not just the aorta. There are folks who may have had hyperflexible joints as a kid. Sometimes they may have had been more likely to break bones, or have cartilage tears, or have a sunken-in chest, known as pectus excavatum. There are a number of manifestations you may see across the entire spectrum of connective tissue disorders that may cause their primary care physician, their pediatrician, or their internist to think that perhaps this patient has a connective tissue disorder and should be monitored more closely. For someone who has a connective tissue disorder, depending on where the aneurysm is, that can be as simple as an endovascular surgery that may have them out of the hospital in two or three days. But again, depending on the extent of the aneurysm, as well as the aneurysm's location, that may involve something as major as open heart surgery or a thoracoabdominal surgery. And so it really depends on our team's review of a patient's records and their studies, and their overall risk of aneurysm degeneration as to what we feel is appropriate for them. Frequently, for patients with a genetic disorder, like Loeys-Dietz for example, a cardiac surgeon, a vascular surgeon, a neurosurgeon, an interventional radiologist, and a geneticist may all be involved in their care at one point. The nice thing about our Aortic Center is we provide all these specialties housed in one center so that patients can come and get opinions from multiple physicians on our team. We really focus on building the team around the patient's condition and building it around their disease rather than focusing on each of our subspecialties.

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