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Surgery 2 - Third Year BHMS

Contents

Surgery 2 - Third Year BHMS

Contents

CoursesBHMSSurgery 2 - Third Year BHMSANEURYSM

ANEURYSM

Content

Aneurysm

Definition

  • An aneurysm is a localized, abnormal dilation of a blood vessel, usually an artery, that is greater than 1.5 times the normal diameter of the vessel.

Classification

  • True aneurysm: involves all three layers of the vessel wall (intima, media, and adventitia).
  • False aneurysm (pseudoaneurysm): involves only the outer two layers of the vessel wall (media and adventitia), with the intima being absent.
  • Aneurysm in situ: occurs within a single segment of a vessel.
  • Aneurysm of an anastomotic site: occurs at the site of an anastomosis between two vessels.

Types of Aneurysm

  • Atherosclerotic aneurysm
    • Most common type of aneurysm
    • Associated with atherosclerosis and hypertension
  • Traumatic aneurysm
    • Caused by trauma to the vessel wall
    • May be caused by a penetrating injury or a deceleration injury
  • Inflammatory aneurysm
    • Caused by inflammation of the vessel wall
    • May be caused by conditions such as Takayasu arteritis or giant cell arteritis
  • Dissecting aneurysm
    • Caused by a tear in the intima of the vessel wall
    • May be caused by conditions such as hypertension or atherosclerosis
  • Mycotic aneurysm
    • Caused by an infection of the vessel wall
    • May be caused by conditions such as endocarditis or sepsis

Investigations

  • Imaging studies: such as ultrasound, CT scan, or MRI
  • Angiography: to evaluate the blood flow through the vessel
  • Anatomical studies: to evaluate the size and location of the aneurysm

Management

  • Medical management: to control hypertension and prevent further growth of the aneurysm
  • Surgical management: to repair or replace the affected vessel
  • Endovascular management: to repair or replace the affected vessel using a minimally invasive procedure

Complications

  • Rupture of the aneurysm
  • Thrombosis of the aneurysm
  • Embolism of the aneurysm
  • Infection of the aneurysm

Homeopathic Treatment

  • Lachesis: to reduce the size of the aneurysm
  • Pulsatilla: to reduce the risk of rupture
  • Calcarea carbonica: to reduce the risk of thrombosis
  • Arnica: to reduce the risk of embolism
  • Bryonia: to reduce the risk of infection