Dr Mohamad Ayman Abdel Hay Prof of ... - cardioegypt2011
Dr Mohamad Ayman Abdel Hay Prof of ... - cardioegypt2011
Dr Mohamad Ayman Abdel Hay Prof of ... - cardioegypt2011
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<strong>Dr</strong> <strong>Mohamad</strong> <strong>Ayman</strong> <strong>Abdel</strong> <strong>Hay</strong><br />
<strong>Pr<strong>of</strong></strong> <strong>of</strong> Cardiology<br />
Alexandria University<br />
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MANY ETIOLOGIES ARE ASSOCIATED<br />
WITH AORTIC ROOT DILATATION<br />
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• Congenital:<br />
Aortic Root Dilatation<br />
Causes<br />
Bicuspid aortic valve, Marfan, aortic coarcitation<br />
• Degenerative:<br />
Atherosclerosis, HTN, Annuloaortic ectasia.<br />
• Mechanical/Hemodynamic:<br />
Poststenotic, Dissection, Trauma<br />
• Inflammatory Aortitis:<br />
Takayasu, Ankylosing S., Behcet’s<br />
• Infectious Aortitis:<br />
TB, Syphilis, HIV<br />
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THERE IS A CLOSE PATHOPHYSIOLOGICAL<br />
RELATIONSHIP BETWEEN THE AORTIC ROOT<br />
SIZE AND THE AORTIC VALVE FUNCTION .<br />
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Comprehensive Work Up <strong>of</strong> Aortic<br />
Patients<br />
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v Location <strong>of</strong> aneurysm weather the aortic<br />
root is involved or spared.<br />
v Verify measurements<br />
v Assess the aortic valve: bicuspid or tricuspid<br />
v Functional status <strong>of</strong> the aortic valve<br />
v Aortic valve area.<br />
v LV function.<br />
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TEE : Central retinal artery<br />
embolism<br />
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ook for the full extent<br />
f aortic pathology :<br />
– Chest/abdomen/pelvis<br />
– Complex aortic anatomy:<br />
ulcers, thrombi, flaps,…<br />
Verify measurements<br />
Look for maximal aortic<br />
iameter<br />
– Coronary anatomy<br />
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MDCT<br />
Consider<br />
therapeutic<br />
options.
TAVI<br />
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THANK YOU<br />
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