Aneurysm, Aortic and Pulmonary - Cardiovascular Update

Endothelial SMAD4 Deficiency Promotes Pulmonary Hypertension by Impairing Cell Adhesion and Extracellular Matrix Organization

Hypertension Journal

APRIL 11, 2025

BACKGROUND:Aberrant BMPR2 (bone morphogenetic protein receptor 2) signaling is associated with the pathogenesis of pulmonary hypertension. By contrast, mice with smooth muscle cell-specificSmad4deletion had no pulmonary hypertension but rather displayed evident aortic aneurysm and dissection.

Pulmonary

Pulmonary Hypertension Aneurysm Aortic

Ascending aorta dilatation for pulmonary atresia with ventricular septal defect: a report of three adult cases

Journal of Cardiothoracic Surgery

JANUARY 14, 2025

Patients with pulmonary atresia and ventricular septal defect (PA/VSD) are prone to progressive aortic dilation. However, there are relatively few reports of progressive development of aortic aneurysm or aorti.

VSD

VSD Pulmonary Aneurysm Aortic

Dyspnoea in a young woman

Heart BMJ

MAY 10, 2024

Pulmonary agenesis D. Ascending aortic aneurysm Answer: As the patient is a known case of arterial tortuosity syndrome, which is a rare hereditary disorder characterised by lengthening, dilatation and tortuosity of large and medium-sized arteries. The other images of the aneurysm are shown in. Left lung collapse C.

Aneurysm

Aneurysm Aortic Pulmonary

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X-Ray Chest PA View in Severe PAH

All About Cardiovascular System and Disorders

MARCH 18, 2024

The striking finding is the huge enlargement of the right pulmonary artery, almost aneurysmal dilatation of right pulmonary artery. Main pulmonary artery is also grossly dilated. And you can see left pulmonary artery shadow and rest of it is not seen here. This is the aortic knuckle.

VSD

VSD Pulmonary Hypertension Aortic

Systematic review of cardiovascular neurocristopathy—contemporary insights and future perspectives

Frontiers in Cardiovascular Medicine

APRIL 10, 2024

Cardiovascular neurocristopathy, i.e., cardiopathy and vasculopathy, associated with the NCC could occur in the form of (1) cardiac septation disorders, mainly the aortico-pulmonary septum; (2) great vessels and vascular disorders; (3) myocardial dysfunction; and (4) a combination of all three phenotypes.

Aortic valve

Aortic valve Bicuspid/Mitral Aortic Aneurysm

2023 STS Coding Workshop

Society of Thoracic Surgeons - Allied Health

NOVEMBER 15, 2022

hours total) Joseph Turek, MD, Jeffrey P. hours total) Richard Freeman, MD and John A.

Reimbursement

Reimbursement Cardiothoracic Document Congenital

Mineralocorticoid Receptors in Vascular Smooth Muscle: Blood Pressure and Beyond

Hypertension Journal

MARCH 1, 2024

By these mechanisms, SMC-MR promotes disease progression in models of aging-associated vascular stiffness, vascular calcification, mitral and aortic valve disease, pulmonary hypertension, and heart failure. While rarely tested, when sexes were compared, the mechanisms of SMC-MR-mediated disease were sexually dimorphic.

Blood Pressure

Blood Pressure Aortic valve Heart Failure Hypertension

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Dr. Smith's ECG Blog

JULY 18, 2014

An intra-aortic balloon pump was placed, and the patient was taken for immediate surgical repair but did not survive. Rupture can be either free wall rupture (causing tamonade) or septal rupture, causing ventricular septal defect with left to right flow and resulting pulmonary edema and shock. 3) Oliva et al. (4)

STEMI

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

JANUARY 9, 2023

CT angiogram chest: no aortic dissection or pulmonary embolism. Serial chest xrays: progressive bilateral pulmonary edema. Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus. No further troponins were measured. No further cath details available.

Chest Pain

Chest Pain Aneurysm STEMI Thrombosis

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

MARCH 3, 2025

There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Smith : "decompensation" of aortic stenosis might have initiated this entire cascade.

Tachycardia

Tachycardia Pulmonary Chest Pain Stenosis

Characteristics and risk factors of type I or II endoleaks after thoracic endovascular aortic repair and open surgery

Frontiers in Cardiovascular Medicine

FEBRUARY 27, 2025

BackgroundType I endoleaks (T1ELs) and type II endoleaks (T2ELs) are among the most severe complications that occur after thoracic endovascular aortic repair (TEVAR) and open surgery. Contrast-enhanced computed tomography angiography of the entire aorta confirmed the diagnosis of aortic disease (e.g.,

Risk Factors

Risk Factors Aortic Aneurysm Stent

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. orthostatic vitals b.

Arrhythmia

Arrhythmia Outcomes Chest Pain Risk Factors

What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

DECEMBER 3, 2024

His initial high sensitivity troponin I returned at 1300 ng/L and given that his cardiac workup was otherwise unremarkable, a CT was obtained to evaluate for pulmonary embolism and aortic aneurysm or dissection but this too was unrevealing. Also: electrical instability, pulmonary edema, or hypotension.

Catheterization Laboratory

Catheterization Laboratory STEMI Blog Ischemia

Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

When there are QS-waves, one should always think about LV aneurysm, but ST to QRS ratio and T-wave to QRS ratio are far too large and not compatible with left ventricular aneurysm. Larger shunt volume means less blood exiting the left ventricle through the aortic valve and lower cardiac output. This ECG shows a lot of "acuity".

Chest Pain

Chest Pain Pericarditis Myocardial Infarction Dementia

Prehospital activation: De-activated on ED arrival by Cardiologist because "It's not a STEMI"

Dr. Smith's ECG Blog

OCTOBER 27, 2024

No thoracic aortic hematoma, aneurysm or dissection. No pulmonary embolism is identified. While in the ED, patient's pain worsened to previous severity of 6/10 pain and improved to 3/10 on NTG drip. CT Angio Chest IMPRESSION 1. There are moderate coronary artery calcifications.

STEMI

STEMI Chest Pain Myocardial Infarction Aneurysm

Endothelial SMAD4 Deficiency Promotes Pulmonary Hypertension by Impairing Cell Adhesion and Extracellular Matrix Organization

Ascending aorta dilatation for pulmonary atresia with ventricular septal defect: a report of three adult cases

Dyspnoea in a young woman

Webinars

X-Ray Chest PA View in Severe PAH

Systematic review of cardiovascular neurocristopathy—contemporary insights and future perspectives

2023 STS Coding Workshop

Mineralocorticoid Receptors in Vascular Smooth Muscle: Blood Pressure and Beyond

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Characteristics and risk factors of type I or II endoleaks after thoracic endovascular aortic repair and open surgery

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

What can you find with continuous ST monitoring in the ED?

Chest pain followed by 6 days of increasing dyspnea -- what happened?

Prehospital activation: De-activated on ED arrival by Cardiologist because "It's not a STEMI"

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