Buerger'S Disease Raynaud'S Disease Buerger'S Disease Raynaud'S Disease
Buerger'S Disease Raynaud'S Disease Buerger'S Disease Raynaud'S Disease
SURGICAL MANAGEMENT
PHARMACOLOGICAL MANAGEMENT
BUERGER’S DISEASE RAYNAUD’S DISEASE
BUERGER’S DISEASE RAYNAUD’S DISEASE ❖ Arterial Bypass Surgery ❖ Sympathectomy
• Anticoagulants (heparin, • Calcium antagonist
warfarin) ❖ Percutaneous
• Vascular Smooth Muscle Transluminal Angioplasty
• Thrombolytics or Fibrolytics Relaxants
❖ Amputation ❖ Amputation
• Vasodilators • Vasodilators
PERIPHERAL VASCULAR DISEASES PHINMA-UPANG
Prof: Leonardo R. Sanchez IV, RN CHS Batch 2024
Adapted from: PowerPoint/Lecture NUR 155 (MS LEC)
Transcribed by: Julia Rae Delos Santos (3BSN-12) August 30, 2022
- Permanent bulging/stretching of an artery in which the dilation is two ▪ Congenital – primary connective tissue disorders (Marfan Syndrome,
times or greater the size of the artery Ehlers-Danlos Syndrome) and other diseases (focal medial agenesis,
- 3 sites commonly affected: tuberous sclerosis, Turner Syndrome, Menkes Syndrome)
a.) Aortic Arch b.) Thoracic Aorta c.) Abdominal Aorta ▪ Mechanical (hemodynamic) – poststenotic and arteriovenous and
amputation related
Thoracic Aortic Aneurysm
▪ Traumatic (pseudoaneurysm) – penetrating arterial injuries, blunt
Approximately 70% of all cases of thoracic aortic aneurysm are arterial injuries
caused by atherosclerosis. ▪ Inflammatory (non-infectious) – associated with arteritis (Takayasu
They occur most frequently in men between the ages of 50 to 70 disease, giant cell arteritis, SLE, Behcet syndrome, Kawasaki disease)
years, and are estimated to affect 10 of every 100,000 older adults. and periarterial inflammation (i.e. pancreatitis)
The thoracic area is the most common site for a dissecting aneurysm. ▪ Infectious (mycotic) – bacterial, fungal, spirochetal infection
▪ Pregnancy-related degenerative – non-specific, inflammatory
variant
Types of Aneurysm ▪ Anastomotic (postarteriotomy) and graft aneurysms – infection,
arterial wall failure, suture failure, and graft failure
False Aneurysm - actually a pulsating hematoma
Clinical Manifestations:
True Aneurysm – one, two or three arteries are involved.
• Some patients are asymptomatic
Fusiform aneurysm – • Pain is constant and occurs when person is in supine position
symmetric spindle-shaped • Dyspnea
expansion of entire • Paroxysmal cough
circumference of involved • Hoarseness, stridor, weakness or complete loss of voice (aphonia) –
vessel resulting from pressure in the laryngeal nerve
• Dysphagia
Saccular aneurysm – a
bulbous protrusion of one side Assessment and Diagnostic Findings:
of the arterial wall
➢ CXR
Dissecting aneurysm – this is ➢ CT Angiography
usually a hematoma that splits ➢ MRA (Magnetic Resonance Angiogram)
the layers of the arterial wall ➢ TEE (Transesophageal echocardiogram)
PERIPHERAL VASCULAR DISEASES PHINMA-UPANG
Prof: Leonardo R. Sanchez IV, RN CHS Batch 2024
Adapted from: PowerPoint/Lecture NUR 155 (MS LEC)
Transcribed by: Julia Rae Delos Santos (3BSN-12) August 30, 2022