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2020 | OriginalPaper | Buchkapitel

65. Aneurysmen der infrarenalen Aorta: Klinik, Diagnostik einschließlich Screening und Therapieindikationen

verfasst von : Eike Sebastian Debus, Christian-Alexander Behrendt, Walter Gross-Fengels, Tilo Kölbel

Erschienen in: Operative und interventionelle Gefäßmedizin

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Erweiterung des Gefäßdurchmessers um mindestens 50 % zum vor- oder nachgeschalteten gesunden Gefäßabschnitt wird definitionsgemäß als „Aneurysma“ (altgriechisch: ανεύρυσμα = Erweiterung) bezeichnet. Der durchschnittliche Durchmesser der abdominalen Aorta beträgt geschlechts- und altersabhängig etwa 1,7–2,0 cm. Im abdominellen Aortensegment wird daher im internationalen Konsens ab einem Querdurchmesser von 3,0 cm von einem „Aortenaneurysma“ gesprochen; Erweiterungen zwischen 2,5 und 3,0 cm werden dagegen als „Aortenektasie“ bezeichnet (Hirsch et al. 2006). Beim AAA besteht in der Regel eine Erweiterung aller 3 Wandschichten (Aneurysma verum). Es handelt sich daher im Gegensatz zu dissezierenden Aneurysmen um echte Aneurysmen ohne Intimaflaps und falsche Lumina (falsche Aneurysmen Kap. Aneurysmatische Gefäßerkrankungen: Terminologie, Ätiologie und Lokalisation) (Abb. 1).

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Titel: Aneurysmen der infrarenalen Aorta: Klinik, Diagnostik einschließlich Screening und Therapieindikationen
verfasst von: Eike Sebastian Debus
Christian-Alexander Behrendt
Walter Gross-Fengels
Tilo Kölbel
Verlag: Springer Berlin Heidelberg
Buch: Operative und interventionelle Gefäßmedizin
Print ISBN: 978-3-662-53378-9

Electronic ISBN: 978-3-662-53380-2

Copyright-Jahr: 2020
DOI: https://doi.org/10.1007/978-3-662-53380-2_71

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