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There are many types of Aortic Aneurysms , the two major types are:are classified based on their anatomical locations. Largely, they can be divided into two classes: thoracic aortic aneurysm (TAA), those that are in the thoracic aorta, and abdominal aortic aneurysm (AAA), those that are in the abdominal aorta.

TAA can further be divided into:

  1. Aortic root aneurysmTAA: thoracic aortic aneurysm, may further be sub-classified based on location:
  2. Ascending aortic aneurysm
  3. Aortic arch aneurysm
  4. Descending aortic aneurysm
  5. Aneurysm that straddles multiple portions of the aorta (i.e. from aortic arch to descending aorta)

AAA

...

  1. Above the renal artery
  2. Below the renal artery
  3. In the renal artery

can be classified as:

  1. Suprarenal aortic aneurysm: above the kidneys
  2. Infrarenal aortic aneurysm: below the kidneys.
  3. Others: Pararenal, Jaxtarenal aortic aneurys.

Most patients with aortic aneurysms (AA) are asymptomatic at the time of diagnosis, because the aneurysms are typically discovered incidentally on imaging studies. When an AA reaches medium to large size (>5cm), symptoms may manifest.

Symptoms for TAA are: patients may suffer a local mass effect, such as compression of the trachea or mainstem bronchus (if in the area of the lungs, will cause cough, dyspnea, wheezing, or recurrent pneumonitis), compression of the esophagus (causing dysphagia), or compression of the recurrent laryngeal nerve (causing hoarseness). Chest pain, generally described as deep and aching or throbbing.

Symptoms of AAA are: pain in the chest, abdomen, lower back, or flank (over the kidneys). A pulsating feeling in the abdomen. A "cold foot" or a black or blue painful toe.

When a patient has abdominal aortic aneurysm of a substantial size, the patient may also have synchronous and metachronous thoracic aortic aneurysm. If causes and conditions are present to create an aneurysm in a large-medium size vessel in one place, you are more likely than those without those causes and conditions to have  (or develop) another aneurysm somewhereYou don’t know if someone has aortic aneurysms. You may do screening tests based on family history. Sometimes, some symptoms may be experienced such as back pain, chest pain, pain in the lower abdomen that may be indicative of aortic aneurysm. If someone does have TAA, the possibility of synchronous and metachronous TAAs may be present. So you look at both chest and abdomen. If AAA is present but TAA is not, you make a note too.

Case 1 - Subject has both TAA and AAA

The subject had CT scans performed at the chest and abdomen to look for the presence of aneurysms, if there are any:.

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NamePR


Dataset2


Row

STUDYID

DOMAIN

USUBJID

PRSEQ

PRTRT

PRLOC

VISIT

 1  ABCPR  ABC-1231CT SCANCHESTBASELINE
2  ABCPR  ABC-1232CT SCANABDOMENBASELINE



Modeling both TAA and AAA in the CV domain, note for viewing simplicity, some variables are omitted from the table below.

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Rowcaps


Row 1:I examined the image of the thoracic cavity and found an aneurysm in the descending aorta.
Row 2:I measured the diameter of the descending aortic aneurysm.
Row 3:I examined the image of the thoracic cavity and found out that the descending aorta had dissected.
Row 4:The dissected descending aorta is classified based on the Stanford Aortic Dissection System.
Row 5:I examined the image of the abdominal cavity and found an aneurysm in the infrarenal aorta, proximal to the iliac bifurcation.
Row 6:I measured the diameter of the infrarenal aortic aneurysm.
Row 7:I examined the image of the abdominal cavity and found out that the infrarenal aorta had dissected.



Dataset2


Row

STUDYID

DOMAIN

USUBJID

CVSEQ

CVGRPID

CVTEST

CVORRES

 CVORRESU

CVLOC

CVMETHOD

VISITNUM

VISIT

CVDTC


CVRESLOC
CVRESLOC Detail
1 ABCABCCV ABCABC-12311Aneurysm IndicatorY
Thoracic Cavity

CT SCAN

1BASELINE 2020-04-27
Descending Aorta
2 ABCABCCV ABCABC-12321Aneurysm Diameter6cmDescending AortaCT SCAN1BASELINE 2020-04-27


4 ABCABCCV ABCABC-12342Dissection IndicatorY
Thoracic Cavity

CT SCAN

1BASELINE 2020-04-27
Descending Aorta
6 ABCABCCV ABCABC-12362Stanford AoD ClassificationStanford B
Descending AortaCT SCAN1BASELINE 2020-04-27


7 ABCABCCV ABCABC-12373Aneurysm IndicatorY
Abdominal Cavity

CT SCAN

1BASELINE 2020-04-27
Infrarenal aortaproximal to the iliac bifurcation
8 ABCABCCV ABCABC-12383Aneurysm Diameter7cmInfrarenal aortaCT SCAN1BASELINE 2020-04-27


10 ABCABCCV ABCABC-123104
Dissection IndicatorY
Abdominal CavityCT SCAN1BASELINE 2020-04-27
Infrarenal aortaproximal to the iliac bifurcation



...

The subject had CT scans performed at the chest and abdomen to look for the presence of aneurysms, if there are any:.

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titlecv.xpt
NamePR


Dataset2


Row

STUDYID

DOMAIN

USUBJID

PRSEQ

PRTRT

PRLOC

VISIT

 1  ABCPR  ABC-4561CT SCANCHESTBASELINE
2  ABCPR  ABC-4562CT SCANABDOMENBASELINE



If I were to model this in CV, I could show that AAA is detected along with its diameter measurement. On top of that, TAA is not detectedModeling the presence of AAA and the absence of TAA in CV.

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Namecv


Dataset2


Row

STUDYID

DOMAIN

USUBJID

CVSEQ

CVGRPID

CVTEST

CVORRES

 CVORRESU

CVLOC

CVLATCVLOCDTL

CVMETHOD

VISITNUM

VISIT

CVDTC

CV RES LOC
CV RES LATCV Result LOC detail 1  ABC CV  ABC-456


CVRESLOC
CVRESLAT
1ABCCVABC-4561
Aneurysm IndicatorN
Thoracic Cavity

CT SCAN1BASELINE 2020-04-27


2

ABC

CVABC-4562
 1
1Aneurysm Indicator
 Y
Y
abdominal cavity

Thoracic Cavity

CT SCAN1BASELINE 2020-04-27
Infrarenal artery (Below the kidneys) 2  ABC CV

Renal ArteryLeft
3ABCCVABC
  ABC
-456
 2
31Aneurysm
Length/Diameter
IndicatorY
Thoracic Cavity

CT SCAN1BASELINE 2020-04-27
Infrarenal Aorta
4ABCCVABC-45641Number of Aneurysm 2
Thoracic Cavity
2CMabdominal cavityInfrarenal artery (Below the kidneys)


CT SCAN1BASELINE 2020-04-27
 3



5
  ABC
ABC
 CV
CV
 
ABC-4565
 1
1Aneurysm
Indicator Nthoracic cavity
Diameter2cmRenal ArteryLeft
CT SCAN1BASELINE 2020-04-27


6ABCCVABC-45661Aneurysm Diameter5cmInfrarenal Aorta