Article # 12
The Anatomical Basis of Endovascular Treatment of Abdominal Aortic Aneurysm Illustrated on a Post Mortem Dissection
Abstract
Introduction
Article # 12
Authors :
Khaled Alok , Ayah Matar , Eva Malik , Jana Zeineddine , Rebecca Andraos , Jihad Sami Hawi , Abdo Jurjus
Keywords :
Autopsy ; Aortic Aneurysm ; Abdominal ; Endovascular Procedures .
Institution :
Khaled Alok , Abdo Jurjus Department of Anatomy Cell Biology and Physiological Sciences , Faculty of Medicine , American University of Beirut , Beirut , Lebanon
Khaled Alok Rebecca Andraos Department of Surgery , Faculty of Medicine , American University of Beirut , Beirut , Lebanon
Ayah Matar , Eva Malik , Jana Zeineddine , Faculty of Medicine , American University of Beirut , Beirut , Lebanon
Jihad Sami Hawi Department of Biochemical Sciences , Faculty of Medicine and Medical Sciences , Balamand University , Al Koura , Lebanon
Corresponding Author Contact Information :
Khaled Alok American University of Beirut Dept . of Anatomy , Cell Biology and Physiological Sciences , Faculty of Medicine Ka54 @ aub . edu . lb
DOI : https :// doi . org / 10.21252 / hy6h-tt88
The Anatomical Basis of Endovascular Treatment of Abdominal Aortic Aneurysm Illustrated on a Post Mortem Dissection
Abstract
INTRODUCTION
It is common to encounter anatomical variations and some pathological processes during wet anatomy dissection lab , however , a ruptured abdominal aortic aneurysm ( AAA ) is a rare encounter - the first in the senior author ' s experience . This article reports the incidental finding of a ruptured abdominal aortic aneurysm during cadaveric dissection of first year medical students .
CASE REPORT
We illustrate the essential anatomical parameters that surgeons take into consideration in planning endovascular repair of a AAA , according to the American Association for Vascular Surgery guidelines . We also highlight the educational benefits of post mortem dissection in understanding medical conditions , engaging medical students and stimulating learning curiosity ; along with its role as a feedback mechanism on previously accepted diagnosis .
IMPLICATIONS
We hope this article serves as a reminder that even in the era of modern medicine , autopsy can still offer a valuable role as a driver for healthcare training and improvement .
Introduction
Anatomical dissection served throughout medical history as a critical tool in advancing and maximizing the quality of healthcare ( Lundberg et al ., 1998 ). With endless possibilities for anatomical variations , no two cadavers are the same . These variations can be as common as different branching of vessels and nerves , and usually do not have any pathologic consequences . In addition , post mortem dissection gives us the chance to examine some pathological findings . The senior author had dissected more than 400 cadavers throughout his career ; however , this was the first time to encounter such a large ruptured , fatal abdominal aortic aneurysm ( AAA ). This unexpected finding in one of the cadavers , in a wet anatomy lab session , sparked interest in