Doctor insights on: Abdominal aortic aneurysm
"Aneurysm" has scary implications for many people. It just means an enlargement of an artery. The problem is that when arteries (including the aorta) get too large, their walls become weak and prone to tear (dissection) or rupture. If this happens in the aorta it can be a catastrophe. Management of aortic aneurysms depends on where it is, how big, whether it's growing, ...Read more
Usually none: Most of AAA have no symptoms and discovered by routine physical exams, screening ultrasound or incidental finding on ct scans. If symptomatic then usually pain in upper to mid abdomen sometimes radiating to the back or just back pain, rupture with severe pain and shock, sometimes present as clots traveling to the legs with acute pain or blue toes. Rare type is infected or inflammatory /fever. ...Read moreSee 2 more doctor answers
Dilated aorta: Approx. 75% of aortic aneurysms are infrarenal. If the diameter of the aneurysm increases >= 0.5 cm/6mo. Period, early intervention advised. Once the aneurysm is 5cm or about twice the diameter of the non involved aorta, elective repair is advised. If 4cm dia and enlarging, repair advised to lower risk of death from exanguinating rupture. See your cardiovascular surgeon or vascular surgeon. ...Read moreSee 1 more doctor answer
By scan: Abdominal aortic aneurysms can sometimes be found by a good physical exam, it helps if you are thin. Otherwise, if there is a family history of aneurysm, or strong suspicion of one...An ultrasound of the abdomen can often rule it in or out. Failing that a ct-scan is the most accurate and expensive way to diagnose this problem. ...Read moreSee 1 more doctor answer
Surgery observation: Small aneurysms (less tha 5 cm) are typically followed with ultrasound unless there are factors that worry the doc. Surgery may be done with an abdominal incision - to open the aneurysm and replace it with a plastic graft. More recently, endovasculat techniques enable stenting of the ane3urysm and use smaller incisions. ...Read moreSee 2 more doctor answers
Abdominal aneurysms should be treated surgically if greater than or equal to 6 cm (sometimes 5.5 cm depending on the age and risks), if symptomatic or if it grows at a rate greater than 0.5 cm/ 6 months.
The treatment is endovascular repair unless the anatomy is unfavorable (unusual).
You should see a board certified vascular surgeon with endovascular experience. ...Read more
SEVERAL: If it is not tool larger, medicines to control your blood pressure will help prevent it from getting larger. However, if it is expanding rapidly or is large, then there is the danger of it rupturing, which could be fatal. Depending on the location and size, sometimes this can be repaired with a stent meaning that no incision is necessary. Otherwise, an open operation is needed. ...Read moreSee 2 more doctor answers
AAA>5cm may rapture: Abdominal aortic aneurysm (AAA) is considered a surgical disease if it is > 5 cm. At that point the risk of rupture is greater then the risk of surgical complications. These days many cases are done via endovascular repair instead of open surgery. ...Read moreSee 2 more doctor answers
Bulging Aorta: Ballooning of the abdominal portion of the aorta. The aorta is one of the major arteries that carry blood from your heart to the rest of the body. Sometimes patients with high blood pressure, cholesterol plaque formation can have weakened wall of this big artery, causing it to bulge (balloon out) like when one blow air into a balloon; if ruptured, instant death can occur. ...Read moreSee 2 more doctor answers
- Talk to a doctor online
- Adderall and abdominal aortic aneurysm
- Abdominal aortic aneurysm symptoms in women
- Leaking abdominal aortic aneurysm symptoms
- Alternative treatments for abdominal aortic aneurysm
- Fusiform infrarenal abdominal aortic aneurysm
- Will an abdominal aortic aneurysm make you tired
- Is an abdominal aortic aneurysm in teenagers even possible?
- Abdominal aortic aneurysm back pain