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Doctor insights on: Abdominal Aortic Aneurysm Size For Surgery

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Abdominal aortic aneurysm -- when should you have surgery ?

Abdominal aortic aneurysm -- when should you have surgery ?

Depends: The natural history of AAA is that they enlarge and rupture. The larger, the greater the risk of rupture. When open surgery was the only option, AAA were usually repaired when they were 5-5.5 cm in diameter. With stent grafts as an option now, many vascular surgeons will fix AAA at a smaller diameter, like 4.5 cm, especially in a younger patient with a long life expectancy. ...Read more

Dr. Oliver Aalami
218 doctors shared insights

Aortic Aneurysm (Abdomen) (Definition)

Abdominal aortic aneurysm is the dangerous condition where a portion of the wall of the aorta, the largest artery in the body, becomes thin and bulges out. This puts the aorta at risk of bursting, which is frequently fatal. Weakness of the wall of the aorta is often due to a long history of high blood pressure and plaque buildup. ...Read more


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At what point should I consider surgery for my abdominal aortic aneurysm?

At what point should I consider surgery for my abdominal aortic aneurysm?

Large or gets bigger: Greater than 6cm or some say greater than 5 cm ... Or if getting bigger, more than 1 cm increase per year ... Or if affecting your abdominal organs ... ...Read more

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Why can't my family member talk after abdominal aortic aneurysm surgery?

Why can't my family member  talk after abdominal aortic aneurysm surgery?

Something else: The aneurysm repair or surgery is independent of speech. Still medicated? Stroke? Depressed? Need to talk with the surgeon and review testing. ...Read more

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How does one get rid of an abdominal aortic aneurysm; it sounds really major surgery?

AAA: By endo vascular non-invasive intervention or by open abdominal surgery to replace that segment of the aorta. Decisions depend of risk factors (age, health situation, risk of post-op complication, comorbidities...). ...Read more

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Growing size of abdominal aortic aneurysm; how much is safe?

Speed matters: 5-5.5 cm is the usual size that repair is recommended. But a growing aneurysm may need earlier repair -- esp if it increases in size by more than 1 cm in less than a year. ...Read more

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How can I treat an abdominal aortic aneurysm?

Depends: The treatment of an abdominal aortic aneurysm depends on a number of factors. Aneurysms should be followed with ultrasound on a serial basis until they reach 5.5 CM or they exhibit rapid growth within a defined period of time. At that point the decision on how to repair the aneurysm depends on a number of anatomic factors that can be defined by an endovascular surgeon. ...Read more

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Why is the abdominal aortic aneurysm more common?

Why is the abdominal aortic aneurysm more common?

Less wall elastin : The aorta, the main artery that delivers blood from the chest to the belly, has a protein known as elastin in its wall. Smoking and COPD affect biochemistry destroying elastin, leading to weakening in the wall causing it to bulge out forming an aneurysm. Why most common in abdomen? Cause elastin layer is thickest in chest thins at renal arteries in abdomen - no surprise they often form there 1st! ...Read more

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Dr. Mario Matos-Cruz
929 doctors shared insights

Aortic Aneurysm (Definition)

Aortic aneurysm is a medical condition in which there is an balloon like outpouching in the wall of the aorta, which is the largest blood vessel in the body. Most commonly, this aneurysm occurs in the segment of the aorta that runs through the abdomen. Rupture can lead to massive ...Read more


Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more