Doctor insights on:
Abdominal Aortic Bruit
22 and thin, nonsmoker. Dr found an abdominal aortic bruit today. She didn't seem concerned, should I be?
Likely flow: Due to thin body habitués but a vascular ultrasound may be in order...Wouldn't worry until more information obtained. ...Read more
Bruit refers to a sound, heard via a stethoscope, of blood when it flows through a narrowed opening. As blood flows through a narrow diameter within a vessel, the velocity of flow increases and also becomes more turbulent. The importance of this sound is that, if your doctor hears it, it can signify underlying atherosclerosis--i.e. Build-up ...Read more
What does carotid pulses +2/4 bilaterally mean with no bruit? Abdominal Aorta not prominent? Femoral pulse +2/4 bilaterally. Is that normal?
All normal: No worries. The 2/4 nomenclature is used by some people but it all sounds completely normal (in other words don't assume you are supposed to be 4/4). Someone did an assessment of your pulses and thought they were fine. ...Read more
Medical management: A "bruit" is noise transmitted from turbulent flow. A common cause of a bruit is atherosclerosis but a fair number of healthy people can have a benign bruit due to turbulent flow. A few tests - ultrasound, ankle brachial index can establish if there is atherosclerosis. If you do have atherosclerosis, medical management, no smoking is key. ...Read more
Live and breathe: You can live and breathe. Congratulations! Carry on. ...Read more
Aorta: Different parts of the aorta can vary but it would seem difficult to have the same part vary that much. ...Read more
Is it normal for your doctor to feel your aorta easily while touching the abdomen really well? Kinda scared pls help.
Exam of the aorta: Yes, if you are normal weight or thin, it should be easy for your doctor to feel the aorta in your abdomen. It is much harder in overweight/obese patients. You may even be able to feel it yourself while you are lying on your back. We check it to make sure it is the right size, not enlarged. An enlarged aorta would be mentioned on an abdominal CT or MRI report. ...Read more
Bruit heard in both sides of cartiod arteries and abdomen, should I be concerned? Dr said no worries just being safe with echo!
Yes and no:
First step is for you to have the ultrasound of your neck, to determine if there is a partial blockage of the carotid arteries. Generally if you have less 50% blockage (stenosis), you do Not need surgery! Just need to continue to monitor and control your cholesterol to prevent further blockage.
For your abdomen, the ultrasound will help determine if you have an "abdominal aortic aneurysm." ...Read more
What happens if you have big cardiac output but at the same time get afraid and tense your abdomen? Does the aorta constrict when it should expand?
You can not. .: ... voluntarily constrict or dilate your blood vessels. They do what they are supposed to do based on the physiologic demands of your circulation at the time. So when you contract your abdominal muscles, the contracting muscles might squeeze a smaller artery or vein a little bit, but there would be no significant effect on a large vessel like the aorta. Good wishes:) ...Read more
If you have 14mm abdominal aorta as a 23 yo, you will have thinner walls than if you had 2cm healthy aorta and so a weaker aorta. More prone to burst?
Just the opposite: Aortic aneurysms have a higher risk of rupture with increasing diameter. Generally they are treated expectantly with observation and antihypertensives if necessary until they become symptomatic (with pain or showering emboli distally), or enlarge greater than 5 cm. The two methods of fixing them are with a traditional operation or more recently, stent placement. ...Read more
How do I know if my 14mm abdominal aorta is under more pressure than a normal size? I have a hard time understanding how smaller aorta has the same bp
Stretchy: Your aorta is stretchy or pliable and is able to expand and contract. This helps to regulate the pressure in the aorta. It is not a solid structure like a pipe and therefore just because it's narrower does not mean it will have increased pressure. Hope this was helpful. Dr. R ...Read more
Bruits are turbulent: 42 y/o female says Dr heard abdominal bruit, asks if life threatening? Bruits are turbulent flow over narrowed/blocked Artery usually caused by hardening/clogging of artery by Arteriosclerosis or dislodged particles (emboli) in the blood stream. Some are life threatening while others are not. Abdominal Aorta bruit usually at point of dilation of the medial tunica tearing away from clogged intima ...Read more
Pulsating swelling: The aorta is the largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen, where it bifurcates into two smaller arteries (the common iliac arteries). The aorta distributes oxygenated blood to all parts of the body through the systemic circulation. Aortic enlargement causing any swelling will be pulsating swelling. ...Read more
Better that it is beating than not.
The aorta can be felt through the skin in many people, especially if you are thin. When you start to go to sleep, sometimes you become aware of all sorts of heart beats/blood vessels. So this may be normal but a new awareness. But feeling your aorta raises the question of an aneurism that may be expanding, and that would be serious. Talk to your doctor. ...Read more
Yes.: This implies an aneurysm of the abdominal aorta. An aneurysm is an enlargement of a blood vessel because of weakness in the vessel wall. Like a balloon, if it becomes large enough, it has the potential to burst and lead to a high risk of death. Have it evaluated by a board-certified vascular surgeon who can better advise you on the best course of management. ...Read more
Good: If an abdominal aortic ultrasound reported that the abdominal aorta was "nonaneurysmal", this means that there was no evidence of a widening (dilation or aneurysm) of the abdominal aorta (non-aneurysmal abdominal aorta). This test is done in selected individuals to evaluate for abdominal aortic aneurysm (aaa), which can be life threatening if became too big. ...Read more
Normal: 14 mm is normal. Size usually does not alter wall thickness. ...Read more
There is a significant difference is the average size of the female abdominal aorta versus the male aorta.
The average size of the female is about 1.8-2.5 cm,
and the average size of the male aorta is higher.
If the distal vessels, going to the legs are of normal
size and caliber, and the patient is female-there is no concern. If male, then a better look at the walls
of the aorta, is needed. ...Read more
Because my abdominal aorta is so small (14mm), does it have to stretch much more than a bigger one?
Not necessarily: We don't know YOUR size - your aorta may be proportionate to your body surface area. Regardless, if you're perfusing your lower extremities sufficiently (easily determined by measuring the BP in your legs and comparing it to your arms), then the size or "stretch" is irrelevant. ...Read more
If u have 14mm abdominal aorta the wall tension must be higher than if I had 25mm aorta? Because the wall thickness r not as great?
I keep getting mixed answers. Is it unusual for a 23y/o man to have a 14 mm abdominal aorta? Some say it is? Last questions now sorry...
Small: That's smaller than average, but if your BP in your feet is normal, there's no indication for any intervention and no risk to you. ...Read more
Just need to understand one last thing then ill be gone: my unusually small abdominal aorta 14mm)must stretch more than a normal and it cant be good?
Small aorta: How do you know your aorta is that diameter? Are you sure it isn't an error ...Read more