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Doctor insights on: Aortic Aneurysm

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Dr. Mario Matos-Cruz
941 doctors shared insights

Aortic Aneurysm (Overview)

"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, and other clinical factors.


Dr. Mario Matos-Cruz
941 doctors shared insights

Aortic Aneurysm (Overview)

"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, and other clinical factors.


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How does thoracoabdominal aortic aneurysm detection work?

How does thoracoabdominal aortic aneurysm detection work?

Rarely has symptoms: Most aneurysms are without symptoms until they begin to rupture or rapidly expand. Most are discovered on chest x-ray, ultrasound or ct scan looking for another problem typically, repair is not indicated in this location until the diameter is 5.5-6 cm. ...Read more

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Is chest pain an initial symptom of thoracic aortic aneurysm?

Is chest pain an initial symptom of thoracic aortic aneurysm?

Yes: Chest pain is the most common presenting symptom for thoracic aortic aneurysm. However, in some patients, the initial symptom may be rupture presenting as sudden death. ...Read more

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What are the symptoms of aortic aneurysm?

What are the symptoms of aortic aneurysm?

Depends: You may not have any symptoms from an aneurysm until it is too late. If you have a family history or even a suspicion of having an aneurysm it is worth having this checked. ...Read more

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Are there warning signs for an aortic aneurysm? Any ways to prevent one? Is there an exam that shows if you are susceptible to one?

Perhaps: Positive family history, marfans or connective tissue disease, hypertension, smoking, no absolute predictors, but good accurate exams and imaging are available. Aneurysm can affect any part of the aorta - chest, abdomen pelvis and any named vessel! so full history and exams are relevant. ...Read more

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Funny how a diagnosis doesn't mean much till you have it. What is abdominal aortic aneurysm?

Funny how a diagnosis doesn't mean much till you have it. What is abdominal aortic aneurysm?

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 more

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How does a doctor diagnose aortic aneurysm?

How does a doctor diagnose aortic aneurysm?

X-ray: Well sometimes it can be palpated if it is in the abdomen. Or in some cases and abnormal pulsation can even be visualized. Xrays, especially a ct scan will visualize and confirm it. An ultrasound would also demonstrate the aneurysm. ...Read more

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Can a good d-dimer blood test result help exclude an abdominal aortic aneurysm?

No: At this stage, the use of d-dimer levels for AAA screening is experimental and may be used in conjunction with other screening modalities (ultrasound / ct scans). It would not be safe to only use d-dimer levels to screen for aaa's. ...Read more

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What are the tests for aortic aneurysm?

What are the tests for aortic aneurysm?

Ultrasound: A high quality abdominal ultrasound is the best test to exclude an abdominal aortic aneurysm. Don't delay and get checked out today! good luck! ...Read more

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How do you know if you have an abdominal aortic aneurysm?

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 more

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What causes aortic aneurysm?

What causes aortic aneurysm?

Known risk factors: Certain aneurysms are caused by genetic predispositions that is caused by such conditions as marfan's syndrome. Otherwise the usual cardiovascular risk factors such as hypertension, diabetes, hypercholesterolemia and smoking. ...Read more

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What does it mean when an aortic aneurysm ruptures?

What does it mean when an aortic aneurysm ruptures?

It bursts: The wall of the aorta tears because of increased pressure from the expanding aneurysm. Ruptures can be "contained, " with the bleeding confined by the lining of the abdominal cavity, or they can be "free ruptures, " when the bleeding occurs into the abdominal cavity. The second type is more deadly. Mortality with ruptured aneurysms is 50-90%. As many as 50% of people die before reaching the hospital. ...Read more

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What hospital will treat an aortic aneurysm?

Most: Depending on how big and where the aneurysm is, when the timing is right, most larger hospitals have vascular or thoracic surgeons who can repair this lesion. ...Read more

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What specialist treats an abdominal aortic aneurysm?

Vascular Surgeons: Vascular surgeons evaluate and treat anuerysms of the thoracic and abdominal aorta. ...Read more

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What is the best treatment for aortic aneurysm?

Depends on Size: Aortic aneurysms less than 5 CM in size can be observed if asymptomatic. The best treatment for symptomatic aortic aneurysms and any aortic aneurysm over 5 CM is surgical repair. This can be done through an open or endovascular approach. ...Read more

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What are treatments for abdominal aortic aneurysm?

What are treatments for abdominal aortic aneurysm?

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 more

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

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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Can aortic aneurysm symptoms be mistaken for anything else? even more so after use of "upper" drugs?

Can aortic aneurysm symptoms be mistaken for anything else? even more so after use of "upper" drugs?

Yes--can be mistaken: Aortic aneurysm is highly unlikely in someone your age. The only people I've ever known to have aortic aneurysm have been long-term (more than 20-30 years) smokers. Aortic aneurysms are characterized by a "tearing pain," that moves as the tear expands. Some have compared it to pain of a kidney stone. More likely you're having tachycardia and anxiety from the "uppers." ...Read more

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Why is my md suggesting genetic testing to help determine if I should wait or have surgery soon on my 4.9 thoracic aortic aneurysm?

Why is my md suggesting genetic testing to help determine if I should wait or have surgery soon on my 4.9 thoracic aortic aneurysm?

Cause: Aortic aneurysms caused by genetic predisposition can have a much higher rupture rate and a more rapid rate of growth. These are operated on at a smaller size. Otherwise, 5- 5.5cm is the usual size to consider surgery. If there is a family history, or if the genetic testing is positive, family members should be tested. ...Read more

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Does any one know the risks of aortic aneurysm surgery?

Does any one know the risks of aortic aneurysm surgery?

Open or Stent?: Major surgery of any kind carries certain risks that vary from one person to another, depending upon the patient's general state of health. The surgical risk for repair of an abdominal aortic aneurysm increases with age and the presence of other health conditions. As examples, people who have other heart or lung diseases, and people who smoke are more likely to develop complications. ...Read more

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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


Dr. Shadi Abu Halimah
1,395 doctors shared insights

Aneurysm (Definition)

An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of potential ...Read more