Doctor insights on:
Aortic Aneurysm Anxiety Is This One Of The Worst Health Issues Like A Timebomb
No, should not: Elective (means not as in ruptured one) aortic surgery has excellent result, with very low mortality. Recently more and more cases are being done by endovascular stents with out opening abdomen (similar to coronary stents) observation for small aneurysms, surgery only if size is increasing, may be causing anxiety. ...Read more
"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
Can young people get aortic aneurysms? What symptoms should one look for? How does one determine whether pains are anxiety or aortic aneurysm?
Yes: Young people can get aortic aneurysms, classically with bicuspid aortic valves, or with other congenital abnormalities (Marfan's disease, or other connective tissue disorders). Most aneurysms are asymptomatic, and found on exam for other issues. Aortic aneurysm pain is variable, and less common. Evaluation by cardiologist/primary physician will help determine if further evaluation needed. ...Read more
I have been having front upper left chest pain and dizziness. I have family history of heart problems. My mom has a bad heart valve and an aortic aneurysm. I have no health insurance currently. What would be your best advice?
A free health clinic: If you can't afford to see a cardiologist there are a number of places where you can be seen for very little. You may have to show that you can't afford to pay. ...Read more
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?
Positive family history,
marfans or connective tissue disease,
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
Can an AV Fistula be created by one doctor and closed (this is the only thing he is doing), so that another doctor can treat and aortic aneurysm with a graft?
Yes: Ask your doctors to communicate and to develop a treatment plan. That way everyone knows what to expect. ...Read more
Surgery: Ascending aa usually needs surgical repair with cardiopulmonary bypass. If the aortic arch is involved, may need a bentall procedure as well, which is reconstruction of the vessels coming off arch. If aortic root involved, may need aortic valve repair. In rare cases, endovascular repair may be possible. A cardiothoracic surgeon and/or cardiologist will do tests and advise. ...Read more
Elevation? No.: The root problem with aaas is a weak vessel wall combined with high blood pressure. If you have a aaa, it is important to perform low intensity exercise to avoid increasing your BP to dangerous levels. A 2003 study in "jama" recommends patients with known AAA to exercise with caution. Exercise is an important part of maintaining health and the presence of AAA should not stop you from doing it. ...Read more
Couple of things: Ascending aortic aneurysms occur anywhere from just after the heart to just after the takeoff of the blood brain vessels. In descending aneurysm, the site is any of the remaining aorta. This becomes complicated because one type can also turn into the other. Generally speaking, ascending aneurysms are usually operated on, and descending are usually medically managed. Complicated topic. ...Read more
5-6 cm: Generally, these are fixed when they get to be 5-6 cm in diameter; however, other factors may apply, such as presence of a congenital condition such as marfan's and whether the aortic valve is diseased. You should discuss this with a thoracic surgeon who has experience with this type of repair. ...Read more
No: Aneurysm is the dilation of your artery that can rupture if it gets too big overtime. A dissection is when the layers of your artery separate - generally associated with traumatic injuries (blunt or sharp), it is usually an acute event. Sometimes you can see dissection when the aneurysm starts to leak. Make friend with a vascular surgeon. ...Read more
Arteriosclerosis: Cigarrette smoking accelerates the process of arteriosclerosis which in turn results in atheroma formation with its multiple consequences depending on location. In the aorta it results in cystic medial necrosis leading to aneurysmal dilatation or the opposite, arteriosclerosis obliterans. ...Read more
Ruptured aneurysm: An abdominal aneurysm can rupture for many reasons. Most common is size. As the aneurysm enlarges the wall gets weaker. We know that aneurysms over 5 cm have a higher rupture rate and those should be operated on electively. Other factors making rupture more likely would be uncontrolled high blood pressure and infection in the wall of aneiurysm. ...Read more
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
No: Be careful if you have an AAA not to lift heavy weights. ...Read more
Depends: It depends on location and cause. Aneurysms are at risk for two major complications- rupture and dissection (which can lead to rupture or other problems such has blockage of other arteries or stroke). How quickly an aneurysm grows and the risk of rupture is related to underlying cause and annual or biannual imaging will be indicated to track the size. ...Read more
It depends: It depends on your overall health. Typically if the aneurysm is larger than 5 cm the risk of rupture is fairly high about 3-15%. Greater than 6cm about 10-20%. If successfully repaired then your life expectancy returns to near normal. Decision to operate depends on the aortic size and the estimated risk of surgery. ...Read more
Not sure.: It is not a particular equipment that is key to rupture of an aortic aneurysm. Rupture can happen even when asleep or at rest. On the other hand, any activity, whether physical or emotional, that suddenly raises blood pressure and heart rate may predispose to rupture. I trust your judgement. Moderation is key. ...Read more
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more