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Doctor insights on: Ascending Aortic Aneurysm Causes

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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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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


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What causes an aortic aneurysm?

What causes an aortic aneurysm?

Cysticmedialnecrosis: The aorta is a living organ. Has 3 layers. Intima, media, adventitia. The aortic wall is nourished by the vasa vasorum. Arteriosclerosis creates cholesterol plaque, the vasa vasorum occlude, the media slowly dies and becomes replaced by collagenous tissue, pressure and Collagenase activity weaken wall and it dilates excessively, if not repaired claims 17, 000 americans/yr.70%infrarenal. ...Read more

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What are causes of an aortic aneurysm?

What are causes of an aortic aneurysm?

Several things: About 5% of men over the age of 65 have abdominal aortic aneurysms. Risk factors include: increasing age, male sex, family history of aneurysm (may increase your risk 4-fold), hypertension, and history of smoking. Dissecting aneurysms can be caused by localized damage to to the artery from hypertension or trauma (deceleration or sheering-type injury) or catheter injury from an angiogram. ...Read more

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Can an ascending aortic aneurysm shrink by itself?

Unlikely: This is very unlikely. Aneurysms treated endovascularly (stents / endografts) do often shrink because they are depressurized. ...Read more

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How can you deal with an ascending aortic aneurysm?

How can you deal with an ascending aortic aneurysm?

Echo...: Echocardiogram annually... When > 5 cm or aortic valve regurgitation is severe, then a bentall procedure is the classic repair. Speak with a cardiologist regarding this issue, not a primary care md or np. ...Read more

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How should I deal with an ascending aortic aneurysm?

Marfan's?: Repair when diameter 4.5cm or greater if bicuspid aortic valve or marfan's, ehrles danlos, with or w/o aortic insufficiency. Otherwise 6cm. Your cardiac surgeon is the one that can advise you on the timing of your repair, earlier repair may be indicated depending on anatomy and sinus of valsalva size. ...Read more

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What is the typical underling cause for aortic aneurysm?

Arteriosclerosis: Most arteriosclerotic aneurysms result in cystic medial necrosis of the aorta resulting in dilatation of the artery secodary to the internal pressure and weakness of the arterial wall. Any part of the aorta and its branches may be affected. Infections with bacteria, fungus, syphillis may also produce aneurysms in the aorta. ...Read more

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What can be done to repair an ascending aortic aneurysm?

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

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Is it possible for an ascending aortic aneurysm to shrink?

Is it possible for an ascending aortic aneurysm to shrink?

Not usually: But there is some variation in ct, mri, ultrasound so that one may see a report with a few millimeters ambiance: 4. 2. 4.3 4.1 probably no change. Also some after surgical repair or endovascular repair will be shrunk. ...Read more

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How does an ascending aortic aneurysn differ from a descending aortic aneurysm?

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

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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
1,370 doctors shared insights

Aneurysm (Definition)

An aneurysm is a condition where there is weakness in the wall of a blood vessel. A clot can form in the vessel as the vessel widens or expands. An artery with an aneurysm can ...Read more