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Doctor insights on: Does An Aortic Aneurysm Show Up On A Routine Echocardiogram

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Dr. Mario Matos-Cruz
941 Doctors shared insights

Aortic Aneurysm (Definition)

"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


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Is it possible that an aortic aneurysm be seen on a routine echocardiogram?

Is it possible that an aortic aneurysm be seen on a routine echocardiogram?

Yes: It's the same equipment that is used to find an aortic aneurysm on ultrasound. If aimed towards aorta it may be able to image the aorta in some locations. Depends on transducer used. ...Read more

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Would a stress echocardiogram show if someone had a aortic aneurysm or a dilated aorta?

Would a stress echocardiogram show if someone had a aortic aneurysm or a dilated aorta?

Stress test: Diagnosis of these conditions is. Done by other methods such. As auscultation, xray or ultrasound but a stress test may give a clue of there presence
...Read more

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Can an echocardiogram find an aneurysm? I’m a 56 yr old man and my father died from an aortic aneurysm at 54. My doctor wants to do an echocardiogram. Do you think he’s looking for an aneurysm?

Can an echocardiogram find an aneurysm? I’m a 56 yr old man and my father died from an aortic aneurysm at 54. My doctor wants to do an echocardiogram. Do you think he’s looking for an aneurysm?

Aortic aneurysm: Only an ascending aortic aneurysm (one that comes right of the top of your hear) could be detected by echocardiogram. If an abdomimal aneurysm (descending aortic aneurysm or aaa) is what your father died of, an ultrasound of the abdomen or even a ct of the abdomen would detect that. ...Read more

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Is aortic aneurysm a common condition?

No but its not rare: Abdominal aortic aneurysms are more common than thoracic. An aneurysm is defined as an enlargement of the aorta 1.5 x the normal diameter. The incidence is around 37 per 100, 000 patient yrs. There is a 3% prevalence in those over 50 yrs old. Male to female ratio of 9 to 1. Risk factors hypertension, high cholesterol, smoking, diabetes, family history and age. ...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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Burst aneurysm in grandpa's leg at age 75. Dr just found aortic aneurysm at 87. Is this common at these ages or suggestive of ehlers danlos?

Burst aneurysm in grandpa's leg at age 75. Dr just found aortic aneurysm at 87. Is this common at these ages or suggestive of ehlers danlos?

Common with HTN: Rare to see Ehlers-Danlos in that age range especially vascular type. Much more likely related to more common risk factors like high blood pressure, smoking, elevated cholesterol etc. ...Read more

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Is bruising in the periumbilical area a common sign of a leaking aortic aneurysm?

Is bruising in the periumbilical area a common sign of a leaking aortic aneurysm?

Very Late sign: Since the abdominal aorta is in the retroperitoneum, bleeding most often occurs into the space near the kidneys. Early symptoms are abdominal, back or flank pain. It is more common to have bruising of the flanks (grey turner's sign). It is possible for the blood to track all the way up to the umbilicus, but this would be a pretty late sign. Hopefully you would be in the or by then! ...Read more

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Upper back pain have had thoracic x-ray. Would aortic aneurysm show if present on pic. Thank you?

Upper back pain have had thoracic x-ray. Would aortic aneurysm show if present on pic. Thank you?

May or maynot: Depending on the x-ray and the amount of radiation etc, it may or may no show on a regular x-ray. If concerned, let your dr. Know and there are more definitive tests to assess for aneurysms than a routine x-ray of the thoracic back area. ...Read more

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Can I exercise with aortic aneurysm? My father is in his 70's and had a slight aortic aneurysm. He wants to start exercising in the gym, but I'm concerned it may be dangerous. Are there any particular machines or exercises he should avoid?

Can I exercise with aortic aneurysm? My father is in his 70's and had a slight aortic aneurysm. He wants to start exercising in the gym, but I'm concerned it may be dangerous. Are there any particular machines or exercises he should avoid?

Your: Your father should avoid activities that raise the blood pressure excessively. Heavy weight lifting should be avoided at all costs, and he should focus on light aerobic activity such as briskly walking on a treadmill. A good rule of thumb is to exercise just enough to break a light sweat while maintaining the ability to carry on a conversation. I would recommend that he have an exercise stress test with a cardiologist to assess his blood pressure response to exercise and to help develop an exercise prescription. Any chest, back or abdominal pain or pressure with exercise should be taken very seriously and prompt immediate medical attention. ...Read more

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Can an ascending aortic aneurysm shrink by itself?

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 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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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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What to do if I have an aortic aneurysm and need some advice. Please!?

What to do if I have an aortic aneurysm and need some advice. Please!?

Size: What is the size and location. Repair advised if it grows over 0.5cm/6mo and diameter twice size of native aorta or 5+cm in diameter. It is unusual for a person your age to have an aortic aneurysm that needs repair but I have had several patients that I had to do coronary bypass in preparation for aaarepair surgery. R/o collagen disorder. Access arteriosclerosis, quit smoking, obesity, diabetes. ...Read more

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Can someone in their 20s have an aortic aneurysm growing in them already?

Can someone in their 20s have an aortic aneurysm growing in them already?

Yes: Though rare, there are certain genetic defects which cause a weakening in the walls of arteries including the aorta which can lead to aneurysms in younger patients. ...Read more

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I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

Depends: Typically an ascending aortic aneurysm is repaired after it becomes between 5.0 to 5.5 cm in size, depending on other factors such as age, how quickly it is expanding, and the presence of other conditions such as marfan's disease. ...Read more

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I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

At around 5cm: It needs to be followed up with ultrasound every 6 months. When it grows too fast or has reached 5cm then it needs to be considered for repair ...Read more

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Aortic aneurysm same as dissection?

Aortic aneurysm same as dissection?

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

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Can smoking lead to aortic aneurysm?

Can smoking lead to aortic aneurysm?

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

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Can echo pick up abd aortic aneurysm?

Can echo pick up abd aortic aneurysm?

No: An echo will typically not look for abdominal aortic aneurysm. Some sonographers do but not standard practice. ...Read more

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Will diverticulitis aggravate an aortic aneurysm?

Will diverticulitis aggravate an aortic aneurysm?

No, but: Diverticulitis is not related to aortic aneurysm. However, if there is constipation, would suggest a good bowel regimen to avoid excessive straining. ...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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Can you get an aortic aneurysm from lifting weights?

No: Be careful if you have an AAA not to lift heavy weights. ...Read more

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Ideas? What pain is associated with an aortic aneurysm?

None: Aortic aneurysms don't cause pain. If they dissect (in the chest) or rupture (in the abdomen), they're very painful. ...Read more

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What is the life expectancy after repairing an aortic aneurysm?

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

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What exercise equipment in the gym should be avoided if you have aortic aneurysm?

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

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What happens in an aortic aneurysm repair?

What happens in an aortic aneurysm repair?

Surgery or stent: Some aortic aneurysms occur in the chest. More often, aneurysms occur in the belly. Depending on the anatomy, some of the aneurysms can be surgically repaired and others can be repaired with a stent graft. Surgical repair involves excision and replacement of the aneurysmal segment. A stent graft is a percutaneous procedure. ...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 does having dissecting aortic aneurysm mean?

What does having dissecting aortic aneurysm mean?

Tear of the aorta: The aorta is the largest blood vessel in the body running from the heart to the top of the pelvis. It has a smooth lining and a muscular wall. A dissection of the aorta is a tear of the lining of the aorta allowing blood to pass between the lining and the wall which can cause problems in blood flow and in some cases can be life-threatening. Acute aortic dissection typically produces sharp sever. ...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


Dr. Shadi Abu Halimah
1,397 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