Doctor insights on:
Fusiform Infrarenal Abdominal Aortic Aneurysm
Generally speaking, is a fusiform abdominal aortic aneurysm considered to be a potentially serious problem? If so, in what way? Can it cause severe pain even if it doesn't "burst"?
Potentially serious: An aneurysm's risk is related to leak or rupture. The chance of that happening is related to the size (diameter) of the largest cross section. The size is monitored and intervention is usually not suggested until it's >5cm. The other possible reason to intervene would be rapid growth of the aneurysm. In the WORST case, a free bleed from a rupture, you can bleed out all your blood into the abdomen.See 1 more doctor answer
"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
Lower part: Infra renal aneurysm means it is involving the lower part of the abdominal aorta after it gives rise to the blood vessels supplying the kidneys. Infra renal aneurysms can be generally treated with a stent graft which is implanted going through the artery in the groin. It is thus possible that a major surgery involving opening the abdomen can be avoided.See 2 more doctor answers
This is serious: This is a serious problem that needs to be regularly followed by a healthcare provider. Surgery is recommended for an abdominal aortic aneurysm (AAA) when the aneurysm is large enough (>5.5 cm) because the risk for rupture (often fatal) increases as the size of the AAA increases. An alternative to surgery is stent placement.See 1 more doctor answer
US/CT: Unless you have a collagen disorder, abdominal aortic aneuryms are unheard of on people your age. To diagnose it need an abdominal ultrasound of the aorta or an abdominal cat scan without contrast. Sometimes can be palpated on really skinny patients.
Usually none: Most of AAA have no symptoms and discovered by routine physical exams, screening ultrasound or incidental finding on ct scans. If symptomatic then usually pain in upper to mid abdomen sometimes radiating to the back or just back pain, rupture with severe pain and shock, sometimes present as clots traveling to the legs with acute pain or blue toes. Rare type is infected or inflammatory /fever.See 2 more doctor answers
Good Question: The largest abdominal aneurysm I have operated on was 16 CM in diameter. It is unusual these days to find really large diameter aneuryms due to better screening & due to the number found incidentally when exams such as sonograms or ct scans are performed for other reasons. Increasing size correlates with increased rupture rates.See 1 more doctor answer
Yes: Typically congenital or due to aortitis overall extremely rare.See 1 more doctor answer
Yes: Most atherosclerotic aneurysms are in the older population. There are congenital, infectious, and traumatic aneurysms that can occur.See 1 more doctor answer
With twists/bends: The term "tortuous" simply means: full of twists, turns and bends. In medicine we use this to describe the pathway of veins or arteries. When either veins or arteries "grow" to become varicose veins or aneurysms, not only do they grow in diameter, but also in length. As they grow longer, they start bending and twisting to accommodate and "fit" into the same body.See 2 more doctor answers
Rare but treatment: Will be the same, need surgery regardless of age to prevent lethal rapture of it. Follow your doctor 's advise.
See your doctor: Symptoms like these have to be evaluated in real-time by your physician. He/she has access to your examination, laboratrory data and many other diagnostic tests to get to the bottom of what's going on and offer you help.
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