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Doctor insights on: Fusiform Infrarenal Abdominal Aortic Aneurysm

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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"?

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. ...Read more

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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What is an infrarenal abdominal aortic aneurysm?

What is an infrarenal abdominal aortic aneurysm?

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. ...Read more

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Is abdominal aortic aneurysm painful?

Is abdominal aortic aneurysm painful?

Usually not: Typically, an abdominal aneurysm causes no symptoms until it ruptures or rapidly expands. In the event of rupture, the pain is sudden and severe. Some enlarging aneurysms can cause back pain or flank pain, but that is less common. ...Read more

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I have an abdominal aortic aneurysm please help?

I have an abdominal aortic aneurysm please help?

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. ...Read more

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What are the tests for abdominal aortic aneurysm?

What are the tests for abdominal aortic aneurysm?

CAT,CTA,MRA,US: Cat scan, cta, mra, ultrsound, arteriogram, some may be clinically palpable. ...Read more

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How to tell if I have an abdominal aortic aneurysm?

How to tell if I have an abdominal aortic aneurysm?

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. ...Read more

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An abdominal aortic aneurysm is significant because?

An abdominal aortic aneurysm is significant because?

AAA>5cm may rapture : Abdominal aortic aneurysm (AAA) is considered a surgical disease if it is > 5 cm. At that point the risk of rupture is greater than the risk of surgical complications. These days many cases are done via endovascular repair instead of open surgery. ...Read more

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What sort of problem is an abdominal aortic aneurysm?

Dilation: It is a swelling or dilation of a vessel due to weakness in the wall of the vessel (aorta). The concern is the risk for rupture, which can cause severe pain and massive bleeding. ...Read more

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What are the symptoms of an abdominal aortic aneurysm?

What are the symptoms of an abdominal aortic aneurysm?

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. ...Read more

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What is the largest abdominal aortic aneurysm recorded?

What is the largest abdominal aortic aneurysm recorded?

Unknown: 10 cm is a very large aneurysm. The largest ever is unknown. ...Read more

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What are the largest abdominal aortic aneurysm on record?

What are the largest abdominal aortic aneurysm on record?

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. ...Read more

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What are the chances of someone getting an abdominal aortic aneurysm?

Get an AAA?: The chances are small unless you have a family history or certain types of connective tissue diseases. ...Read more

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Is it possible for someone in their 20s to have an abdominal aortic aneurysm?

Yes: Most atherosclerotic aneurysms are in the older population. There are congenital, infectious, and traumatic aneurysms that can occur. ...Read more

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Can an echo detect abdominal aortic aneurysm?

Can an echo detect abdominal aortic aneurysm?

Ultrasound, not echo: Aortic ultrasound or sonogram is commonly used to diagnose aaa, abdominal aortic aneurysm. Echo is specifically used to assess the heart: valves, chambers, ejection fraction, wall motion. ...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 does a tortuous abdominal aortic aneurysm mean?

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. ...Read more

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How do you treat abdominal aortic aneurysm 17 year old?

How do you treat abdominal aortic aneurysm 17 year old?

Rare but treatment: Will be the same, need surgery regardless of age to prevent lethal rapture of it. Follow your doctors advise. ...Read more

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Abdominal aortic aneurysm -- when should you have surgery?

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. ...Read more

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What are signs and symptoms of an abdominal aortic aneurysm?

What are signs and symptoms of an abdominal aortic aneurysm?

Silent until rupture: Aaas are typically silent- no signs or symptoms until it starts to rupture. If you are thin and have a large aneurysm you may see it pulsating above the belly button. If you are male, >65yrs, and have ever smoked, an ultrasound can diagnose it. If you are female, a family history, age >65, and having ever smoked are the criteria for a screening ultrasound. ...Read more

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What is the post-operative care of abdominal aortic aneurysm?

What is the post-operative care of abdominal aortic aneurysm?

Depends: There is a big difference between an open repair and an endovascular repair. Open repairs require aggressive cardio-pulmonary resuscitation post-op. Depending on the extent of the repair patients are often kept intubated the first night. Endovascular procedures are typically less of a physiological burden on the body and patients are extubated the same day and typically go home the next day. ...Read more

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Can you diagnose abdominal aortic aneurysm with a stethoscope?

Can you diagnose abdominal aortic aneurysm with a stethoscope?

No: You may hear a noise- bruit.
With the scope held on the abdomen, it may bounce and with additional palpating you may detect the pulsatille mass- aneurysm.

Some by exam, but since we are an obese society these days, more are found on ultrasound or ct scan. ...Read more

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How long would it take for an abdominal aortic aneurysm to rupture?

How long would it take for an abdominal aortic aneurysm to rupture?

AAA: Depends on cause. BP control is important. They bigger they are the sooner they rupture. Impossible to predict. unless they have been tracking it. ...Read more

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How long would you have to smoke for abdominal aortic aneurysm to occur?

How long would you have to smoke for abdominal aortic aneurysm to occur?

Aortic aneurysm: Aortic aneurysms have several factors, including uncontrolled hypertension, smoking, diabetes, and family history. These factors increase your risk for most forms of cardiovascular disease. The best bet is to quit smoking now, eat healthy, exercise regularly, and maintain a healthy weight. If you start now at a young age you can look forward to a much healthier life in the future. ...Read more

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At what point should I consider surgery for my abdominal aortic aneurysm?

Large or gets bigger: Greater than 6cm or some say greater than 5 cm ... Or if getting bigger, more than 1 cm increase per year ... Or if affecting your abdominal organs ... ...Read more

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What are the odds really of a 16 yearold getting abdominal aortic aneurysm?

What are the odds really of a 16 yearold getting abdominal aortic aneurysm?

Low: Without some genetic or connective tissue disorder issues, the chances of a 16-year old with an abdominal aortic aneurysm is exceptionally low. ...Read more

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I am female but my dad had an abdominal aortic aneurysm. Does this mean I will?

I am female but my dad had an abdominal aortic aneurysm. Does this mean I will?

Possibly: Aneurysms are caused by hypertension, atherosclerosis, and at some time, a weakness in the arterial wall. There are genetic problems which can lead to arterial wall weakness, and there can be a genetic predisposition for developing aneurysms. ...Read more

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How long can symptoms be present before a 10cm abdominal aortic aneurysm ruptures?

How long can symptoms be present before a 10cm abdominal aortic aneurysm ruptures?

Why wait to find out: We start to worry about aneurysms when they are larger than 5 cm. Think of it like a latex balloon. Once it is really big, it pops pretty easy. Any symptoms at all are a sign of impending rupture. And rupture has devastating consequences, including sudden death. See a vascular surgeon before there are symptoms. Once it is symptomatic it might be too late. ...Read more

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How long will symptoms be present before a 10cm abdominal aortic aneurysm ruptures?

How long will symptoms be present before a 10cm abdominal aortic aneurysm ruptures?

Usually no symptoms: Most aneurysms do not give any symptoms until they rupture. A 10cm aneurysm has been present for many years. The normal aorta is about 2 cm, and aneurysms tend to grow about .4 cm/year, meaning about 16 years.
A 10 cm aneurysm should be treated very urgently, as it is at very high risk of rupturing, and outcomes are worse when treating a ruptured aneurysm than when treating electively. ...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. Oliver Aalami
227 doctors shared insights

Aortic Aneurysm (Abdomen) (Definition)

The dangerous condition where a portion of the wall of the aorta, the largest artery in the body, becomes thin and bulges out. This puts the aorta at risk of bursting, which is frequently fatal. ...Read more