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Doctor insights on: Infrarenal Abdominal Aortic Aneurysm Repair

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What is Juxtarenal Abdominal Aortic Aneurysm?

What is Juxtarenal Abdominal Aortic Aneurysm?

Involve renal artery: A juxtarenal AAA is an aneurysm that involves or is associated with the renal arteries which are vital as they supply the kidneys with blood. The repair of this type of aneurysm is very challenging and so be sure and see a board certified Vascular Surgeon with a great deal of experience for consultation and treatment. ...Read more

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Dr. Steven Griggs
11 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 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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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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What is the largest abdominal aortic aneurysm repaired?

What is the largest abdominal aortic aneurysm repaired?

Largest AAA repaired: You shouldn't think about it as, " is it too big to repair?" many anatomic details as well as a person's overall medical condition go into the decision as to if an aneurysm can be repaired. Its overall size is not a main consideration (though if its still small, they can usually be watched without repair). ...Read more

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What causes abdominal aortic aneurysm?

Medial necrosis: Cystic medial necrosis induced by arteriosclerotic obliteration of the vasa vasorum of the aorta is the most common cause. ...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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Is aortic aneurysm same as aortic dissection?

Is aortic aneurysm same as aortic dissection?

No: An aortic dissection is a tear in the lining of the aorta, causing blood to leak into the aortic wall, causing pain and possibly hemodynamic issues. An aneurysm is an enlargement of the vessel to more than 2 times its normal size. Dissections may occur in aneurysms, and may become aneurysmal, but can occur independent of each other. ...Read more

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Can ultrasound miss an abdominal aortic aneurysm?

Can ultrasound miss an abdominal aortic aneurysm?

Not likely: Some are not ideal if too much gas. Or poor prep or obesity , but usually are repeated if technical issue. The infra renal aorta and iliacs are well visualized in most. ...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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Is abdominal aortic aneurysm the same thing as aortic dissection?

AAA v dissection: Not really; an aneurysm bulges due to a weakness in the artery wall. A dissection is a tear in one or more ( of the three) layers of the artery wall which continues in one or both directions. ...Read more

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What is an abdominal aortic aneurysm?

What is an abdominal aortic aneurysm?

Bulging Aorta: Ballooning of the abdominal portion of the aorta. The aorta is one of the major arteries that carry blood from your heart to the rest of the body. Sometimes patients with high blood pressure, cholesterol plaque formation can have weakened wall of this big artery, causing it to bulge ( balloon out) like when one blow air into a balloon; if ruptured, instant death can occur. ...Read more

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What is an abdominal aortic aneurysm?

Ballooning : An aneurysm is diffuse or focal dilatation of an artery like the abdominal aorta of more than 1.5 times its normal size. For abdominal aortic aneurysm generally anything above 3 cm in 50-60yr old patient. They typically don't need fixed unless above 5 cm in females and 5.5 cm in males or rapidly enlarging or causing symptoms. ...Read more

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What is an infrarenal aortic aneurysm?

What is an infrarenal aortic aneurysm?

Below the kidneys: An infrarenal aortic aneurysm is a dilation of the aorta below the renal (kidney) arteries. This section of the aorta is located in the abdomen. ...Read more

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When are aortic aneurysm repairs performed?

When are aortic aneurysm repairs performed?

Based on size: The risk of rupture of an aortic aneurysm increases with its size (diameter). When the size reaches a certain threshold, the risk of rupture becomes substantial. At this point, a repair is justified either with surgery or a percutaneous stent graft. ...Read more

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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 then the risk of surgical complications. These days many cases are done via endovascular repair instead of open surgery. ...Read more

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Could an ultrasound miss detecting abdominal aortic aneurysm?

Dx of AAA: Ultrasound is one of the typical studies used to diagnose aaa. It is optimal to let the tech doing the study know if you are trying to look specifically for an aneurysm. The bigger the aneurysm, the more likely it is to be picked up. In other words a very small one would have a higher likelihood to be missed. ...Read more

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Dr. Laura Pak Dr. Pak
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Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

Dr. Laura Pak Dr. Pak
3 doctors agreed:

Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family history of aneurysm, smoking or htn. Ascending aneurysms and para visceral (upper abdomen) aneurysms are probably the most challenging to repair. ...Read more

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

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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How does aortic dissection differs from aortic aneurysm?

How does aortic dissection differs from aortic aneurysm?

Aneurysm/Dissection: An aneurysm is an area where the aorta has ballooned out compared to the aorta below and above. The more expanded the greater the risk of rupture. Dissection is when there is a disruption of the inner layer of the aorta and blood can flow between the layers. This often will cause blockages of aortic branch vessels resulting in stroke, heart attack, and bowel/kidney infarction, etc. ...Read more

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Dr. Mario Matos-Cruz
946 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


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