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Doctor insights on: Inoperable Aortic Aneurysm

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What kind of life expectatncy would you give a 75 year old who have inoperable aortic aneurysm.?

What kind of life expectatncy would you give a 75 year old who have inoperable aortic aneurysm.?

Why inoperable?: If bad heart, lungs, cancer etc. Those conditions may determine survival.
Aneurysms may be in different parts of the aorta.
But for abdominal:
symptomatic and 6 cm survival about a year
less and asymptomatic about 5 years as a good guess.
Size, location and symptoms, and other risk factors are relevant to true answer! ...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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Where is an aortic aneurysm?

Where is an aortic aneurysm?

The aorta: The aorta is the large, main artery that carries blood from the heart. An aneurysm (a portion that dilates or expands to a larger than normal diameter) can occur anywhere along its length, from where it emerges from the heart in the chest (thoracic aortic aneurysm) to where it travels through the abdomen & splits into the iliac arteries (abdominal aortic aneurysm, or aaa) - or anywhere between. ...Read more

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What is an acute aortic aneurysm?

What is an acute aortic aneurysm?

Dilated aorta: An aortic aneurysm is an aorta which is larger than it is supposed to be. "acute" refers to the sudden onset of symptoms. The aneurysm can cause pain by suddenly enlarging, encroaching on surrounding parts of the chest or abdomen, or rupturing. ...Read more

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What could lead to an aortic aneurysm?

What could lead to an aortic aneurysm?

Aortic Aneurysms: It is not entirely clear exactly what causes aortic aneurysms, but we know of a few risk factors, probably the most significant of which is smoking. Other risk factors include atherosclerosis and high blood pressure. There is also a hereditary component, so these can run in families. There are also genetic syndromes such as Marfan's or ehlers-danlos which are associated. See a vascular surgeon. ...Read more

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What are the tests for aortic aneurysm?

What are the tests for aortic aneurysm?

Ultrasound: A high quality abdominal ultrasound is the best test to exclude an abdominal aortic aneurysm. Don't delay and get checked out today! Good luck! ...Read more

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What are symptoms of an aortic aneurysm?

What are symptoms of an aortic aneurysm?

Often there are none: Over 75% of aortic aneurysms are found while tests are performed for another reason. Other aneurysms are found after a thoughtful physical exam raises a suspicion for AAA and a subsequent ultrasound identifies the problem. Screening exam programs are very effective, non-invasive, and inexpensive. ...Read more

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What are the symptoms of aortic aneurysm?

Depends: You may not have any symptoms from an aneurysm until it is too late. If you have a family history or even a suspicion of having an aneurysm it is worth having this checked. ...Read more

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What sort of problem is an aortic aneurysm?

What sort of problem is an aortic aneurysm?

Serious: Aortic aneurysm indicates ballooning of the aorta which could burst if it exceeds certain diameter between 5-5.5 cm. ...Read more

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What are the symptoms of an aortic aneurysm?

What are the symptoms of an aortic aneurysm?

Typically non: Most of them are asymptomatic. Abdominal aortic aneurysm can cause mid abdominal and back pain sometimes. Severe pain and fever if infected. Unusually emboli or clots to legs and ischemia. Thoracic aortic aneurysm may cause back pain, or compression on structure like esophagous (difficulty swallowing), trachea or bronchus (difficulty breathing) or nerves like recurrent laryngeal nerve (horesness). ...Read more

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

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

Yes: Usually in the setting of a hereditary connective tissue disorder, specifically marfan's syndrome. ...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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What could cause an aortic aneurysm to burst?

What could cause an aortic aneurysm to burst?

Ruptured aneurysm: An abdominal aneurysm can rupture for many reasons. Most common is size. As the aneurysm enlarges the wall gets weaker. We know that aneurysms over 5 cm have a higher rupture rate and those should be operated on electively. Other factors making rupture more likely would be uncontrolled high blood pressure and infection in the wall of aneiurysm. ...Read more

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Can lifting cause an aortic aneurysm to rupture?

Can lifting cause an aortic aneurysm to rupture?

Yes: Lifting or any kind of strenuous exercise will increase the blood pressure. If this happens in a sudden fashion then conceivably the aneurysm can rupture. A lot depends on the size of the aneurysm as well. ...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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How will having aortic aneurysm affect me down the road?

Depends: It depends on location and cause. Aneurysms are at risk for two major complications- rupture and dissection (which can lead to rupture or other problems such has blockage of other arteries or stroke). How quickly an aneurysm grows and the risk of rupture is related to underlying cause and annual or biannual imaging will be indicated to track the size. ...Read more

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How does thoracoabdominal aortic aneurysm detection work?

Rarely has symptoms: Most aneurysms are without symptoms until they begin to rupture or rapidly expand. Most are discovered on chest x-ray, ultrasound or ct scan looking for another problem typically, repair is not indicated in this location until the diameter is 5.5-6 cm. ...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 fruits and vegetables can treat ascending aortic aneurysm?

Wrong treatment: You need an experienced vascular surgeon. Surgery, hopefully minimal invasive, is always required to correct or repair an aortic aneurism. Fruit & vegetables are excellent foods & should not be omitted as part of your post-operative recovery. Good luck. ...Read more

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Visiting cardioligist, will they be able to see if I have an aortic aneurysm?

Visiting cardioligist, will they be able to see if I have an aortic aneurysm?

Maybe: Aortic aneurysms are difficult to detect by physical exam. If someone has risk factors for aneurysm (age >65 and family history of aneurysm, history of smoking or hypertension) then we advise an abdominal ultrasound for screening. ...Read more

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How many minutes does someone have to live after the aortic aneurysm ruptures?

How many minutes does someone have to live after the aortic aneurysm ruptures?

Not many: It depends on how fast the blood is leaking. There sometimes is time to get the patient to the operating room and repair the aneurysm so it does not necessarly cause immediate death. ...Read more

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Aortic aneurysm anxiety. Is this one of the worst health issues? Like a timebomb

Aortic aneurysm anxiety. Is this one of the worst health issues? Like a timebomb

No, should not: Elective (means not as in ruptured one) aortic surgery has excellent result, with very low mortality. Recently more and more cases are being done by endovascular stents with out opening abdomen (similar to coronary stents) observation for small aneurysms, surgery only if size is increasing, may be causing anxiety. ...Read more

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How do you deal with an ascending aortic aneurysm? To operate or not to operate?

How do you deal with an ascending aortic aneurysm? To operate or not to operate?

Operate: If it is truly an ascending aneurysm, it is life threatening and needs an operation. Type b or descending aneurysms in the thorax can many times be managed with blood pressure control but not type a. Type a can cause heart attack and strokes or rupture. ...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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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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Can young people get aortic aneurysms? What symptoms should one look for? How does one determine whether pains are anxiety or aortic aneurysm?

Can young people get aortic aneurysms? What symptoms should one look for? How does one determine whether pains are anxiety or aortic aneurysm?

Yes: Young people can get aortic aneurysms, classically with bicuspid aortic valves, or with other congenital abnormalities (Marfan's disease, or other connective tissue disorders). Most aneurysms are asymptomatic, and found on exam for other issues. Aortic aneurysm pain is variable, and less common. Evaluation by cardiologist/primary physician will help determine if further evaluation needed. ...Read more

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I was denied my medical card for my commercial driver license with an aortic aneurysm 4.7. Why isn't it safe to drive a commercial vehicle with this?

The DOT Guidelines: Allow a 1 year card for asymptomatic AAA over 4 but less than 5cm but only with clearance from cardiovascular surgeon. If you have no symptoms and a clearance statement from a cardiovascular surgeon and no other disqualifying conditions then you should be certified for a maximum of 1 year. ...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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What is an aortic aneurysm?

What is an aortic aneurysm?

Weak wall: The aorta is a living pipe. It has 3 layers, the inner layer or intima, the middle layer or media were some muscle like cells dwell and the adventitia rich in collagen fibers. The process of arteriosclerosis may result in slow death of the media which then gets replaced by collagen scar. The pressure inside the aorta and the wall weakness will result in dilatation of the aorta and it could burst. ...Read more

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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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Is aortic aneurysm inherited?

Depends: An aortic aneurysm can be the result of inherited conditions like marfan's syndrome. Conversley, aortic aneurysms may appear 'de novo' in those without a family history and only clinical risk factors such as atherosclerosis and hypertension. Since the relationship between genetics and environment is complex, if there is a family history one should always be extra vigilant and monitor. ...Read more

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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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Will a aortic aneurysm disappear?

NO: Aneurysmal dilatation of the aorta is a pathologic dilatation that does not disappear. Surgical resection makes it disappear. ...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