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Doctor insights on: Is Chest Pain An Initial Symptom Of Thoracic Aortic Aneurysm

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Is chest pain an initial symptom of thoracic aortic aneurysm?

Is chest pain an initial symptom of thoracic aortic aneurysm?

Yes: Chest pain is the most common presenting symptom for thoracic aortic aneurysm. However, in some patients, the initial symptom may be rupture presenting as sudden death. ...Read more

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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 fever a symptom of aortic disection or aneurysm?

Is fever a symptom of aortic disection or aneurysm?

Yes: Yes but acute sudden onset of chest pain is the most important symptom also findings on cardiac auscultation and blood pressure readings. What is your concern? Read this http://www.medscape.com/viewarticle/442902_3 ...Read more

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Ideas? What pain is associated with an aortic aneurysm?

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 worse thoracic or abdominal aortic aneurysm ?

What is worse thoracic or abdominal aortic aneurysm ?

Size & location: This really depends on size of the aneurysm , the bigger one especially above 5-5.5 cm will have higher risk of rupture and death. Also location so if aneurysm involves major branches to brain or arteries to kidneys or intestinal arteries all this will make the surgical repair more risky. ...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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My recent chest x Ray said atherosclerotic tortuosity of aortic arch and descending thoracic aorta. Is this of any concern.

My recent chest x Ray said atherosclerotic tortuosity of aortic arch and descending thoracic aorta. Is this of any concern.

FURTHER W/U NEEDED: Usually the thoracic aorta will dilate slowly with age. If it is apparent already you need a determination of the size. A thoracic echo and possible TEE. To evaluate thoracic anatomy. And an abdominal US to evaluate abdominal aorta. Then consult a surgeon a surgeon for further recommendations as needed. You will need to monitor your blood pressure and keep it under tight control . ...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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Is an abdominal aortic aneurysm in teenagers even possible?

Unlikely: Abdominal aortic aneurysms arise due to inflammation over many years. Age >65yrs, a smoking history, and male gender are the greatest risk factors. A family history also comes into play, especially for women. It would be extremely unlikely for a teenager to have an abdominal aortic aneurysm. ...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 treatment for an abdominal aortic aneurysm?

What is the treatment for  an abdominal aortic aneurysm?

Size: Abdominal aneurysms should be treated surgically if greater than or equal to 6 cm (sometimes 5.5 cm depending on the age and risks), if symptomatic or if it grows at a rate greater than 0.5 cm/ 6 months. The treatment is endovascular repair unless the anatomy is unfavorable (unusual). You should see a board certified vascular surgeon with endovascular experience. ...Read more

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Is an abdominal aortic aneurysm more likely to burst during extreme physical exertion?

Is an abdominal aortic aneurysm more likely to burst during extreme physical exertion?

Yes: If you have an AAA you should avoid extremes of hypertension. Extreme physical exercise will raise your blood pressure and that will increase the pressure on the aneurysm sac. Therefore most vascular surgeons would recommend against this sort of activity. ...Read more

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Dr. Gutti Rao Dr. Rao
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What is angina, chest wall pain and a mild heart attack?

Dr. Gutti Rao Dr. Rao
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What is angina, chest wall pain and a mild heart attack?

Angina: Angina is chest pain that occurs when there is a partial blockage of one of the coronary arteries. This is as opposed to heart attack when there is a near total occlusion. ...Read more

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Dr. Gutti Rao Dr. Rao
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Is chest pain a sign of possible pulmonary edema?

Dr. Gutti Rao Dr. Rao
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Is chest pain a sign of possible pulmonary edema?

Not typical: CP is usually not a symptom of pulmonary edema. They may have sob, hypoxemia, anxiety or wheezing. ...Read more

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Mild aneurysmal dilation of the distal abdominal aorta, this showed up on an unrelated mri, how common is this? History of cad

Mild aneurysmal dilation of the distal abdominal aorta, this showed up on an unrelated mri, how common is this? History of cad

Common: Enlargement of the aorta is common, although usually at older ages. Smokers and patients with certain specific inherited conditions can have aortic aneurysms. This should be followed but periodic imaging studies. Good luck. ...Read more

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What is the typical underling cause for aortic aneurysm?

What is the typical underling cause for aortic aneurysm?

Arteriosclerosis: Most arteriosclerotic aneurysms result in cystic medial necrosis of the aorta resulting in dilatation of the artery secodary to the internal pressure and weakness of the arterial wall. Any part of the aorta and its branches may be affected. Infections with bacteria, fungus, syphillis may also produce aneurysms in the aorta. ...Read more

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Is an aortic aneurysm (aaa) more likely to burst during extreme physical exertion?

AAA rupture: Anything that dramatically increases blood pressure could increase the chance of aneurysm rupture. It is the diameter of the aneurysm, however, that is most closely tied to the risk of an aneurysm rupturing. ...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 u detect an thoracic aneurysm on a ultrasound of abdominal aorta or of heart? Or chest xray? Or what could u detect regarding aneurysms?

Could u detect an thoracic aneurysm on a ultrasound of abdominal aorta or of heart? Or chest xray? Or what could u detect regarding aneurysms?

Aneurysm: Abdominal aortic ultrasound might detect aneurysm of the thoracic aorta just before it enters the abdomen, otherwise would not be good to detect thoracic aneurysm. Echocardiogram can detect thoracic aneurysm. Chest X-ray might detect it if it is large. ...Read more

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