Doctor insights on:
Largest Abdominal Aortic Aneurism On Record
No: Keep trying to be healthy. Keep eye on AAA with ultrasound every year. ...Read more
Beating sensations different areas all around belly button under ribs all different areas is it likely to be abdominal aortic aneurism last few months?
Not likely: Abdominal aortic aneurysms usually have no symptoms or sensation. Sometimes they can be felt through the front abdominal wall. An aneurysm in a 31 y/o without other medical issues would be very unlikely. Talk to your dr and check your pulse and heart rhythm an ultrasound would be the easiest way to elevate your fear and may see something else. ...Read more
If I can feel my heart beat in my abdomen and I have middle back pain, could this be an aortic aneurism?
Possible: At your age, unless you have underlying disease (i.e. Marfan's), it's unlikely. If you are relatively thin, it would be expected to be able to feel your aorta pulse. ...Read more
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
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
To detect an aorta aneurism, can an ultrasound be enough? If not, can an MRI "without contrast material" be accurate enough to detect an aorta aneurism?
See below: An ultrasound will detect most abdominal aortic aneurysms if it's technically good (i.e. no overlying bowel gas). The radiologist will generally comment on the quality of the study. An echocardiogram can generally detect a thoracic aortic aneurysm. A CT angiogram can reliably detect either but there is a radiation dose. A non-contrast MRI isn't the test of choice. ...Read more
Pain: Aortic dissections in the acute stage (less than 3 weeks old) are classically described as a "tearing chest pain that radiates to the back" when they occur in the chest, which is their most common location. Aortic aneurysms are generally asymptomatic, but can cause abdominal or back pain, depending on their location. ...Read more
My dad has a triple a aortic aneurism. The doctors have told him operating will not help. Why is that?
Other factors: Surgery for an abdominal aortic aneurysm is based on size (>5cm), location (below the renal arteries), and symptoms. If your father's aneurysm is less than 5cm, and he has no symptoms, observation and medical therapy is warranted. Small aneurysms are not helped by surgical intervention, since the chance of spontaneous rupture is very low. ...Read more
Very mild: And likely can be followed with periodic ultrasound. ...Read more
It depends. ..: The risk of rupture of an ascending aortic aneurysm is affected by things like the diameter, how fast it is growing, underlying connective tissue problems (marfan syndrome, bicuspid aortic valve, etc), blood pressure, and things like that. You should consult a physician to help deterine the most appropriate therapy for you - surgery or medical therapy with regular follow up. ...Read more
I have had an abdomal aortic aneurism for a few years and my doctor hasn't mentioned surgery. Why?
Usual 5.5 cm or more to do intervention
risks benefits need to be assessed and clarified for you.
Other conditions may outweigh need as well. ...Read more
My mother had emergency aortic aneurism surgery. It has been one week and she is still not awake. Why would this be?
Stroke: So sorry -- she could have a stroke! ...Read more
Could an aortic aneurism cause a chronic cough? (i read it can cause a legion on cranial nerve x causing problems in the larynx?)
I have been told I have a stage five aortic aneurism. I want to locate a vascular surgeon in the Springfield, MA or Albany, NY area.
A teaching hospital.: A University hospital in SpringfieldU Tufts U. Medical Center, or any of the reputed medical centers in New York, such as Mount Sinai, Presbyterial would be excellent choices. I do not know exactly how big the aneurysm is, where is located etc. If you are seeking a specialist in any of these places, please take a copy of the CT or the ultrasound with you and contact them soon. ...Read more
Can an MRI scan "without contrast material" detect accurately an aortic aneurism? If it cannot, why? What are the side effects&harm caused by this MRI?
Unknown area on descending aorta.2 cts in last 10 days. Per cvtsurgeon not aneurism or pseudo-aneurism. No infection throwing clots to abd organs. Idea?
Injury: This could be an intramural hematoma or limited aortic. ...Read more
female 58 yrs Small aneurism in ascending aorta and arch; also PFO; high LDL & chol- can't take statins. Willl diet & exercise be enough?
Depends on LDL level: AHA/ACC guidelines =treat based on an assessment of lifetime risk of developing heart disease. Typically, before statins are started, a sincere attempt at lifestyle changes, including avoiding saturated fats& exercising (atleast walking even 10, 000 steps/day) ought to be undertaken. Recheck fasting lipids 6 months later. No egg yolks, no shellfish; eat salmon, almond/walnut (Incr. HDL) ...Read more
My mother has an aortic aneurism. She is 74 years old. Is it safe for her to fly roundtrip from Charlotte, NC to Orlando, FL?
What size?: The sense of gravity regarding aortic aneurysms really lies in their size. Larger aneurysms are more unstable and may be prone to rupture in the short term, which would prohibit being so removed from medical attention. Unless it's a really small aneurysm, I'd be concerned about the flight. ...Read more
After how many time an endoleak after a descending thoracic aorta repair could be closed (the aneurism is stable after 2 CT in 1 and a half year)?
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
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
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
Several things: About 5% of men over the age of 65 have abdominal aortic aneurysms. Risk factors include: increasing age, male sex, family history of aneurysm (may increase your risk 4-fold), hypertension, and history of smoking. Dissecting aneurysms can be caused by localized damage to to the artery from hypertension or trauma (deceleration or sheering-type injury) or catheter injury from an angiogram. ...Read more
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