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Doctor insights on: Leaking Abdominal Aortic Aneurysm Symptoms

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What symptoms should I look for if I have an abdominal aortic aneurysm?

What symptoms should I look for if I have an abdominal aortic aneurysm?

None: An abdominal aortic aneurysm is usually silent and has no symptoms until it is beginning to expand or rupture. If you have a family history or are a hypertensive smoker you should be checked. In most cases this involves an ultrasound of the aorta which is a simple screening test. ...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 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 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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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

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What are the odds I have abdominal aortic aneurysm at age 24 but have symptoms of it for 4 years? Like pulsing and pain

What are the odds I have abdominal aortic aneurysm at age 24 but have symptoms of it for 4 years? Like pulsing and pain

AAA.: It would be unusual to have an AAA at your age, unless you have some underlying medical condition that would make you more likely to have one at your age. We can sometimes normally feel the pulse of the aorta through the skin of the abdomen or even transmitted across the liver if we're pushing on the liver. But it couldn't hurt to confirm/deny with an abdominal ultrasound. ...Read more

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What is a symptom of an abdominal aortic aneurysm. How can I know if I have one?

What is a symptom of an abdominal aortic aneurysm. How can I know if I have one?

Asymptomatic: Most of patients with aortic aneurysms aa are asymptomatic and discovered with routine physical exam, screening duplex ultrasounds and as incidental finding on ct scans. Some patients may have abdominal/chest or back pain or rupture. ...Read more

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How long would symptoms be present before a 10cm abdominal aortic aneurysm blows?

How long would symptoms be present before a 10cm abdominal aortic aneurysm blows?

Rupture AAA: Best care is avoid rupture. Prior to rupture there are little to no symptoms. At time of AAA rupture, a life threatening emergency exists, the risk of death elevates. If you know you have a 10cm aaa, get it evaluated and repaired. If you have been evaluated (with a second opinion) and told a repair is not possible, then stay on your medical regimen. Make plan to avoid er if/when rupture occurs. ...Read more

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Isit possible that I have an abdominal aortic aneurysm when I'm only 24 but have sharp pains and pulsing in lower leftabdomen and middle for 3-4 years?

Isit possible that I have an abdominal aortic aneurysm when I'm only 24 but have sharp pains and pulsing in lower leftabdomen and middle for 3-4 years?

Can't tell: Symptoms aren't peculiar to aneurysm, you need to be seen however if you have had these symptoms for long. History and physical examination would direct further management, like need for imaging studies and what type, good luck ...Read more

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What can cause an abdominal aortic aneurysm?

Atherosclerosis: Atherosclerosis induced cystic medial necrosis is the most common cause of abdominal aortic aneurysms. ...Read more

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How can I treat an abdominal aortic aneurysm?

How can I treat an abdominal aortic aneurysm?

Depends: The treatment of an abdominal aortic aneurysm depends on a number of factors. Aneurysms should be followed with ultrasound on a serial basis until they reach 5.5 CM or they exhibit rapid growth within a defined period of time. At that point the decision on how to repair the aneurysm depends on a number of anatomic factors that can be defined by an endovascular surgeon. ...Read more

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Why is the abdominal aortic aneurysm more common?

Why is the abdominal aortic aneurysm more common?

Less wall elastin: The aorta, the main artery that delivers blood from the chest to the belly, has a protein known as elastin in its wall. Smoking and COPD affect biochemistry destroying elastin, leading to weakening in the wall causing it to bulge out forming an aneurysm. Why most common in abdomen? Cause elastin layer is thickest in chest thins at renal arteries in abdomen - no surprise they often form there 1st! ...Read more

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How do I know if I have an abdominal aortic aneurysm?

How do I know if I have an abdominal aortic aneurysm?

Imaging: If the aneurysm is asymptomatic, you may never know. If you have symptoms, your doctor will order appropriate testing. Most people aren't very good at feeling their own aorta, or wouldn't know where to look. Ct scan, ultrasound, abdominal xray can all see the aneurysm or evidence that one is there. ...Read more

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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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How do you know if you have an abdominal aortic aneurysm?

By scan: Abdominal aortic aneurysms can sometimes be found by a good physical exam, it helps if you are thin. Otherwise, if there is a family history of aneurysm, or strong suspicion of one...An ultrasound of the abdomen can often rule it in or out. Failing that a ct-scan is the most accurate and expensive way to diagnose this problem. ...Read more

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How can you tell if you have an abdominal aortic aneurysm?

How can you tell if you have an abdominal aortic aneurysm?

Get checked: AAA may have no symptoms until catastrophe strikes. You may feel a pulsating expanding mass in the abdomen (or not). Family history? Smoker? Diabetic? High blood pressure? Avascular disease? Marfan's syndrome (a connective tissue disease)? All risk factors.Sonogram exam can show AAA when they are small and without symptoms, or bigger; monitored, or treated with stent or surgery if get big enough. ...Read more

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What are different ways to treat abdominal aortic aneurysm?

Surgery observation: Small aneurysms (less tha 5 cm) are typically followed with ultrasound unless there are factors that worry the doc. Surgery may be done with an abdominal incision - to open the aneurysm and replace it with a plastic graft. More recently, endovasculat techniques enable stenting of the ane3urysm and use smaller incisions. ...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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Is it possible to have an abdominal aortic aneurysm and live to 90?

Sure: Life expectancy depends on numerous factors, overall strength and health, mental capabilities, history of heart or lung disease, obesity, diabetes, hypertension, physical activity, lack of cigarette smoking, etc. An abdominal aortic aneurysm may be small, stable and not enlarging and then not affect a person's like expectancy. ...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