Doctor insights on:
Leaking Abdominal Aortic Aneurysm Symptoms
"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
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
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
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
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
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
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
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?
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
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
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
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
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
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
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
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
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
Unlikely: While the exact cause of abdominal aortic aneurysms (aaas) is unknown, there are some well-defined risk factors. Aaas are often seen in older adults (> 70 years) and much more prevalent in smokers. In younger people with aaas the cause is usually some genetic syndrome, such as Marfan's or ehlers-danlos, which are very rare. Even in these the typical age for developing a AAA is in 40 years or older. ...Read more
Vascular Surgeons: Vascular surgeons evaluate and treat anuerysms of the thoracic and abdominal aorta. ...Read more
See your doctor: Symptoms like these have to be evaluated in real-time by your physician. He/she has access to your examination, laboratrory data and many other diagnostic tests to get to the bottom of what's going on and offer you help. ...Read more
SEVERAL: If it is not tool larger, medicines to control your blood pressure will help prevent it from getting larger. However, if it is expanding rapidly or is large, then there is the danger of it rupturing, which could be fatal. Depending on the location and size, sometimes this can be repaired with a stent meaning that no incision is necessary. Otherwise, an open operation is needed. ...Read more
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
Resuscitation: The most critical part of nursing after a AAA repair is the immediate post-operative period- especially if the repair is done in an open fashion. There are dramatic fluid shifts that occur and close monitoring of acid-base status, blood pressure, blood counts, and breathing are critical. Once the breathing tube is out and the patients starts to eat, the focus becomes pain control and slow rehab. ...Read more
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
- Talk to a doctor online
- Abdominal aortic aneurysm symptoms in women
- Abdominal aortic aneurysm
- How long will symptoms be present before a 10cm abdominal aortic aneurysm ruptures?
- Leaking brain aneurysm symptoms
- Abdominal aortic aneurysm back pain
- Alternative treatments for abdominal aortic aneurysm
- Fusiform infrarenal abdominal aortic aneurysm
- Aortic aneurysm symptoms women
- Adderall and abdominal aortic aneurysm