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Doctor insights on: Medicine For Aortic Aneurysm

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Can aortic aneurysm symptoms be mistaken for anything else? Even more so after use of "upper" drugs?

Can aortic aneurysm symptoms be mistaken for anything else? Even more so after use of "upper" drugs?

Yes--can be mistaken: Aortic aneurysm is highly unlikely in someone your age. The only people I've ever known to have aortic aneurysm have been long-term (more than 20-30 years) smokers. Aortic aneurysms are characterized by a "tearing pain, " that moves as the tear expands. Some have compared it to pain of a kidney stone. More likely you're having tachycardia and anxiety from the "uppers." ...Read more

Dr. Mario Matos-Cruz
944 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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My son has aortic aneurysm with htn. What drugs will be used to treat him?

My son has aortic aneurysm with htn. What drugs will be used to treat him?

Aneurysm and htn: There are many possible drug choices for treating this situation. In general we try and control the blood pressure and narrow the pulse pressure with the agents we use. Discuss the possible therapy with the physician (s) involved. ...Read more

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Can aortic aneurysm symptoms be mistaken for anything else? Even more so after use of drugs? Mostly about the symptom of a mass underneath the

Aneurysm: An aneurysm is usually asymptomatic, and becomes symptomatic when it enlarges enough. If you can feel a mass and that's the aneurysm, you should have it addressed immediately because it means that it's large enough to create problems ...Read more

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What to do if patient has aortic aneurysm with htn. What 2 drugs you give them?

Amlodipine: One study suggested amlodipine is beneficial. The most important factor is BP control and not smoking. The second drug I would choose would be a beta blocker like atenolol or metoprolol. ...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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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 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?

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?

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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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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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

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What are causes of an aortic aneurysm?

What are causes of an aortic aneurysm?

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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Is aortic aneurysm a common condition?

Is aortic aneurysm a common condition?

No but its not rare: Abdominal aortic aneurysms are more common than thoracic. An aneurysm is defined as an enlargement of the aorta 1.5 x the normal diameter. The incidence is around 37 per 100, 000 patient yrs. There is a 3% prevalence in those over 50 yrs old. Male to female ratio of 9 to 1. Risk factors hypertension, high cholesterol, smoking, diabetes, family history and age. ...Read more

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What is an infrarenal aortic aneurysm?

What is an infrarenal aortic aneurysm?

Below the kidneys: An infrarenal aortic aneurysm is a dilation of the aorta below the renal (kidney) arteries. This section of the aorta is located in the abdomen. ...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?

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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When are aortic aneurysm repairs performed?

Based on size: The risk of rupture of an aortic aneurysm increases with its size (diameter). When the size reaches a certain threshold, the risk of rupture becomes substantial. At this point, a repair is justified either with surgery or a percutaneous stent graft. ...Read more

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If you get aortic aneurysm, how do you feel?

Usually nothing: Most aortic aneurysms form slowly over time and are completely asymptomatic. If the aneurysm develops a tear (dissection) pain is typically abrupt in onset and severe in intensity. ...Read more

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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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Can an ascending aortic aneurysm shrink by itself?

Unlikely: This is very unlikely. Aneurysms treated endovascularly (stents / endografts) do often shrink because they are depressurized. ...Read more

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How can you deal with an ascending aortic aneurysm?

How can you deal with an ascending aortic aneurysm?

Echo...: Echocardiogram annually... When > 5 cm or aortic valve regurgitation is severe, then a bentall procedure is the classic repair. Speak with a cardiologist regarding this issue, not a primary care md or np. ...Read more

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How should I deal with an ascending aortic aneurysm?

Marfan's?: Repair when diameter 4.5cm or greater if bicuspid aortic valve or marfan's, ehrles danlos, with or w/o aortic insufficiency. Otherwise 6cm. Your cardiac surgeon is the one that can advise you on the timing of your repair, earlier repair may be indicated depending on anatomy and sinus of valsalva size. ...Read more

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What are activities to avoid for an aortic aneurysm?

Heavy lifting: We tell people with aortic aneurysms to avoid activities that will increase intraabdominal pressure. This would include lifting anything so heavy it makes you grunt, doing sit-ups or crunches, or forceful straining on the toilet. ...Read more

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What are the symptoms of an aortic aneurysm in women?

What are the symptoms of an aortic aneurysm in women?

Same as men: Most of the time AAA is asymptomatic (no symptoms) but can present with abdominal or back pain, compression on organs or rupture and shock. ...Read more

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How long can I live with an aortic aneurysm size 5.5?

How long can I live with an aortic aneurysm size 5.5?

Moderate to severe: Enlargement. ..Very unusual in someone your age. Recommend evaluation with a cardiologist or cardio thoracic surgeon as risk of rupture increases with increase in size. Don't delay as you may need surgery. ...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

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
1,399 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