Doctor insights on:
Nursing Diagnosis For Aortic Aneurysm
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
"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
Can I exercise with aortic aneurysm? My father is in his 70's and had a slight aortic aneurysm. He wants to start exercising in the gym, but I'm concerned it may be dangerous. Are there any particular machines or exercises he should avoid?
Your: Your father should avoid activities that raise the blood pressure excessively. Heavy weight lifting should be avoided at all costs, and he should focus on light aerobic activity such as briskly walking on a treadmill. A good rule of thumb is to exercise just enough to break a light sweat while maintaining the ability to carry on a conversation. I would recommend that he have an exercise stress test with a cardiologist to assess his blood pressure response to exercise and to help develop an exercise prescription. Any chest, back or abdominal pain or pressure with exercise should be taken very seriously and prompt immediate medical attention. ...Read more
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
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
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
Rare: Most are caused by long-standing high BP and smoking. However, there are connective-tissue diseases and congenital defects that can show up. These are often thoracic (in chest) and may involve the aortic valve. In patients at risk -with marfan's or the like- echocardiogram or other imaging may be indicated. ...Read more
Yes: With the exception of deep abdominal massage or forceful back massage when the person is lying on his stomach. In general, we advise patients with abdominal aneurysms control blood pressure, refrain from smoking, and stay away from activities that increase intraabdominal pressure (like sit-ups or crunches or heavy lifting). ...Read more
Aortic aneurysm: "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, and other clinical factors. ...Read more
Ruptured aneurysm: An abdominal aneurysm can rupture for many reasons. Most common is size. As the aneurysm enlarges the wall gets weaker. We know that aneurysms over 5 cm have a higher rupture rate and those should be operated on electively. Other factors making rupture more likely would be uncontrolled high blood pressure and infection in the wall of aneiurysm. ...Read more
Serious condition: An aortic dissection is when a tear develops in the inner layer of the aorta [which is a large blood vessel that branches from the heart] and blood enters between the inner and middle layers, causing them to separate. If the wall ruptures, then it is often fatal. If detected and treated early on, your chances of survival improves. With appropriate treatment your risk of death is 10%. ...Read more
Surgery or stent: Some aortic aneurysms occur in the chest. More often, aneurysms occur in the belly. Depending on the anatomy, some of the aneurysms can be surgically repaired and others can be repaired with a stent graft. Surgical repair involves excision and replacement of the aneurysmal segment. A stent graft is a percutaneous procedure. ...Read more
No: An aortic dissection is a tear in the lining of the aorta, causing blood to leak into the aortic wall, causing pain and possibly hemodynamic issues. An aneurysm is an enlargement of the vessel to more than 2 times its normal size. Dissections may occur in aneurysms, and may become aneurysmal, but can occur independent of each other. ...Read more
Tear of the aorta: The aorta is the largest blood vessel in the body running from the heart to the top of the pelvis. It has a smooth lining and a muscular wall. A dissection of the aorta is a tear of the lining of the aorta allowing blood to pass between the lining and the wall which can cause problems in blood flow and in some cases can be life-threatening. Acute aortic dissection typically produces sharp sever. ...Read more
No: About 2000 new cases/yr in the US. Very high mortality. Hard to estimate actual occurrence, 1-3%of all autopsies or 1/350 cadavers. Very high mortality if ascending aorta involved. High index of suspicion, symptoms not consistent. If ascending aorta involved, emergency surgery needed. Most of descending aorta dissections can be managed medically into chronic. Periodic cat scans to monitor needed. ...Read more
See below: The repair is an operation so you might have pain from the incision. Now if there are complications, you could get many different symptoms depending on the type of complication. The aneurysm itself could cause pain or an abnormal pulsation in the abdomen but most commonly are discover by an x-ray for something else or at the time of a routine physical examination. ...Read more
Aneurysm/Dissection: An aneurysm is an area where the aorta has ballooned out compared to the aorta below and above. The more expanded the greater the risk of rupture. Dissection is when there is a disruption of the inner layer of the aorta and blood can flow between the layers. This often will cause blockages of aortic branch vessels resulting in stroke, heart attack, and bowel/kidney infarction, etc. ...Read more
Pain: Severe pain of chest, back, and abdomen. ...Read more
Depends on size: Treatment of aortic aneurysms depend on size, symptoms, & associated medical problems of the patient. Usually aneurysms less than 5 cm can be treated with observation. In a 93-year-old, age along with other medical problems must be taken into account to see if the benefits of surgery outweigh the risks. The best thing to do is to consult with a vascular surgeon who can help with this assessment. ...Read more
If bad heart, lungs, cancer etc. Those conditions may determine survival.
Aneurysms may be in different parts of the aorta.
But for abdominal:
symptomatic and 6 cm survival about a year
less and asymptomatic about 5 years as a good guess.
Size, location and symptoms, and other risk factors are relevant to true answer! ...Read more
Give me a hint. What kind of hassle am I facing if doc suspects aortic aneurysm? What is required to diagnose?
Ultrasound: Of the aorta. No big deal.Get a more detailed answer ›