Doctor insights on:
Paraophthalmic Artery Aneurysm
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Aneurysm is an enlarged blood vessel.
Frequently there are intraluminal thrombus that fills the lumen to about the normal vessel size.
Narrowing of the associated vessels (iliac for example below aorta) may have atherosclerotic plaque and narrowing as a part of the total disease process. ...Read more
My side hurts and I get nauseous easy I have a splenetic artery aneurysm and I have a 2mm cyst on my spleendo I need to worry?
Need more info: Splenic artery aneurysms are usually fixed if they exceed 2 cm in diameter and are symptomatic. Therefore it depends on the size and whether your doctor thinks your pain is related to the aneurysm. Women of childbearing age should get splenic aneurysms fixed regardless of size since they can rupture in pregnancy. Asymptomatic aneurysms in a man or older woman may be watched unless they grow >3cm. ...Read more
How difficult are opthalmic artery aneurysms to fix can they be coiled or do they have to be clipped. How big do they allow them to get?
Difficult: See a good ophthalmologist. These arteries are small and difficult to treat. ...Read more
Probably: Aneurysms of the splenic artery are the 2nd-3rd most common intra-abdominal aneurysms, and most common visceral artery aneurysm. The most common associated risk factors are portal hypertension and multiple pregnancies. Incidence is 4x higher in females than males. ...Read moreSee 1 more doctor answer
Depends: The two sizes stated may have different recommendations - size alone will affect which one may need surgery. Hormonal status (i.e. Pre vs post menopausal) can affect decision as well. Additional characteristics of the aneurysm such as calcifications also might impact determination. For the one less than 2 cm and if asymptomatic, an observational strategy is likely. ...Read more
Abnormal swelling: There are 2 basic types of femoral aneurysms- pseudoaneurysms- frequently caused by angiograms, and true aneurysms. Pseudoaneurysm treatment depends on the size, but should be assessed by a vascular surgeon. True aneurysms are treated depending on size, and have the risk of clotting off or tossing debris down the leg. They are also associated with a higher risk of aneurysms of the aorta. ...Read moreSee 1 more doctor answer
Many treatments: Common in women who have delivered children. Usually asymptotic and incidentally discovered. Most experts agree that an aneurysm under 2cm in size is of low risk to rupture. However, it is important to characterize the "aneurysm" correctly and be evaluated by a vascular expert. Coil embolization, surgical ligation with splenectomy, or monitoring may be reasonable. Cta imaging would best. ...Read moreSee 3 more doctor answers
Possibly: Most splenic artery aneurysms are not at any significant risk of rupture & bleeding until they reach around 20 mm so most vascular surgeons recommend following them annually until they reach that size, then repairing them at that time (most often with embolization or stenting rather than surgery). Occasionally an aneurysm will be symptomatic or grow fast & repair would be needed sooner than 20 mm. ...Read more
None: Usually none unless it leaks or bursts and then it's very painful, there is large possibly pulsating lump, and, in the worst case, your blood pressure drops with faintness. Prior to rupture, one may discover an unusually easy to feel pulsation in the crease in the groin which is painless. There's normally a strong pulse there so distinguishing it from an aneurysm may be hard without ultrasound. ...Read more
They are uncommon.:
The celiac axis (or artery) is one of the shortest named arteries. It branches very quickly into the hepatic and splenic arteries. Because it is so short, it is uncommon for it to develop an aneurysm.
They can occur and when their size is appropriate, will require open surgical repair, with an interposition bypass to replace the aneurysmal artery. It is a big operation_ should be expertly done. ...Read more
What is the treatment for paraophtalmic artery aneurysm and are there any precautions prior to treatment?
Talk to your Doctor: This is an aneurysm of an artery by the eyes and heading towards the pituitary. The treatment can be open via opening the skull or fixing it with an internal stent. There are many potential problems which you should discuss with your doctor. It would not be prudent for me to have this type of discussion in this forum. ...Read moreSee 1 more doctor answer