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Doctor insights on: Ruptured Aortic Aneurysm Survival Rate

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What is the mortality rate for abdominal aortic aneurysms?

What is the mortality rate for abdominal aortic aneurysms?

Very high if rupture: Rate of rupture: 5 to 6 cm is 5 to 15%; 6 to 7 cm 10 to 20%; 7 to 8 cm 20 to 40%. Also if the aneurysm increases in size by 8 mm in a year the risk of rupture is high even if less than 5 cm. Hence not only is attention paid to the size but also the rate of growth. Once it ruptures the mortality rate is greater than 50%. The key is to repair before rupture either by surgery or stent graft. ...Read more

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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 is the mortality rate of abdominal aortic aneurysms?

What is the mortality rate of abdominal aortic aneurysms?

AAA: Onceit reaches 5.5 cm diameter, then the risk of rupture with almost certain death is less than the risk of repair of the aneurysm. ...Read more

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How does aortic dissection differs from aortic aneurysm?

How does aortic dissection differs from aortic aneurysm?

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

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How does an ascending aortic aneurysn differ from a descending aortic aneurysm?

How does an ascending aortic aneurysn differ from a descending aortic aneurysm?

Couple of things: Ascending aortic aneurysms occur anywhere from just after the heart to just after the takeoff of the blood brain vessels. In descending aneurysm, the site is any of the remaining aorta. This becomes complicated because one type can also turn into the other. Generally speaking, ascending aneurysms are usually operated on, and descending are usually medically managed. Complicated topic. ...Read more

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Is aortic aneurysm same as aortic dissection?

Is aortic aneurysm same as aortic dissection?

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

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Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family history of aneurysm, smoking or htn. Ascending aneurysms and para visceral (upper abdomen) aneurysms are probably the most challenging to repair. ...Read more

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How does thoracoabdominal aortic aneurysm detection work?

How does thoracoabdominal aortic aneurysm detection work?

Rarely has symptoms: Most aneurysms are without symptoms until they begin to rupture or rapidly expand. Most are discovered on chest x-ray, ultrasound or ct scan looking for another problem typically, repair is not indicated in this location until the diameter is 5.5-6 cm. ...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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Can an echo detect abdominal aortic aneurysm?

Can an echo detect abdominal aortic aneurysm?

Ultrasound, not echo: Aortic ultrasound or sonogram is commonly used to diagnose aaa, abdominal aortic aneurysm. Echo is specifically used to assess the heart: valves, chambers, ejection fraction, wall motion. ...Read more

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What is Juxtarenal Abdominal Aortic Aneurysm?

What is Juxtarenal Abdominal Aortic Aneurysm?

Involve renal artery: A juxtarenal AAA is an aneurysm that involves or is associated with the renal arteries which are vital as they supply the kidneys with blood. The repair of this type of aneurysm is very challenging and so be sure and see a board certified Vascular Surgeon with a great deal of experience for consultation and treatment. ...Read more

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Aortic aneurysm same as dissection?

Aortic aneurysm same as dissection?

No: Aneurysm is the dilation of your artery that can rupture if it gets too big overtime. A dissection is when the layers of your artery separate - generally associated with traumatic injuries (blunt or sharp), it is usually an acute event. Sometimes you can see dissection when the aneurysm starts to leak. Make friend with a vascular surgeon. ...Read more

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I am 74 old, 73 in. Tall, 4.8cm ascending aortic aneurysm, with bicuspid aortic valve, when should it be repaired?

Valve is problem: Aneurysm is small and secondary to turbulant blood flow across the abnormal valve. Bicuspid valves generally begin to calcify in the 5th and 6th decades of life leading to Aortic Valve stenosis. You should have a cardiologist and get annual echocardiograms and when the gradient across the valve is > 40mmHG and you have symptoms the valve should be replaced. Tx of aneurysm unnecessary at that size. ...Read more

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Is the aortic valve operation dangerous?

Is the aortic valve operation dangerous?

Major surgery: It's a major operation. Survival is >98% in most series. Other premorbid medical conditions like previous stroke, COPD or kidney disease increases the risk. General good health and younger age lower the risk. ...Read more

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Abdominal aortic aneurysm please tell me death rate?

Abdominal aortic aneurysm please tell me death rate?

Depends on size: Rupture rates from aaa's less than 4 cm are very small. Risk of rupture at 5-5.5 cm is about 5% per year. The risk goes up quickly from there. For example, 10-20% at 6-7 cm, and 20-40% for 7-8 cm. An intervention is often recommended if the aneurysm grows more than 1 cm per year or it is bigger than 5.5 cm. Data also supports consideration for a lower threshold in women (5 cm) - rupture earlier. ...Read more

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Prognosis: aortic stenosis and mitral valve prolapse. Any idea?

Prognosis: aortic stenosis and mitral valve prolapse. Any idea?

2 questions: Aortic stenosis w/o symptoms has good prognosis. Symptomatic as has 5, 3, and 2 yr life expectancy depending on symptoms. Chest pain (5), passing out (3) and heart failure (2) yrs. This improves if the valve is replaced. Mitral valve prolapse does not significantly affect your prognosis by itself. Some though can worsen and begin to leak. This can also lead to heart failure. ...Read more

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Can people over age 80 have an abdominal aortic aneurysm repaired through endovascular surgery?

Age and endo repair: Absolutely. It is anatomy not age that typically determines who can have it. ...Read more

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When are aortic aneurysm repairs performed?

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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What happens in an aortic aneurysm repair?

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

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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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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
1,395 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