Top
20
Doctor insights on: What Are The Signs Someone Has Dissecting Aortic Aneurysm

Share
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


Amanda Xi Dr. Xi
14 doctors agreed:
2

2
What is a dissecting aortic aneurysm?

Amanda Xi Dr. Xi
14 doctors agreed:
What is a dissecting aortic aneurysm?

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

See 2 more doctor answers
3

3
What does having dissecting aortic aneurysm mean?

What does having dissecting aortic aneurysm mean?

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

See 1 more doctor answer
4

4
Do a lot of people get dissecting aortic aneurysm?

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 1 more doctor answer
6

6
Do people with dissecting aortic aneurysm have a lot of pain?

Do people with dissecting aortic aneurysm have a lot of pain?

Most: Most patients with a dissection aortic aneurysm have a sensation of tearing in their chest that is painful and distressing. However, between 5-15% of patients with aortic dissection have a painless dissection, making detection more difficult. Unexplained hypotension with dyspnea and heart failure usually lead to a diagnostic echocardiogram... But missed diagnosis are common in this group. ...Read more

See 1 more doctor answer
7

7
What is the best treatment for dissecting aortic aneurysm?

What is the best treatment for dissecting aortic aneurysm?

Hospitalization: Acute dissection of an aortic aneurysm in the chest requires emergency care. There are different types, but dissection of an ascending aortic aneurysm will fatal over 90% of the time in hours to days unless treated with emergency surgery. Acute dissection of the descending aorta may be treated with surgery or medical care depending on the circumstances, but always requires hospitalization. ...Read more

See 1 more doctor answer
8

8
Which treatment works the best and fastest for dissecting aortic aneurysm?

Which treatment works the best and fastest for dissecting aortic aneurysm?

TO THE O.R.!: Aortic dissection may be treated with medical management or emergent surgery. With the improvement of endovascular grafts, surgical repair seems more common. A vascular surgeon will advise based on anatomy and location of dissection, vessels/organs involved. I've seen a few interventional radiologists do things also. Most important is immediate evaluation! ...Read more

See 1 more doctor answer
9

9
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

10

10
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

See 1 more doctor answer
11

11
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

See 1 more doctor answer
12

12
I had an aortic aneurysm with dissection and had a pace maker put in. Would it be alright for me to have alcoholic drinks?

I had an aortic aneurysm with dissection and had a pace maker put in. Would it be alright for me to have alcoholic drinks?

Probably not: You've already had 2 near death experiences and if your taking all the meds prescribed for you i'd stop drinking and smoking now. Good luck! ...Read more

See 1 more doctor answer
14

14
Is abdominal aortic aneurysm the same thing as aortic dissection?

AAA v dissection: Not really; an aneurysm bulges due to a weakness in the artery wall. A dissection is a tear in one or more ( of the three) layers of the artery wall which continues in one or both directions. ...Read more

See 2 more doctor answers
15

15
Are there warning signs for an aortic aneurysm? Any ways to prevent one? Is there an exam that shows if you are susceptible to one?

Perhaps: Positive family history, marfans or connective tissue disease, hypertension, smoking, no absolute predictors, but good accurate exams and imaging are available. Aneurysm can affect any part of the aorta - chest, abdomen pelvis and any named vessel! so full history and exams are relevant. ...Read more

See 1 more doctor answer
16

16
I, m 31, had stress test/ecogram of heart 4 months ago, signs were great. Can I develop an aortic aneurysm since then? I'v having mid chest/ back pain

I, m 31, had stress test/ecogram of heart 4 months ago, signs were great. Can I develop an aortic aneurysm since then? I'v having mid chest/ back pain

Yes: Anything can develop. The stress test was a moment in time. However, a stress test looks for blockages in the coronary arteries of your heart, not an aortic aneurysm. Your symptoms could be an aneurysm. If you have personal or family risk factors for that, you need that evaluated. That can be done by angiography or ct. ...Read more

17

17
Is bruising in the periumbilical area a common sign of a leaking aortic aneurysm?

Is bruising in the periumbilical area a common sign of a leaking aortic aneurysm?

Very Late sign: Since the abdominal aorta is in the retroperitoneum, bleeding most often occurs into the space near the kidneys. Early symptoms are abdominal, back or flank pain. It is more common to have bruising of the flanks (grey turner's sign). It is possible for the blood to track all the way up to the umbilicus, but this would be a pretty late sign. Hopefully you would be in the or by then! ...Read more

See 1 more doctor answer
19

19
Can someone in their 20s already have an aortic aneurysm?

Can someone in their 20s already have an aortic aneurysm?

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

See 2 more doctor answers
20

20
Is it alright to massage someone with an aortic aneurysm?

Is it alright to massage someone with an aortic aneurysm?

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

See 1 more doctor answer

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