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Doctor insights on: What Is The Best Treatment For Aortic Aneurysm

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Dr. Michael Zadeh Dr. Zadeh
Surgery
13 years in practice
St. George's University School of Medicine
1

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What is the best treatment for aortic aneurysm?

What is the best treatment for aortic aneurysm?

Depends on Size: Aortic aneurysms less than 5 CM in size can be observed if asymptomatic. The best treatment for symptomatic aortic aneurysms and any aortic aneurysm over 5 CM is surgical repair. This can be done through an open or endovascular approach. ...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


Dr. Steven Gerndt Dr. Gerndt
Surgery - Thoracic
28 years in practice
University of Wisconsin School of Medicine and Public Health
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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

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Dr. Matt Malkin Dr. Malkin
Anesthesiology
12 years in practice
University of Chicago Pritzker School of Medicine
3

3
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

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Dr. Steven Guyton Dr. Guyton
Surgery - Thoracic
42 years in practice
Harvard Medical School
4
Dr. Michael Schwartz Dr. Schwartz
Surgery - Vascular
29 years in practice
University of South Florida College of Medicine
5

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Is there any homoeopathic or natural treatment for aortic aneurysm?

No.: Although medical management (control of blood pressure and stopping smoking) is part of the treatment, aortic aneurysms can only be treated with surgery when indicated. ...Read more

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Dr. Andris Kazmers Dr. Kazmers
Surgery - Vascular
41 years in practice
Wayne State University School of Medicine
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CAN A AORTIC ANEURYSM GO AWAY WITHOUT TREATMENT.CAN A ULTRA SOUND MISS THE ANEURYSM?

CAN A AORTIC ANEURYSM GO AWAY WITHOUT TREATMENT.CAN A ULTRA SOUND MISS THE ANEURYSM?

AAA: Abdominal aortic aneurysms (AAA) do not go away by themselves. Ultrasound detects AAA but occasionally can miss them, particularly pelvic aneurysms involving branches of the aorta. Likewise AAA can be missed in very large people or those with a lot of abdominal gas as ultrasound does not penetrate gas. For the same reason aneurysms in the chest cannot ordinarily be detected by ultrasound. ...Read more

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
8

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What can I do if my friend is un-insured & needs treatment for thoracic aortic aneurysm?

Academic medical : Most university hospitals have specialty clinics where proper evaluation and treatment can b done. Many private non- profit hospitals do also. Check with county medical society. ...Read more

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Dr. Timothy Wu Dr. Wu
Surgery - Vascular
14 years in practice
State University of New York Downstate Medical Center College of Medicine
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What to do about panic due to aortic aneurysm? My poor sister has a 5.2cm aortic aneurysm. It hasn't grown in a year, but she's really overweight and panics every time she experiences an odd sensation because she thinks she's going to die. Should she be

What to do about panic due to aortic aneurysm? My poor sister has a 5.2cm aortic aneurysm.  It hasn't grown in a year, but she's really overweight and panics every time she experiences an odd sensation because she thinks she's going to die.  Should she be

Aortic aneurysm: Without a strong family history of aortic aneurysm disease a 5.2 cm aneurysm can be safely observed. She needs reassurance not a psychiatrist. The rupture risk of a 5.2 cm aneurysm is very, very small but not absolutely zero, so encourage her to discuss with a board certified vascular surgeon. Standard risk patients are offered repairs of abdominal aneurysms at 5.5 cm and at 6 cm for thoracic. ...Read more

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Dr. James Burns Dr. Burns
Emergency Medicine
33 years in practice
Western University of Health Sciences College of Osteopathic Medicine of the Pacific
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I was denied my medical card for my commercial driver license with an aortic aneurysm 4.7. Why isn't it safe to drive a commercial vehicle with this?

I was denied my medical card for my commercial driver license with an aortic aneurysm 4.7.  Why isn't it safe to drive a commercial vehicle with this?

The DOT Guidelines: Allow a 1 year card for asymptomatic AAA over 4 but less than 5cm but only with clearance from cardiovascular surgeon. If you have no symptoms and a clearance statement from a cardiovascular surgeon and no other disqualifying conditions then you should be certified for a maximum of 1 year. ...Read more

Dr. Geoffrey Rutledge Dr. Rutledge
Internal Medicine
37 years in practice
McGill University Faculty of Medicine
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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?

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

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Dr. Mario Matos-Cruz Dr. Matos-Cruz
Surgery - Thoracic
35 years in practice
University of Puerto Rico School of Medicine
12
Dr. Mario Matos-Cruz Dr. Matos-Cruz
Surgery - Thoracic
35 years in practice
University of Puerto Rico School of Medicine
13

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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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Dr. Mark Rasak Dr. Rasak
Internal Medicine - Cardiology
29 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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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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Dr. Francis Uricchio Dr. Uricchio
Internal Medicine - Cardiology
34 years in practice
Tufts University School of Medicine
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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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Dr. Luke Hermann Dr. Hermann
Emergency Medicine
21 years in practice
Creighton University School of Medicine
16

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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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Dr. Laura Pak Dr. Pak
Surgery - Vascular
24 years in practice
University of Pennsylvania School of Medicine
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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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Dr. Shadi Abu Halimah Dr. Abu Halimah
Surgery - Vascular
17 years in practice
Faculty of Medicine, Jordan University of Science and Technology
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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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Dr. Mario Matos-Cruz Dr. Matos-Cruz
Surgery - Thoracic
35 years in practice
University of Puerto Rico School of Medicine
19

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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

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Dr. Matt Malkin Dr. Malkin
Anesthesiology
12 years in practice
University of Chicago Pritzker School of Medicine
20

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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

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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