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What Is The Best Treatment For 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, ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
I have been having front upper left chest pain and dizziness. I have family history of heart problems. My mom has a bad heart valve and an aortic aneurysm. I have no health insurance currently. What would be your best advice?
Natural treatment for aneurysm? My grandfather is 80 years old and has an aortic aneurysm. He only wants "natural" treatment. Is there anything that can be done for him?
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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