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Abdominal Aortic Aneurysm - Know Its Symptoms and Treatment!

M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Jalandhar
Abdominal Aortic Aneurysm - Know Its Symptoms and Treatment!
The aorta is the largest blood vessel that carries blood to the body, running from the heart, through the chest and on to the abdomen. An enlargement of the lower part of the aorta is called an abdominal aortic aneurysm. If it were to rupture, it could cause massive internal bleeding leading to fatal consequences.

Abdominal aortic aneurysms are extremely difficult to detect as they rarely show any symptoms and develop slowly. They are more often than not detected during other unrelated medical examinations. Routine medical tests such as ultrasounds, X-rays ordered for different reasons usually helps detect these aneurysms. The growth of these aneurysms are also difficult to predict, while some never expand, others either expand over time or very quickly in a very short period of time. As they enlarge you might notice symptoms such as-

A pulsating sensation near your naval area.
A constant and sharp pain on the side of your abdomen.
Shooting pains in your back.
If an abdominal aortic aneurysm is suspected, your physician will prescribe specialized tests to confirm it. Tests for Abdominal Aortic Aneurysm include-

Abdominal Ultrasound
Computerized tomography (CT) scan
Magnetic resonance imaging (MRI)
The aim is to prevent aneurysm from rupturing. Depending on the position, size and the rate of growth of aneurysm, your physician will decide whether to monitor it or opt for surgery.

Medical Monitoring
If the size of your aneurysm is manageable, then to avoid the risks that are involved with surgery, your physician will recommend medical monitoring. That will include regular appointments with your doctor to check that it isn t growing and to manage any other medical condition that might aggravate your aneurysm. Regular imaging tests will be ordered to check the rate of growth of aneurysm. An abdominal aneurysm after six months of diagnosis and regular follow-ups after that.

If you are experiencing sharp pains, leakage or tenderness, then depending on how fast your aneurysm is growing; your physician will recommend different options for surgery.
1. Open Abdominal Surgery
This open surgery involves removing the damaged section of the aorta and using a synthetic tube to replace it. It takes about a month or so to recover from this particular surgery.

2. Endovascular Surgery
Less invasive than an open surgery, this procedure involves inserting a synthetic graft attached to a catheter through an artery of a leg and threading it up into the aorta. Though the recovery time is much shorter and the procedure much less painful and invasive, it can t be performed on more than 30% of the patients who have been diagnosed with an aneurysm.

Surgical treatment for an abdominal aortic aneurysm is dependent on a variety of factors including age of the patient, size, and location of aneurysm, other pre-existing medical conditions. Discuss comprehensively the options and decide with your physician what is most suitable for you.

Being asymptomatic in most cases, abdominal aortic aneurysms are difficult to distinguish, though when diagnosed it is fairly straightforward to treat. The important thing is to be vigilant and to be detailed in your discussions with your physician.
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Endovascular Repair Of Thoracic Aortic Aneurysms!

Cardiothoracic Vascular Surgery, Patna
Endovascular Repair Of Thoracic Aortic Aneurysms!
The aorta is the largest blood vessel that supplies pure, oxygenated blood to the various parts of the body. Starting in the left lower heart chamber, it takes a U-turn down to the abdominal area and then the legs. It branches as it goes down, with two main branches being the thoracic and abdominal aorta.

Thoracic aortic aneurysm, also known as thoracic aortic dissection or descending aortic aneurysm is abnormal swelling of the aorta in the chest which can rupture over a period of time. The exact cause as to why this occurs has not been identified yet. Family history does have a role to play along with smoking, and history of heart disease, identified as risk factors.
The condition is quite slow to progress and often gets diagnosed when some other disease is being investigated. There are no clear symptoms to indicate this aneurysm, other than a probable hoarseness of voice, difficulty swallowing or pain in the shoulder blades. This is often due to the pressure it exerts on the surrounding areas.

Diagnosis, as noted above, is often when some other condition is being investigated. It can be identified on an x-ray and then further confirmed with MRI or CT scan.

Treatment is often decided based on the overall severity of an aneurysm and the condition of the patient. In most cases, the doctor might decide to wait and watch. The patient is monitored at regular intervals to ensure no symptoms develop and the condition is under control. Every once in 6 months, a scanning can be done to ensure that the aneurysm is not growing. The idea is to prevent rupture and internal bleeding, which can be life-threatening. Thoracic aortic endovascular graft repair, often referred to as TEVAR, is the most widely used technique for definitive treatment of a thoracic aortic aneurysm.

Treatment: What happens during TEVAR is that an aneurysm is identified and isolated. An incision is made in the groin area through which a small device is placed in the aorta at the area of an aneurysm. The part of the aorta with the aneurysm is replaced with a graft, so that normal blood flow is restored. Alternately, the blood flow could be bypassed to skip the aneurysm and flow through an alternate route.
This is a minimally invasive procedure and done as an outpatient than the conventional open heart surgeries that were done earlier.

Postop care:
- Maintain good control over blood pressure
- Watch out for recurrence, especially if there is a strong family history
- Quit smoking

Thoracic aortic aneurysms are very rare and not easy to identify. However, given the possible complications, they require timely intervention.
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I'm suffering from thoracic outlet syndrome. & my right hand operated at AIIMS, Delhi. After the accident i'm not able to learning some things so what can I do?

Physiotherapist, Noida
I'm suffering from thoracic outlet syndrome. & my right hand operated at AIIMS, Delhi. After the accident i'm not abl...
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.. Warm up and cool down is a must.
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