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How and when can an Aneurism (now at 4cm) burst and do you have any notice?

2007-03-03 05:55:39 · 5 answers · asked by just me !!! 2 in Health Diseases & Conditions Heart Diseases

5 answers

Aortic aneurysms are classified by shape, location along the aorta, and how they are formed. The wall of the aorta is made up of three layers: a thin inner layer of smooth cells called the endothelium, a muscular middle layer which has elastic fibers in it called the media, and a tough outer layer called the adventitia. When the walls of the aneurysm have all three layers, they are called true aneurysms. If the wall of the aneurysm has only the outer layer remaining, it is called a pseudoaneurysm. Pseudoaneurysms may occur as a result of trauma when the inner layers are torn apart. Most fusiform aneurysms are true aneurysms. The weakness is often along an extended section of the aorta and involves the entire circumference of the aorta. The weakened portion appears as a generally symmetrical bulge. Saccular aneurysms appear like a small blister or bleb on the side of the aorta and are asymmetrical. Typically they are pseudoaneurysms caused either by trauma (such as a car accident) or as the result of a penetrating aortic ulcer. Degenerative aneurysms are the most common types of aneurysms. They occur as the result of breakdown of the connective tissue and muscular layer. The cause could be cigarette smoking, high blood pressure and/or genetic conditions. Dissecting aneurysms occur when a tear begins within the wall of the aorta, causing the three layers to separate. This is similar to what happens to a sheet of plywood that is left out in the weather. The dissection (separation of the layers) causes the wall of the aorta to weaken, and the aorta enlarges. Dissections may occur anywhere along the aorta and treatment depends upon the location. Frequently, those involving the ascending aorta are treated with emergency surgery while those involving the descending thoracic aorta are treated with medication. Although dissections are uncommon, they are the most common of the acute aortic syndromes. They are lethal if left untreated. The aorta is shaped like an old-fashioned walking cane with the short stem of the curved handle coming out of the heart and curling through the aortic arch which gives off branches to the head and arms. Then the aorta descends through the chest cavity into the abdomen and separates off to provide blood to the abdominal organs and both legs. Thoracic aneurysms can occur anywhere along the aorta above the diaphragm, including the ascending aorta, the aortic arch, and the descending thoracic aorta. In general, thoracic aortic aneurysms are treated by thoracic surgeons. You describe your condition as involving the ascending aorta, therefore I shall not discuss the descending aorta and the aneurism details appertaining to that part of the aorta.
I add a link that carries details of various types of aortic aneurysm, which might be of interest.

http://www.slrctsurgery.com/
Thoracic%20aortic%20aneurysms.htm


The condition which you describe is of a serious nature, and if it applies to yourself or anyone that you know, you – or they - would be strongly advised to obtain advice from a doctor or cardiologist.
Hope this helps
Matador 89

2007-03-03 06:31:49 · answer #1 · answered by Anonymous · 0 0

they frequently place a sent interior the section the place the aortic partitions are weakened. they are in a position to flow in the process the groing with a catheter, it extremely is way less invasive. Or they are in a position to flow in the process the tummy, it extremely is seen a important operation. the two a form of suggestions have risks in touch. yet, stepping into the process the femoral groin section is the main secure. A "triple A" is yet another call for an aortic aneurism. Open heart surgical technique has not something to do with a triple A. it somewhat is a very diverse technique. An aortic aneurism is risky, if not caught early sufficient to attempt to repair it. as quickly as a stent is placed interior the weakened wall of aorta, it reinforces the wall, and with a bit of luck which will restoration the project. it somewhat is often repaired whilst the measurments of the anerusim reaches 5cm- 6 cm. they could desire to be sufficiently great to require intervention. they are in a position to enhance quickly, or they are in a position to enhance sluggish. If someone chooses to not have any intervention with this scientific situation, and it does burst, someone can bleed out interior of four minutes and that's it. Very not often do people stay to tell the tale this could desire to this take place. i'm hoping this information helps you. determine you have a sturdy vascular physician. It takes somebody with lots potential and practice to preform this technique.

2016-10-17 04:39:02 · answer #2 · answered by ? 4 · 0 0

Sometimes the rupture occurs between the layers of the aorta and blood dissects between these layers, causing severe chest pain that must be differentiated from a heart attack. Other times it just ruptures and the person rapidly bleeds to death.

The affected person needs to be evaluated by a skilled cardiovascular surgeon. The advisability of surgery depends on the patient's age, general health, and size and location of the aneurysm.

2007-03-03 06:31:59 · answer #3 · answered by greydoc6 7 · 0 0

You not feel any symptoms, prognosis is extremely poor, no chance of survival once it burst. So avail the opportunity.
Best of luck.

2007-03-03 07:52:11 · answer #4 · answered by Dr.Qutub 7 · 0 0

You won't feel it until it does burst, and then the symptom will be extreme dizzyness and a quick death.

2007-03-03 06:11:21 · answer #5 · answered by bob shark 7 · 0 2

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