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2007-05-08 01:16:57 · 8 answers · asked by Nancy O 1 in Health Diseases & Conditions Heart Diseases

8 answers

Very much depends on size and size of Aneurysm, this topic will help you:

TREATMENT:

Illustration of abdominal aortic aneurysm Abdominal aortic aneurysm

The goal of treatment is to prevent rupture of the aneurysm. Generally, your treatment options are to watch and wait or to have surgery. Your decision depends on the size of the aortic aneurysm and how fast it's growing. Here are the general guidelines for abdominal aortic aneurysms:

* Small aneurysm (4 cm or smaller). If you have a small aortic abdominal aneurysm — less than 2 inches, or about 4 centimeters (cm), in diameter — and you have no symptoms, your doctor may suggest a watch-and-wait (observation) approach, rather than surgery. If you choose this approach, your doctor will monitor your aneurysm with periodic ultrasounds, usually every six to 12 months and encourage you to report immediately if you start having abdominal tenderness or back pain — potential signs of a dissection or rupture. Your doctor may also recommend a high blood pressure medication called a beta blocker. Beta blockers decrease the force of blood ejection from the heart to minimize the expansion of the aneurysm. If you are a smoker, you should stop. Your doctor may recommend medications to lower cholesterol. If you have Marfan syndrome, your doctor may recommend an angiotensin receptor blocker, such as losartan, both to lower blood pressure and to try to stabilize the aorta. In general, surgery isn't needed for small aneurysms because the risk of surgery outweighs the risk of rupture.
* Medium aneurysm (between 4 cm and 5.5 cm). It's less clear how the risks of surgery versus waiting stack up in the case of a medium-size aortic abdominal aneurysm. If your aortic aneurysm is between 4 cm and 5.5 cm, you'll need to discuss the benefits and risks of waiting versus surgery and make a decision with your doctor.
* Large (5.5 cm or larger) or fast-growing aneurysm. If you have an aneurysm that is large or growing rapidly (more than 0.5 cm over six months), leaking, tender or painful, you'll probably need surgery. Surgery to repair an aortic aneurysm involves removing the damaged section of the aorta and replacing it with a synthetic tube (graft), which is sewn into place. This procedure requires open-abdominal or open-chest surgery involving a large incision in your chest and lengthy recover time.

A newer treatment for aortic aneurysm involves using a less invasive approach. Doctors attach a synthetic graft to the end of a thin tube (catheter) that's inserted through an artery in your leg and threaded up into your aorta. The graft — a woven tube covered by a metal mesh support — is deployed at the site of the aneurysm and fastened in place with small hooks or pins. The graft reinforces the weakened section of the aorta to prevent rupture of the aneurysm. This type of procedure is called endovascular surgery. Recover time is less than required for open-chest or abdominal surgery. Long-term results and benefits of endovascular surgery versus those of traditional surgery are unknown.

Although it's possible to repair a ruptured aortic aneurysm with emergency surgery, the risk is much higher and there is less chance of survival. Many people who experience a ruptured aortic aneurysm die before they reach the hospital.

Recommendations for surgical treatment of thoracic aortic aneurysms depend on the underlying condition, especially for people with Marfan syndrome, and location of the aneurysm.

2007-05-08 05:09:21 · answer #1 · answered by Dr.Qutub 7 · 0 0

They usually place a sent in the area where the aortic walls are weakened. They can go through the groing with a catheter, which is less invasive. Or they can go through the abdomen, which is considered a major operation. Both of these procedures have risks involved. But, going through the femoral groin area is the safest.

A "triple A" is another name for an aortic aneurism.
Open heart surgery has nothing to do with a triple A. It's a totally different procedure.
An aortic aneurism is dangerous, if not caught early enough to try to repair it. Once a stent is placed in the weakened wall of aorta, it reinforces the wall, and hopefully that will fix the problem. It is usually repaired when the measurments of the anerusim reaches 5cm- 6 cm. They have to be large enough to require intervention. They can grow fast, or they can grow slow. If a person chooses not to have any intervention with this medical problem, and it does burst, a person can bleed out within 4 minutes and that's it. Very rarely do people survive this should this happen. I hope this info helps you. Make sure you have a good vascular surgeon. It takes someone with much skill and practice to preform this procedure.

2007-05-08 01:34:04 · answer #2 · answered by Anonymous · 0 0

How do you know if you have this is the first thing?

If a Doctor has diagnosised it I hope he has arranged immediate treatment.

An aneurism is a weak wall muscle of the aorta which is pumping powerfully through all that blood.

If you think this person has one ring 911 NOW.
It can burst at anytime causing a Triple A (Abdominal Aortic Aneurism) IT IS DEADLY. AND A MAJOR MEDICAL EMERGENCY.

If it dosn't burst before then they can try and treat it two ways. An angiogram with a shunt put in to reenforce the walls. Or open heart surgery. Or both.

2007-05-08 01:26:11 · answer #3 · answered by I do care! 7 · 0 1

Aortic Aneurysms are typically repaired through surgery which involves placing a 'stent' type device in the area of the aneurysm to provide additional support for the area which is bulging out (so that it wont bulge out). I'm assuming that you do understand what exactly an aneurysm is.

Aneurysms are quite dangerous (especially those involving the aorta, because it is the largest artery in the human body). They can and often do rupture spontaneously with no prior warning symptoms and can cause massive internal bleeding, and death within minutes. It is imperative that an aortic aneurysm be repaired as soon as possible.

2007-05-08 01:28:31 · answer #4 · answered by Su Z Cue 2 · 0 1

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.

2016-05-18 01:17:08 · answer #5 · answered by ? 3 · 0 0

Aortic abdominal. Surgery with graft or wrapping.

2007-05-08 03:07:29 · answer #6 · answered by Anonymous · 0 0

I give anesthesia for these, the only way to fix it is with surgery. you can try to control its size with medications but ultimately to fix it requires surgery.

2007-05-08 01:25:55 · answer #7 · answered by catcolalex 3 · 0 1

open heart surgery

2007-05-08 01:23:01 · answer #8 · answered by dumplingmuffin 7 · 0 3

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