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FAQ - Aortic Rupture
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Can a person have pain with an abdominal aortic aneurysm other than when one is about to rupture?


I have an AAA that a CT scan in Feb 09 showed to be 4.8 cm. I have an appointment with my vascular surgeon July 29, 2009, at which time he said surgical repair will most likely be necessary. In the past few days, I have been having sharp pain to the left of my navel and pains going down my legs. My feet hurt when I am lying down.
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It's a good idea to get checked. You can get pain if the lining of the aneurysm begins to tear (dissect) without rupture.

Hopefully, it's something fairly benign.  (+ info)

My mother has a aortic aneurysm what are the chances of a rupture?


she is about 5 foot and about 8 inches, shes 15 stone and shes has smoked since she was a teenager she is now 44.

I did post a similar question earlier please do not get confused.
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The exact chances of a rupture depend on the size of the aneurysm. The size is usually monitored with an ultrasound scan, or sometimes a CT, but this is used more as a guide to what kind of interventions may be available.

A normal Aorta is about 20-30mm in diameter. Risks are:
•40 mm - 55 mm - about a 1 in 100 chance of rupture per year.
•55 mm - 60 mm - about a 10 in 100 chance of rupture per year.
•60 mm - 69 mm - about a 15 in 100 chance of rupture per year.
•70 mm - 79 mm - about a 35 in 100 chance of rupture per year.
•80 mm or more - about a 50 in 100 chance of rupture per year.

As a rule the risk of rupture is also increased if the patient is still smoking, female or has high blood pressure.

Please don't be confused by the 50 mm threshold for surgery. Patients are at risk before they reach 50mm. The threshold is used as studies have shown that under 50 mm, the risks associated with operating on an aneurysm, are higher than the risk of rupture. Conversely, in aneurysms over 50 mm, the risk of rupture becomes higher than the risk of a surgical complication. Hence surgical intervention is indicated

In some cases doctors will let aneurysms get much bigger where they are concerned that a patient is much more likely to have complications in surgery than to have their aneurysm rupture.

Your mother should be encouraged to stop smoking as smoking increases both the risk of rupture and the rusk of surgical complications.

All the best  (+ info)

can lifting repeatedly cause an aortic aneurysm to rupture?


lifting between 5 and 40 lbs and up to 70 lbs cause anything to happen to aneurysm. any medical proof would help in a claim I am fighting with the Veteran administration. thanks
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I don't have any proof that it could but I am sure it will for the simple fact that your blood pressure increases when you lift heavy things . You need to get that taken of asap , even if they don't approve your claim it's your life it can burst at anytime . Good luck   (+ info)

lesions of aortic rupture in poultry and the pathogenesis also?


what is it that you want to know? the pathogens that can cause an aortic lesion which lead to a dead chicken?  (+ info)

Abdominal aortic rupture symptoms-anyone able to list multiple symptoms, checked web, does it include either:?


total loss of appetite or inability to eat more than (just guessing) 2/3 cup of food? Just learned of a problem, have been worried for some time. UNPUSHABLE person! Would like to hear from Real People in plain terms, What signs and actions and outcome. Person normally has low blood pressure, doesn't overeat, widow 8 yrs, smoker, looks like she's lost 10 lbs in 3 wks. Any symptoms for possible prolapse valve in conjunction with rupture would be helpful. Want to present all options and get her to better health as soon as possible. will be printing answers for refrence. Thank you ahead of time for those who give a true answer.
ok, it's an aneurysm.
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ABDOMINAL AORTIC ANEURYSM

Definition:
An aneurysm is when a blood vessel becomes abnormally large or balloons outward. The abdominal aorta is a large blood vessel that supplies blood to your abdomen, the pelvis, and legs.

The exact cause is unknown, but risk factors for developing an aortic aneurysm include high blood pressure, smoking, high cholesterol, and obesity.

An abdominal aortic aneurysm can develop in anyone, but it is most frequently seen in people over 50 with one or more risk factors. The larger the aneurysm, the more likely it is to rupture.

When an abdominal aortic aneurysm ruptures, it is a true medical emergency. Aortic dissection occurs when the innermost lining of the artery tears and blood leaks into the wall of the artery.

Symptoms:
Aneurysms develop slowly over many years and often have no symptoms. If an aneurysm expands rapidly, tears open (ruptured aneurysm), or blood leaks along the wall of the vessel (aortic dissection), symptoms may develop suddenly.

The symptoms of rupture include:

Pulsating sensation in the abdomen
Pain in the abdomen that is severe, sudden, persistent, or constant. The pain may radiate to groin, buttocks, or legs.
Abdominal rigidity
Pain in the lower back that is severe, sudden, and persistent. The pain may radiate to the buttocks, or legs.
Anxiety
Nausea and vomiting
Clammy skin
Rapid heart rate when rising to a standing position
Shock
Abdominal mass


Abdominal aortic aneurysm may be diagnosed with these tests:

Abdominal ultrasound
CT scan of abdomen
Angiography of aorta

Treatment:
If the aneurysm is small and there are no symptoms (for example, if it was discovered during a routine physical), your doctor may recommend periodic evaluation. This usually includes a yearly ultrasound, to see if the aneurysm is getting bigger.

Aneurysms that cause symptoms usually require surgery to prevent complications.

Surgery is recommended for patients with aneurysms bigger than 5 cm in diameter and aneurysms that rapidly increase in size. The goal is to perform surgery before complications develop.

Expectations (prognosis):
The outcome is usually good if an experienced surgeon repairs the aneurysm before it ruptures. However, less than 50% of patients survive a ruptured abdominal aneursym.

Complications:
Aortic rupture
Hypovolemic shock
Arterial embolism
Kidney failure
Heart attack
Stroke
Aortic dissection

Calling your health care provider:
Go to the emergency room or call 911 if you develop severe abdominal pain or any of the other symptoms of an aneurysm.

Prevention:
Exercise, eat well, and avoid tobacco to reduce the risk of developing aneurysms.  (+ info)

If a person has an aortic aneurysm w/a 70% chance of rupture, what if any physical exertion should be avoided?


Heavy lifting, anything strenuous.

Normal activities are OK  (+ info)

what could cause a rupture of an aortic aneurysm? repeated lifting 10 to 40 lbs?


Depends on why you have the aneurysm, how large it is and several other variables.

Basic answer yes it is a potential reason the aneurysm could at least disect/tear (1-2 layers of wall) or fully rupture. Any stress can do it, physical, emotional, heat...

You should be on a med to reduce stress to the aorta (bb or arb usually). If it is large enough they start talking surgery there are options depending on your overall health, reason for aneurysm and where the aneurysm is. Some surgeons have a lot more experience than others do, and like most things practice makes less risk (complications).  (+ info)

Is it possible to save a person who is having ruptured aortic aneurysm?


I know that this is fatal and is quick to cause death,but is it possible to save him?
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It all depends:
1) How big is the rupture (think leak)?
2) How far are you from the closest vascular surgeon?
(note I didn't say the nearest hospital)
3) If the aneurysm is suitable for repair using a stent-graft, the odds of survival go up.
4) What is the overall health of the patient? (a 50 year old would
have a better chance than an 85 year old)  (+ info)

How long would symptoms be present before a 10cm abdominal aortic aneurysm ruptures?


Symptoms would include a protrusion felt in the abdomen, etc.
My grandmother had a 10cm AAA that ruptured, causing her to die. I'm just wondering how long she had symptoms before her death.
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It varies. Some patients don't know they have one until right before it begins to leak. The pain, wherever it presents, is pretty bad. Once it starts, the patient doesn't have long to get into surgery.

A few patients may have fairly minor discomfort for a few days before rupture.

Sorry about your grandmother. Her children need to be watched closely for an aneurysm. Starting at age 50, they should get periodic screening ultrasounds.  (+ info)

what is the standard after care for a ruptured aortic aneurysm survivor?


what care can i expect for my husband after hospital - should the gp call? nurses pop in?
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With AAA repair, it can take 6-8 weeks for a patient to make a full recovery. It is major surgery. In some cases it can take people up to 6 months before they are fully recovered. It depends on your husbands age and general physical condition.

When he first comes home, it's normal for patients to have loss of appetite and insomnia, this is quite common and should return to normal fairly quickly. The Nurses on the ward will go through wound care with you. The wound site will likely be swollen, it needs to be kept an eye on. If your husband develops any pain, medical attention must be sought.

Basically, once the incision wound has healed, washing with mild soap and warm water when he has a bath is fine. He just needs to ensure the wound is protected from sun exposure for the first year after surgery.

Try and ensure he maintains adequate fluid levels and eats healthily. As you are going to be with your husband, it's unlikely that the District Nurse or GP will pop in unless there is a problem.

His GP will let him know when he is well enough to drive and go back to work, if he still work. If you need any advice, you will be given a leaflet when you leave hospital, you can always ring the ward for advice or contact his GP. A lot depends on your husbands physical ability, if he is unable to do things, then ask for help.  (+ info)

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