What is and why does an aortic aneurysm happen? And Shaio

An aneurysm is the dilation of an arterial blood vessel in any part of the body to twice its normal diameter, in the case of the aorta, which is the blood vessel that most frequently presents with aneurysms, in its normal infrarenal portion between 1.5 and 2 cm., when it is 3 cm it is already considered an aneurysm and from 5.5 cm it is considered a very high-risk aneurysm and surgical intervention is necessary.

What types of aneurysms are there?

For purposes of study, the aorta is divided into six segments as it is a vessel that runs throughout the human body, and there are aneurysms that occur in each. Among aortic aneurysms, the most common is the abdominal, but they can also occur in:

  • The ascending aorta

  • The aortic arch

  • The thoracic aorta

  • The thoracoabdominal

  • Infrarenal aorta

  • Iliac arteries

They can also be classified according to their shape as:

  • True aneurysms: that they can be fusiform that is to say in the form of fruit, or saccules in the shape of an egg or rim.

  • Mycotic aneurysm: which is when there is infection of the blood vessel that weakens the wall.

  • False aneurysms or pseudoaneurysms: which are generally secondary to accidents, trauma, broken glass due to injury or aggression.

what causes one aortic aneurysms?

So far no single cause is known as to why this affectation occurs, but some factors are known that contribute to people suffering from an aneurysm:

  • Hereditary factors or family history

  • By age, it is more common in men over 65 and in women over 75

  • Risk factors such as smoking, high blood pressure or lung disease

  • It can be more common in men but more severe in women

What symptoms has an aortic aneurysm?

It should be known that aortic aneurysm is typically asymptomatic, symptoms are usually present ca when the rupture of the aorta occurs, it is a picture of a lot of abdominal pain and high mortality.

Today there are protocols for the diagnosis of aneurysms using imaging and screening to detect them in the early stages, and offer the proper treatment to prevent the rupture of this glass.

What are the risks of an aneurysm? of aorta?

If this disease is allowed to run its natural course it can have fatal consequences, aortic rupture has a mortality close to 100%, in patients who manage to have treatment the mortality is close to 50%. The worst part is that this has not been able to be reduced despite current medical technology.

The diseased aorta being the main vessel of the body, it can be associated with disorders in different organs such as the kidneys causing kidney failure, or the liver causing liver failure, it can also generate internal bleeding causing heart failure or heart attacks, brain problems or heart attacks cerebral

How to prevent an aneurysm of aorta?

In the face of the symptoms, it is important to see the doctor, who will carry out a study of the risk factors, according to the protocols the appropriate follow-up will be given for their detection. An early detection will allow it to be treated in a programmed way by means of vascular therapies or surgery.

The best way to prevent this disease is to have a healthier lifestyle that includes:

What treatments are there to treat an aneurysm of aorta?

Traditional treatment is based on open surgery, which consists of opening the part of the body where the aneurysm is located and draining the blood vessel, to cut and replace it with an artificial graft sutured to the healthy aorta.

With the upgrade in technology, less traumatic ways have been found through endovascular techniques, in which the aorta is accessed from less important vessels such as the femoral artery with small devices such as catheters, which allow the system to be navigated circulatory with the help of X-rays. This makes it less invasive, lowers the risks, is better tolerated because it produces less pain and shorter hospitalization.

It is important to know that any of the treatment options is viable, but success in the recovery of an aneurysm is pre and post-operative management, since before the process it is important to review and take all the necessary measures to avoid the risk, and there is a much faster recovery. In fact, it has been shown that it is not recommended that patients keep absolute rest after this procedure, but start to handle normal life.

In our Peripheral Vascular Surgery and Angiology service, we perform procedures for the effects caused to the blood vessels in all parts of the body that do not correspond to the heart and brain, using minimally invasive techniques and the latest technology equipment for diagnosis and treatment .

This article was advised by Dr. Julián Moreno, head of the Vascular and Endovascular Surgery service from the Shaio Clinic.

For more information:

https://www.shaio.org/cirugia-vascular-periferica-y-angiologia

https://www.shaio.org/accesos-vasculares

https://www.shaio.org/curso-trombectomia-mecanica

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