Aortic aneurysm

The aorta is the largest artery in the body; the branches of the vessel carry blood to all parts of the body. Damage to the aorta is considered one of the most severe conditions. An artery can rupture not only due to injury but also due to loss of firmness and elasticity. Therefore, it is vital to detect the symptoms of an abdominal aortic aneurysm in time.

An abdominal aortic aneurysm is a decrease in the strength and elasticity of the aortic wall, manifested by its expansion and bulging outward. This is the most common form of the aneurysm. The risk of this pathology lies in the possibility of rupture of the aortic wall, followed by massive bleeding, leading to the death of a person. It can be classified into congenital and acquired or true and false.


A characteristic feature of an aneurysm is that it can be absolutely asymptomatic over a long period of time. This is due to the rather slow growth of the aneurysmal defect. When the sufficient large abdominal aortic aneurysm size and rupture risk appears, the following symptoms may appear:

  • feeling of squeezing of internal organs;
  • heaviness in the stomach and heart;
  • dizziness;
  • swelling of the veins of the neck;
  • dyspnea;
  • a pain behind the breastbone.

When the aneurysm ruptures, the patient feels a sharp pain, a drop in blood pressure occurs, and tachycardia appears.


If you are concerned about the alarming symptoms of abdominal aortic aneurysm, do not delay a visit to the doctor, especially if you are at risk. Predisposition to the disease:

  • high cholesterol;
  • smoking;
  • genetic predisposition;
  • excess weight;
  • high blood pressure;
  • aortic injury;
  • previous operations on the arteries;
  • age over 50-55 years old;
  • male sex (in comparison with women, the risk increases 5 times).

In case of illness, you will need to consult a therapist who will refer you to a cardiologist, vascular surgeon, radiologist or ultrasound specialist.

Abdominal aortic aneurysm treatment

At the low risk of developing an aneurysm, observational tactics, treatment with drugs that eliminate blood clots and normalize blood pressure, can be chosen. Conservative treatments for aaa treating include (when less than 5 cm in diameter):

  • control and correction of blood pressure using beta-blockers, calcium antagonists, and ACE inhibitors;
  • lipid-lowering therapy;
  • conducting ultrasound diagnostics to control the size of the aneurysm every 6 months.

The prognosis for ignoring this disease is disappointing: 90% of patients die within two years. But thanks to advances in vascular surgery, any type of aneurysm can be cured.

An absolute indication for surgery is dissection and rupture of the aortic wall. Indications for surgical aaa treatment are the diameter of more than 5 cm, the rapid growth of the aneurysm, the presence of constant pain that worsens the patient’s quality of life. This method consists in excision of the aneurysmal defect with replacement of the affected area with a graft or placement of a stent in the lumen of the defective aortic zone.

At the first suspicion of violations in the work of the cardiovascular system, contact the Advanced Medical Care — for professional advice and help in abdominal aortic aneurysm treatment.

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