how dangerous is a 4 cm aortic aneurysm

Cardiovascular risk prevention and all-cause mortality in primary care patients with an abdominal aneurysm. 24. Closer to the heart, a thoracic aortic aneurysm diagnosis is based on the persons age, sex, and which part of the thoracic aorta is measured. In this procedure, the weakened portion of the aorta remains in place. Editors choicemanagement of descending thoracic aorta diseases. The aneurysm is growing quickly, 0.5 cm or more over 6 to 12 months, regardless of its size. An aneurysm occurs when an artery wall weakens, causing it to bulge or dilate abnormally. If thoracic aortic aneurysms are severe enough to cause symptoms, you may experience severe chest or back pain, shortness of breath, coughing or wheezing, difficulty swallowing, hoarseness, numbness or weakness in one or both arms, and loss of consciousness or low blood pressure. It helps though when realize I'm not the only one. 2013;46:533-541. My blood pressure is normal, DIA is a bit higher, around 80ish, cholesterol on the edge, around 205 if I remember good. In a recent study, Patterson et al aimed to determine the rate of TAA expansion.18 After analyzing CT scans from nearly 1,000 TAA patients, an aortic expansion rate of 2.76 mm per year was reported for all patients. I have to follow up and check if it will grow etc. Fairman RM, Criado FJ, Farber M, et al. In the VALOR trial, the rate of serious morbidity among patients undergoing open surgical repair of the descending aorta was double that of the TEVAR patients (84% vs 41%, respectively). abdominal aortic aneurysms in general does not create any form of health issue. Brain aneurysms are caused by weaknesses in the blood vessel wall that causes the vessel to balloon. Living with heart failure requires careful management of your symptoms and lifestyle. A thoracic aortic aneurysm is a bulge in the wall of the aorta. On my search all most all aneurysms are growing! Vascular Surgery Fellow More importantly, once it has widened, it will continue to do so. 2011;124:2661-2669. Aortic dissection is a devastating disease that threatens life without premonitory signs. If left untreated, it can be life. You can learn more about how we ensure our content is accurate and current by reading our. I am in the US.. My surgery was in a veterans hospital. Once the diameter exceeds 6cm, the risk of rupture or dissection is extremely high. Davies RR, Goldstein LJ, Coady MA, et al. Specifically, ask your doctor about your risk of complications from surgical repair compared to your risk of aortic aneurysm rupture if you decide not to undergo surgical repair. There are some promising developments, such as molecular imaging and new insights in medical therapy, that may also help in this process when they become available for clinical use. Previous Article. 17 users are following. It was found 8 yrs ago, at that time 4.6. N Engl J Med. This helps with managing other health conditions, such as high blood pressure, high blood cholesterol, and heart disease that can damage or weaken the walls of the aorta and increase the chance for rupture or dissection. Gopaldas RR, Huh J, Dao TK, et al. An aneurysm that size should also be repaired if youre going to have aortic valve surgery. It's probably nothing serious. The reported 30% to 50% short-term mortality in patients with aortic aneurysm diameters >6 cm was, until fairly recently, the basis for recommendation of elective aortic surgery at 6 cm. A thoracic aorta greater than 4.5 cm is generally defined as aneurysmal, while a size greater than 6 cm is the distinction for treatment, which can be either endovascular or surgical, with the former reserved for pathology at the descending aorta. Statins are medications that can help lower your LDL cholesterol. A small 4 cm sized aneurism has very little chance or likelihood for bursting, but larger 5+ inch dia. Diehm N, Dick F, Schaffner T, et al. Lancet. Wheezing, coughing, or shortness of breath as a result of pressure on the trachea (windpipe) Hoarseness as a result of pressure on the vocal cords. 1. Stenosis occurs when the opening to the mitral valve is narrowed. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. The relative survival percentage remained steady at about 87%. The cardiologist said that it is in the nature of aneurysms to grow but it could remain the same for years. 21. These are. Asked by: Jacey Braun Score: 4.6/5 (22 votes) . A persons survival chance is unlikely after losing significant amounts blood due only atrioventricular valve mortgage surgery, Aortic root aneurysms are a serious medical condition where the first section of the aorta, which contains the aortic valve and is adjacent to our hearts ventricles (the plural form), becomes enlarged. If you and your doctor agree that a watch-and-wait approach is best, you may be placed on medications to help lower your blood pressure and cholesterol. I guess delivering and carrying 2 very large babies in my late 30s is when it may have grown last. When the abdominal aortic walls are swollen, it's known as abdominal aortic. Eur J Vasc Endovasc Surg. Was 48 when I was diagnosed with both. Surgery is typically reserved for aortic aneurysms that are 5.5 cm or greater in diameter. 22. (based upon risk assessment) diameter indicates increasing danger because they're harder to detect before too much damage has been done! Your doctor inserts a tiny, flexible catheter into an artery in your leg and guides the tube up to your aorta. Like you, I was terrified when it was found. The only meds were for pain, no meds for life. Risk of a sudden rupture These are the main factors that make a rupture more likely: The aneurysm is larger than 5.5 cm in diameter. We want the forums to be a useful resource for our users but it is important to remember that the forums are Elefteriades showed that patients with aneurysms > 6 cm have a 14.1% annual risk of rupture, dissection, or death, compared with 6.5% for patients with aneurysms between 5 and 6 cm.16. Nobody used the word aneurysm or even mentioned it to me at the time. When ascending aortic aneurysms meet the size criteria or co . Abdominal aortic aneurysms (AAAs) account for three fourths of aortic aneurysms and affect 0.5 to 3.2% of the population. Like most arteries, the aorta is elastic, which allows it to be filled with blood under high pressure. By 2000 this number had increased to 31 but due in part from advances made with medicine and surgery over time its now expected that people will live past their 65th birthday! We avoid using tertiary references. The mortality benefit means lives saved both literally as well, The risks of undergoing major surgery areevealing themselves in the form aortic aneurysms. The DOT Guidelines: Allow a 1 year card for asymptomatic AAA over 4 but less than 5cm but only with clearance from cardiovascular surgeon. Circulation. A thoracic aortic aneurysm is also called a thoracic aneurysm. i was diagnosed with a 4.3, annerysm in dec, 2months ago. . If you have aortic aneurysm less than 5.5 cm in diameter then chances of rupture increases by 1-2 % per year. sa i read all these stories, about thoracic aorta annerysms,.it calms my fears. Some ascending aortic aneurysms never rupture or cause any noticeable symptoms. 5 Things You Didn't Know About Diabetes and Heart Disease, Finding the Right Doctor for Aortic Aneurysm Repair. Read our editorial policy. . With 2 children, ages 39 & 41 and 2 grandchildren, should they be screened if the cause is usually genetic? Large AAAs are more likely to burst (rupture), so surgery to stop this happening is usually recommended. Other groups have demonstrated similar results. The part of the aorta in the chest is called the thoracic aorta. The aortic diameter of more than 3.0 cm [1] . In the trial of the Zenith TX2 graft (Cook Medical), this rate was 44.3% versus 15.6%. The results of this study were important in terms of the frequency of surveillance imaging, as it would appear that patients with an aortic diameter < 40 mm could safely undergo surveillance at 2-year intervals, instead of the annual follow-up required for patients with aortic diameters > 45 mm. To be honest I don't think about it too much anymore. Bristol, Bath, United Kingdom 2010;252:603-610. 2016;103:1823-1827. I agree about you being younger but neither of us know how long the aneurysm has been there and might have been there for years, but as you say your has more potential years to grow. Learn how we can help 4.6k views Answered >2 years ago Thank A 50-year-old female asked: Emergency surgery can sometimes be done to repair an aneurysm that ruptures, though it must be done fast. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Aortic aneurysms are small bulging blood vessels in the artery that runs through your neck. Heart. An aneurysm that grows and becomes large enough can burst, causing dangerous, often fatal, bleeding inside the body. Occasionally, there may be abdominal, back, or leg pain. Our website services, content, and products are for informational purposes only. Likely secondary to the destructive effects of tobacco use on connective tissue, a history of smoking is also strongly associated with the development of TAAs and is a predictor for aneurysm rupture.28. Patients with a maximum aortic diameter of 50 to 54 mm had a 74.5% risk of expanding to > 55 mm in the subsequent 2 years. The catheter then deploys a graft that surrounds the vulnerable part of the aorta to strengthen it. An unrelated infection caused a few missed beats which the doctor decided should be checked with an echo just because I was in hospital anyway. Aortic organ disease epidemic, and why do balloons pop? Patterson BO, Sobocinski J, Karthikesalingam A, et al. 28. Elective surgery to repair an aneurysm has only a 5 percent mortality rate. Ascending aortic aneurysms are a subtype of thoracic aortic aneurysms or aneurysms that occur in the chest area above the diaphragm. Also after operation do you have to take daily medicines for life? I only found out it's reputation much later. It is not a substitute for professional medical advice, diagnosis or treatment. Talk with your doctor about the different surgery options, along with other treatment measures, to find out whats best for you. Dietary Dos and Donts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction, Less than diameter of 4cm has a risk of less than 1 among 200 in total, Diameter between 4cm and 4.9cm have risk between 1 in total 200 and 1 in total 20, Diameter between 5cm and 5.9cm have risk between 1 in total 30 and 1 in total 7, Diameter between 6cm and 6.9cm have risk between 1 in total 10 and 2 in total 10, Diameter between 7cm and 7.9cm have risk between 2 in total 10 and 4 in total 10. small than 4cm is relatively low than the rupture risk associated with any large aneurysm of more than 6cm. 5. The larger the aneurysm the greater the risk. Karthikesalingam A, Bahia SS, Patterson BO, et al. At the last echo, the senior technician thought that I probably will never need surgery as the valve seems to be coping fairly well. Most aneurysms grow slowly. Submitted by Joann from Denver, Colorado So far it has not grown but they have discovered that I have a bicuspid aortic valve which often goes with the condition. If symptoms are present, they may include: If the aorta ruptures, youll feel a sudden, sharp pain in your chest that extends to your back, between your shoulder blades. An aortic root aneurysm occurs in the beginning, or root, of the aorta. Monitoring the biological activity of abdominal aortic aneurysms beyond ultrasound. Egton Medical Information Systems Limited. How dangerous is a 4 cm aortic aneurysm? All rights reserved. A thoracic aortic aneurysm is a weakened area in the body's main artery (aorta) in the chest. I have an Abdominal Aortic Aneurysm measuring 2.5 x 2.14 CM proximal, mid aortic measures 4.0 x 3.6 CM , the distal aorta measures 5.0 x 4.7 CM. If left untreated, a rupture can lead to life-threatening bleeding. American Family Physician. (based upon risk assessment) diameter indicates increasing danger because theyre harder to detect before too much damage has been done! I believe the CT scan is considered the most accurate. Created with Sketch. particularly those suffering from connective tissue disorders like Marfan syndrome who might not show any symptoms until their disorder has progressed significantly enough so that it could cause significant injury on its own without intervention; providing warning signs include tall height due in part genetic makeup coupled how easily injured people typically tend grow over, The study found that short-term crude or actual survival rates improved among patients who had surgery to repair a ruptured abdominal aortic aneurysm. All rights reserved. Aortic valve insufficiency (AVI) is also called aortic insufficiency or aortic regurgitation. Depending on the size of the aortic aneurysm and other factors, the aneurysm may press on adjacent organs (such as the esophagus or trachea) causing such symptoms as shortness of breath or pain in the chest or back (thoracic aortic aneurysm) or abdomen pain (abdominal aortic aneurysm). This will help control your blood pressure as well as your cholesterol levels. 2016;103:1626-1633. The bicuspid bit is genetic it seems. Oh, thank you so much lovely you've given me some hope, I've asked cardiologist if the echocardiogram is accurate and if I might need to do some MRI or CT but he said no, this is accurate. 17. It will need surgery coming closer to 5cms. Thoracic aortic aneurysm. Treatment options An aneurysm that is less than 5 cm may be monitored without surgery.. Disclosures: None. How Dangerous Is A 4 Cm Aortic Aneurysm The aortic aneurysm is the most dangerous of all vessel diseases. Goodney PP, Travis L, Lucas FL, et al. Centers for Disease Control and Prevention. Circulation 2010], which recommend "avoidance of strenuous lifting, pushing, or straining" to reduce the risk of aortic dissection. AAAs are grouped into 3 sizes: small AAA - 3cm to 4.4cm across. debris or blood clots from AAA that causes blockage in the blood flow into the legs. Like you, I was in such shock because I only went for an echo as I had been having some irregular beats. Untreated, a rupture can be fatal. How dangerous is a 4 cm aortic aneurysm? How Game of Thrones Actress Emilia Clarke Survived Two Aneurysms, Glycemic Index: What It Is and How to Use It. Nonetheless, when the size of an aneurysm is greater than 5 centimeters, the only way to attend to it is through surgery. Treatment for an abdominal aortic aneurysm may vary depending on your overall health and the size, exact location, growth rate, and type of aneurysm. Just had a CT scan and showed I have a 4.4 CM aortic root. 1999;230:289-296. My cholesterol is about 6 but nobody has suggested statins and I am happy with that. Open surgery to repair an aneurysm can require a recovery time of about a month. He or she will also consider the location of the aneurysm, any symptoms, your age, and other health conditions to determine the need for any further treatment. 2005;41:1-9. The aneurysm has grown quickly (more than 0.5 cm in six months or more than 1 cm in one year). Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Eagleton M. (2017). However, varying degrees of degeneration can be seen in patients without these disorders, occurring as an idiopathic variant in familial syndromes or as an acquired form. Pivotal results of the Medtronic vascular Talent thoracic stent graft system: the VALOR trial. It will be fine. 4.3 cm aneurysm. Ann Thorac Surg. J Vasc Surg. You have more than one aneurysm along the length of the aorta. Heres what some top doctors have to say about high cholesterol, or hyperlipidemia. 2013;127:24-32. Novel insight into the pathobiology of abdominal aortic aneurysm and potential future treatment concepts. The content on Healthgrades does not provide medical advice. UK small aneurysm trial participants. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Shovel snow, chop wood, dig earth or use a sledgehammer or snow blower. Patients with AAAs larger than 7.0 cm lived a median of 9 months.A ruptured aneurysm was certified as a cause of death in 36% of the patients with an AAA of 5.5 to 5.9 cm, in 50% of the patients with an AAA of 6 to 7.0 cm, and 55% of the patients with an AAA larger than 7.0 cm. Do you feel the same as before surgery? Abdominal aortic aneurysms are 4 to 6 times more common in men and people assigned male at birth than women and people assigned female at birth. Ascending and aortic arch aneurysms. Manage Settings It seems very different in the USA. The upward part of the arch, which is the section closest to the heart, is called the ascending aorta. Each of these complications mentioned here are of limb as well as life-threatening ones and when doctors diagnose them, they indicate for the requirement of repair or surgery. Therefore, the surgeon takes into account several factors before deciding to operate on the patient. The aorta is the lifeblood of our body and aneurysms can put pressure on it from all sides. Endovascular interventional endovascular grafting for treatment of aortic aneurysms has been used in the world for the past 2-3 decades and Vietnam several years ago to effectively treat aortic aneurysms. Next Article I hope yours remains within limits and good luck. I am a healthy 67 yr old female with a 4.6 cm ascending aortic aneurysm 4.6 cm. I am in the UK by the way. Davies RR, Gallo A, Coady MA, et al. I am 6'2, about 245lbs, early 40s. An ascending aortic aneurysm is a bulging area in the first part of the aorta, the main artery in your body. The consent submitted will only be used for data processing originating from this website. Best wishes and try not to worry. The aorta behaves similarly to a rubber band. This occurs as a consequence of the weakness of the elastic lamina at the junction of the aortic media and the annulus fibrosis. appropriate medical assistance immediately. When the vessel is significantly widened, it's called an aneurysm. There is little evidence that long-term statin therapy reduces TAA growth or rupture rates. 2013;45:154-159. Bulging can occur in any artery in your body. 2007;83:S862-S864; discussion S890-S892. I had six month tests for a year and then yearly. We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. These can include: Sometimes surgery may be needed for an aortic aneurysm, depending on the cause, size and symptoms of the aneurysm. They affect only about 1% of men aged 55 to 64. Whats the outlook for an ascending aortic aneurysm? THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. The Thoracic Aortic Disease Service at Liverpool Heart and Chest Hospital is a busy service that provides comprehensive care for patients with complex cases of the disease. Current guidelines for repair suggest the threshold for prophylactic surgical aortic repair to be within the range of 5.5 to 6 cm, but the decision regarding which individual will benefit from repair remains challenging. December 10, 2019. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. PMID: 29268916. 12. These findings were borne out in the national data sets, which concluded that TEVAR can be performed in older, sicker patients with less perioperative morbidity and shorter length of hospital stay.23,24, The mortality risks from TEVAR are strongly related to timing of intervention and age. 7. Svensson LG, Crawford ES, Hess KR, et al. Recovery After Aortic Aneurysm Repair: What to Expect, An ideal An aneurysm is a bulge that forms in the wall of an artery. Pain in the chest or back. Ascending aortic aneurysms are the second most. Essential Elements of a Comprehensive Aortic Team, With Ali Azizzadeh, MD, FACS; Kendal Endicott, MD; Javairiah Fatima, MD, FACS, RPVI, DFSVS; Ross Milner, MD, FACS; and Brant W. Ullery, MD, MBA, FACS, FSVS, Panel Discussion: Decision-Making for Type B Aortic Dissection, With Tilo Klbel, MD, PhD; Tara M. Mastracci, MD, FRCSC; Christoph A. Nienaber, MD, PhD, FESC, FAHA; Germano Melissano, MD; Daniele Mascia, MD; and Eric E. Roselli, MD, FACS, Medical Management of Acute and Chronic Type B Aortic Dissection, By Christina L. Fanola, MD, MSc, and Eric Isselbacher, MD, MSc, BEST-CLI Shows Lower Incidence of Major Adverse Limb Events or Death With Surgical Bypass Versus Endovascular Treatment in CLTI Patients With Adequate GSV, With Alik Farber, MD, MBA; Matthew Menard, MD; and Kenneth Rosenfield, MD, MHCDS, Current Evidence for Catheter-Based Renal Denervation for Hypertension, By Anna K. Krawisz, MD, and Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM, Panel Discussion: Perspectives on Applying BEST-CLI in Practice, With Daniel Clair, MD; Sanjay Misra, MD; Leigh Ann O'Banion, MD; and Mehdi H. Shishehbor, DO, MPH, PhD, By Anahita Dua, MD, MBA, MSc, and Eric A. Secemsky, MD, MSc, RPVI, FACC, FAHA, FSCAI, FSVM, Tackling Acute-to-Chronic Thrombus and Embolus. Ask the Experts: When and How Do You Survey a Small TAA? Makaroun MS, Dillavou ED, Kee ST, et al. Writing Committee, Riambau V, Bckler D, et al. Couldn't understand where it came from. 2006;81:169-177. Svensson LG, Rodriguez ER. I did go to the bother of trawling through old medical records and I found an echo which had been done when I was 31 that showed widening of 3.2 cms. Patient is a UK registered trade mark. Sinus of Valsalva aneurysm (SOVA) is an abnormal dilatation of the aortic root located between the aortic valve annulus and the sinotubular junction. Ann Thorac Surg. I find when I do have an appointment with him it is very rushed so it was worth the money. These cases tend to develop in younger people. Isselbacher EM. Aortic Aneurysms: The Most Dangerous Type. You dint mention how big is your aneurysm at the moment? Instead of looking only at the aortic diameter, some data suggest that aortic aneurysm size relative to body surface area is more important than absolute diameter.17 Davies and colleagues used an aortic size index (ASI) of aortic diameter (cm) divided by body surface area (m2). 16. High Cholesterol: 7 Things Doctors Want You to Know. The aneurysm has grown quickly (more than 0.5 cm in six months or more than 1 cm in one year). The more serious side effects include heart problems due to interruption between your spines blood flow and nerves that control muscles down below; infections at sites where there was open tissue removal during surgery (this includes local wound healing); swelling around areas Vishnu Siva wrote about but didnt go into detail on because they were less relevant than others like kidney function loss which could lead you towards needing dialysis therapy eventually. Family history: About 20 percent of all thoracic aneurysms develop in people with a family history of thoracic aneurysms. These include pseudoaneurysms after trauma (aortic transection) and aortic cannulation (cardiac surgery and cardiopulmonary bypass). I do see a consultant surgeon as opposed to a cardiologist. (2017). Multiple factors, rather than a single process, are implicated in the pathogenesis of TAA. In a recent study, Forsythe et al have examined the pathobiologic processes of AAA progression and rupture including neovascularization, necrotic inflammation, microcalcification, and proteolytic degradation of the extracellular matrix.20 With emerging cellular and molecular imaging techniques, there remains the potential to allow improved prediction of expansion or rupture and better guide elective surgical intervention for AAAs. Thoracic aorta. Expansion rate of descending thoracic aortic aneurysms. The question is: is it enough to see a cardiologist or I should considering see a vascular surgeon as well? One hundred and ninety-two patients with an intact AAA of 5 cm or greater in diameter were seen in 9 years; 59 . Circulation. J Vasc Surg. Aortovenous fistula, popularly known as the abnormal connection presents in between a vein and an aorta. These infections include syphilis and salmonella. In some cases, they also replace the aortic valve with a synthetic valve. Whereas abdominal aneurysms are characterized by severe intimal atherosclerosis, chronic transmural inflammation, and destructive remodeling of the elastic media, the microscopic findings in TAAs are frequently associated with cystic medial degeneration, reflecting a noninflammatory loss of smooth muscle cells, causing degeneration of elastic fibers within the media of the aortic wall.4 This degenerative process, which can be genetically determined, is typically seen in connective tissue diseases such as Marfan, Loeys-Dietz, and Ehlers-Danlos syndromes. upmc.com/services/heart-vascular/conditions-treatments/pages/ascending-aortic-arch-aneurysm.aspx, vascular.org/patient-resources/vascular-conditions/thoracic-aortic-aneurysm, mayoclinic.org/diseases-conditions/thoracic-aortic-aneurysm/diagnosis-treatment/treatment/txc-20122075, escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-10/Ascending-aortic-aneurysms-pathophysiology-and-indications-for-surgery, my.clevelandclinic.org/health/articles/thoracic-aortic-aneurysm/symptoms-diagnosis, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. . 7 Symptoms Never to Ignore If You Have Heart Failure. 2. von Allmen RS, Anjum A, Powell JT. Methods of treatment include the following. 7,752,060 and 8,719,052. Risk of a sudden rupture These are the main factors that make a rupture more likely: The aneurysm is larger than 5.5 cm in diameter. However, the most common arteries include the brain and in the abdominal aorta. In regard to TAA outcomes, the growth rate of the aneurysm is a relevant parameter for risk assessment and monitoring. The aorta carries blood from your heart to your abdomen, legs, and pelvis. Open surgery for thoracic aneurysmal disease is a complex procedure with a high perioperative risk. Forsythe RO, Newby DE, Robson JM. Registered in England and Wales. The archs downward portion, called the descending aorta, is connected to a network of arteries that supplies most of the body with oxygen-rich blood. Treatment. An aneurysm is a weak spot in a blood vessel wall. 2005;365:2187-2192. It also will decrease the risk of aneurysm complications. False aneurysms are different but are nevertheless not an uncommon presentation of thoracic aortic disease. It leaves the heart and forms an arch. Save my name, email, and website in this browser for the next time I comment. Aneurysms expanding in a rapid way for instance of higher than 0.5cm for more than 6 months may involve relatively higher risk related to rupture. Size of the aneurysm is considered a strong predictor of rupture risk. Ann Surg. The aneurysm can burst completely, causing bleeding inside the body. Disclosures: None. Other imaging tests that can detect an aortic aneurysm include: Once an aneurysm is discovered, the decision to treat it usually depends on its size or rate of growth. Prakash P, et al. For example, a chest X-ray can show a bulging aorta. Davies and colleagues followed 304 patients with unoperated thoracic aortic aneurysms (dissection free at presentation) with aortic diameters 3.5 cm, for a . An aortic aneurysm is a bulge that occurs in the wall of the major blood vessel (aorta) that carries blood from the heart to the body. Population-based outcomes of open descending thoracic aortic aneurysm repair. Sorry, it took a minute to respond but I haven't been feeling well. How is a Thoracic Aortic Aneurysm Repaired? Thakur V, Rankin KN, Hartling L, Mackie AS. 2013;23:568-581. Aortic aneurysms less than 4 centimeters in size have a low chance of bursting, but an aneurysm more than 5.5 centimeters in diameter has an increasing chance of rupturing in the next year.One of the things that makes aortic aneurysms so dangerous is that many times, they go undetected until they burst.

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