ANEURYSMATIC AORTIC DISEASE


Aortic aneurysm is a local extension of the aortic wall and most often involves its abdominal part. With abdominal aneurysm in half of patients there is a thoracic or aneurysm of the artery arch.

Causes:

Arterial hypertension (high blood pressure) because the aorta is susceptible to dilation (enlargement) at a pronounced blood pressure on its wall

Atherosclerosis

Symptoms:

Abdominal aortic aneurysm:

Most often asymptomatic, there may be discomfort, pulsation or abdominal pain, pain in claves during strains. The greatest danger is the risk of aneurysm failure, which often has a fatal outcome.

Thoracic aortic aneurysm:

Most often asymptomatic, and can cause long-lasting dull pain, pressure on surrounding organs or erosion of the musculoskeletal system.

Due to damage to the respiratory tract the following may occur: difficulty breathing, coughing, coughing blood, chest sounds, tracheal deviation and laryngeal pulsation, pressure on the esophagus results in difficulty swallowing, and the compression of the upper hollow vein causes swelling and bruises on the head and neck.

Diagnosis:

Ultrasound examination, MSCT angiography, invasive angiography (rarely)

Treatment:

Surgical or endovascular.


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