Aneurysms

An aneurysm is an abnormal enlargement of a blood vessel. The most common type of aneurysm is the abdominal aortic aneurysm (AAA). The aorta is the largest blood vessel in the body, extending from the heart down to the level of the belly button. Abdominal aortic aneurysms can be one of the deadliest diseases if not detected and treated early.

AAAs involve the portion of the aorta between the rib cage and the belly button. Most aneurysms get larger over time, and if they are allowed to get large enough, many of these AAAs will rupture. Once an aneurysm has ruptured, approximately 85% of individuals will die as a result. Unfortunately, AAAs tend not to cause symptoms until they rupture, making early detection difficult but necessary.

Diagnosing abdominal aortic aneurysm

Unfortunately, most AAAs are found incidentally on ultrasound or CAT scans performed for other reasons. This is why many experts recommend older patients and others who are at high risk have an AAA screening.

There are many factors associated with aneurysms. In some patients, the condition may be inherited. In fact, brothers, sisters and older children of patients with AAA’s should be screened as well.

If you believe you are at risk for AAA, please contact us. We perform an ultrasound screening test for abdominal aortic aneurysm that can help determine your risk and possibly prevent a tragedy!

abdominal aortic aneurysm

Treatment options

When an aneurysm is detected, patients should see a vascular surgeon to determine what, if any, treatment is necessary, or to begin a surveillance protocol to ensure that the aneurysm is monitored appropriately.

Aneurysms below a certain size may be watched closely over time. If they are larger, strong consideration should be made for possible treatment. Treatment may include an operation in which the abnormal artery is replaced, or a more common less invasive procedure in which the aneurysm is “lined” from the inside using a stent graft. Treatment is recommended for each patient individually based on their unique health factors and aneurysm size.

Other types of aneurysms we treat

Iliac aneurysm

This type of aneurysm is found in the iliac artery in the pelvis. This artery branches off from the abdominal aorta and brings blood to the lower extremities, pelvis and reproductive organs.

Symptoms of an iliac aneurysm include back pain, lower abdominal pain and groin pain. Left untreated, an iliac aneurysm can be life-threatening. We offer both surgical and minimally invasive treatment for iliac aneurysms.

Popliteal aneurysm

Or popliteal artery aneurysm, refers to a bulge in the wall of the artery located behind the knee joint. This is the most common type of peripheral artery aneurysm.

Symptoms of a popliteal aneurysm include knee or lower leg pain, swelling behind the knee or a “pulsing” sensation behind the knee. Popliteal aneurysms rarely rupture, but they can result in disrupted blood flow and the potential to lose the limb. We perform both surgery and a less invasive endovascular repair procedure, based on your particular anatomy and other conditions.

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