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Abdominal Aortic Aneurysm


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Old 06-24-2014, 08:06 AM   #1
pluma443
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Abdominal Aortic Aneurysm

I wonder if anyone has any info on "AAA".. during a routine physical checkup 2 months ago I had an ultrasound to follow up on "fatty liver" that was noted on a previous ultrasound 3 years ago. Well; I still have fatty liver and in addition they found a "mild" aortic aneurysm, fortunately found while still small. 3.2 cm diameter and 2.0 cm length, and also noted a 3.0 cyst upper pole of the right kidney, all other organs appear normal. The only advice I was given was to monitor with an ultrasound every year to make sure it's not growing. Dr. did not seemed concerned with the cyst on the kidney. Well; of course I am concerned !! I live in Honduras and plan on traveling to the Cleveland Clinic in Florida in October for a complete evaluation. That will be 6 months since the initial diagnosis. In the meantime; has anyone experienced something similar? do these AAA's tend to grow? has anyone had a cyst on the kidney do they tend to become malignant? I sure would appreciate anyone with any knowledge of these 2 conditions because I am "clueless". LoL
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Old 09-27-2014, 09:02 AM   #2
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Re: Abdominal Aortic Aneurysm

I have an desending aortic aneurysm, when diagnosed it measures 4.7 cm, normally the vascular surgeon would stent an aneurysm at 5.5 cm, but since I live over an hour away and was life flighted into a Boston hospital he decided to stent/graft my aorta. I had surgery with an Endo scope, two tiny incisions in the lower groin area. This all happened just over 2 years ago, I am lucky to be here, the graft/stent is holding up well, my aneurysm has not shrunk, but I have no endoleaks (blood goes through the stent/graft placed within the aneurysm). I am on a statin and on blood pressure meds plus a 81 mg. aspirin a day. I was a heavy smoker, I quit 2 years ago, when I was diagnosed.

 
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Old 09-27-2014, 12:40 PM   #3
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Re: Abdominal Aortic Aneurysm

Thank You for your reply; very interesting. I am going to be in Memphis next month and have decided to go back to the same clinic that did the Ultra-Sound last April instead of a separate trip to the Clinic in Florida at this time. I don't know where my AA is located and I want to find out, also if it has grown in the last 6 months as well as where it's located, then decide if I should consult a specialist at this time.
I will research your treatment "stent graft" and "endo scope", to get an idea of what you had done. Wishing you many more years of good health. I will keep this post open and update as I get more info on myself. Cheer's
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Old 09-29-2014, 01:48 AM   #4
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Thumbs up Re: Abdominal Aortic Aneurysm

Watch for back pain, a big indication it is getting worse. There are different types of aneurysms. One type the blood leaks out of the artery between the layers of the covering of the artery. Think of a balloon inside of a balloon with this type. The inner most balloon holds the blood, but springs a leak, so the leaked blood flows now into the outer balloon area. It hasn't bleed out into the body yet, but it isn't suppose to be sitting there between the inner and outer balloon either. It's not circulating that way, it can form blood clots that way. You are losing blood volume that should be circulating around in your body and carrying oxygen in the blood to areas that need it. It can cause your blood pressure to drop unexpectedly causing dizziness, or if the body overcompensates for the lose may cause the body for a short time to increase the blood pressure too high. Usually the blood pressure at the beginning of an aneurysm will show up high, but not the whole time necessarily. Then there are other types of aneurysms where there is a pushed out bubble looking area from the artery, all the outer layers of the artery are pushed out together in the area of the bubble. These are the type I believe that are more likely to spontaneously rupture. Aneurysms can also have the outer layer of the artery be pushed against an organ and attach themselves there. My father-in-law had a very large descending aortic aneurysm, 14cm long and part of it attached itself to one of his kidneys. He was complaining to his doctor of back pain. The doctor thought he had an inguinal hernia, did tests and nope, bad aneurysm, but it was dissecting the kind like a balloon within a balloon. So they got him into surgery right away. Now as far as kidney cysts, not all are cancerous, but it is often hard for the doctor's to tell that definitely until they are removed and biopsied. My husband had a cyst on one of his kidney's. The nephrologist was sure from film views that it was cancer. He had it removed and biopsied and nope just a cyst filled with fluid, that the pathologist said was most likely something he was born with. Some types of aneurysms are familial, which means they are likely to run in family's. So has anyone on either of your parents side had aneurysms in the abdominal region? Is there a history of stroke, atherosclerosis (hardening of the arteries), do you smoke, is there history of cardiac disease in your family on either side? Some of those things make it more likely to have problems. Depending on the size and type of aneurysm, as well as location, will determine the type of surgery and whether they'll need to section that aneurysm part out and take a large vein out of your leg and graft it in place of the section they removed, or if they can take a small artificial manmade stent and sew it into place and place a sort of mesh around the artery section to stabilize and reinforce everything. My father-in-law had to have a large artery used from his leg since his was so large. Few are ever that large and the person survive from the lowered blood volume circulating in them. Figure on a long time to heal, with no lifting, no driving a vehicle until okay'd by the doctor, but not just sitting either. They want you to walk so you don't get blood clots and such. They'll have you monitor your diet, and gradually after you're all healed up they'll want you to start exercising within moderation and guidelines. Like I said there are different types, so depending upon the type, the length, and location will determine if they get you into surgery quickly or keep an eye on it for awhile. Oh adding on, they'll want you to not strain having a bowel movement either before and after surgery, to keep any increase in blood pressure that happens when straining from happening. An increase in blood pressure from straining like that could cause a rupture in some instances.

Last edited by lfhpueblo; 09-29-2014 at 01:52 AM. Reason: Needed to add more valuable information.

 
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Old 09-29-2014, 01:57 AM   #5
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Exclamation Re: Abdominal Aortic Aneurysm

Need to add onto my reply. Don't strain having a bowel movement. Keep your bowels moving naturally with fiber and stool softeners if needed. Straining can increase your blood pressure in that area of the body and could cause an aneurysm in the abdominal region to rupture. So before and after surgery for an aneurysm doctor's will be telling you not to strain trying to POOP.

 
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Old 09-29-2014, 01:27 PM   #6
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Re: Abdominal Aortic Aneurysm

Excellent information; Thank you !!
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Old 04-29-2016, 10:31 AM   #7
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Re: Abdominal Aortic Aneurysm

This is an update on my post from June 6 2014. I continue to have annual Ultra-sound examinations every 6 months to monitor the abdominal aneurysm found during a routine Ultra Sound in April 2014. During the year 2015 the Ultra Sound showed very little change if at all still remaining at 3.2 cm. The last Ultra Sound this month April 2016 showed no significant change measured at 3.28. I feel very fortunate so far. I think this may bring some comfort to those that have been diagnosed with an abdominal aneurysm that (at least in my case)they do not always grow rapidly. I remember well the panic I felt on that day that I was diagnosed. I'll continue to update periodically. Cheers !
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Last edited by pluma443; 04-29-2016 at 10:34 AM.

 
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Old 05-11-2016, 08:53 PM   #8
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Re: Abdominal Aortic Aneurysm

Quote:
Originally Posted by pluma443 View Post
This is an update on my post from June 6 2014. I continue to have annual Ultra-sound examinations every 6 months to monitor the abdominal aneurysm found during a routine Ultra Sound in April 2014. During the year 2015 the Ultra Sound showed very little change if at all still remaining at 3.2 cm. The last Ultra Sound this month April 2016 showed no significant change measured at 3.28. I feel very fortunate so far. I think this may bring some comfort to those that have been diagnosed with an abdominal aneurysm that (at least in my case)they do not always grow rapidly. I remember well the panic I felt on that day that I was diagnosed. I'll continue to update periodically. Cheers !

Hi,
This is my first post in many years, I originally joined for back problems all of which I still have and more.
However 3 years ago this past Jan. I was hospitalized for almost a month with a type b thoracic aneurysm with 2 dissections, I had no idea I had this problem til I was immobilized by the pain.
The Dr.s really didn't hold out much hope for me, anyway mine was in a inoperable position, Obviously I have survived !!
I am on blood pressure meds and restrictions and instructions to monitor closely.
So good to hear yours is doing well my understanding is that many people have these and often times they never cause a problem, sounds like you are one of the lucky ones.
I understand your panic upon finding out, I have no recollection of the first 3 weeks in the hospital, I do know how hard it was when I got out not to panic over everything..
Just be sure to listen to the Dr.s and follow up.
Best of health to yoy.

 
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