Aneurysm overview
An aneurysm is an “outpouching” or abnormal focal growth of an artery due to a weakening of the blood vessel’s wall and can involve any arterial segment in your body. Commonly involved areas include the infrarenal abdominal aorta, the ascending aorta, the descending thoracic aorta, the iliac arteries, the popliteal arteries and the intracranial arteries.
Dr. Julian Javier discusses aneurysms and some of the different causes of this condition.
Symptoms of aneurysm
The location and size of the aneurysm determine the presence and severity of symptoms caused by the aneurysm. In many cases, aneurysms are painless and are only discovered incidentally during an imaging test performed for a different clinical reason. If the aneurysm is large enough, the patient may experience symptoms such a abdominal or chest pain and lower extremity discomfort with ambulation.
What causes aneurysms?
Atherosclerosis is the most common cause of an aneurysm. Other causes include trauma, prior procedures, prior surgeries, certain infections, genetic abnormalities, genetic predisposition, hormonal imbalances, substance abuse, inflammation of the vessel wall and aging.
How are aneurysms diagnosed?
The diagnosis is made in detail with an imaging study specifically evaluating the area of concern. Ultrasound imaging, tomographic imaging (CAT scan), magnetic resonance imaging (MRI scan) and invasive arteriography can be used to diagnose aneurysms.
Treatment options for aneurysms
The management of an aneurysm depends on its location, its dimensions and the timing of presentation. In some cases, an annual imaging examination is the recommended strategy; in other cases, a procedure to eliminate or exclude the aneurysm is necessary. We can provide guidance regarding your management based on your specific presentation.
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