Vascular Surgeon Questions Aortic Aneurysm

Is an aortic aneurysm fixable?

Recently an abdominal aortic aneurysm was detected via abdominal ultrasound and confirmed with CT scan. I am terrified! I had no symptoms. Is this reversible?

8 Answers

The best time to fix it is when you are not symptomatic. Depending on the size, you may just need surveillance right now (< 4.5-5cm) vs. elective repair (which nowadays can be performed minimally invasively, with a very short hospital stay and recovery).
This is not a reversible condition, but certainly a very treatable one, so please get this attended to.
It's not reversible, but if it meets the criteria, it can be fixed. Most aneurysms these days are fixed endovascularly and I do these percutaneously most of the time.
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if it is less than 5.5 cm if you are male and less than 5 cm if female, the aneurysm is low risk of causing any issues at all. It is not reversible but certain things can make them grow faster - smoking will make them grow faster and high blood pressure that is not controlled can make them grow faster. Once at appropriate size, a procedure to repair or exclude the aneurysm can be considered. If your aneurysm is at or above stated sizes, you should seek consultation with a vascular surgeon
The aneurysm can usually be fixed by an endovascular stent
Small aneurysms (less than 5cm diameter) rarely rupture. Large aneurysms require treatment. Aortic endografting is usually performed for aortic aneurysm, but open repair is occasionally required.
Yes fixable with surgery
Abdominal aortic aneurysms (AAA's) can be life threatening and therefore you need to seek an evaluation by a vascular surgeon. However the risk of having a serious complication from the AAA depends on the size of the aneurysm. I recommend you see a specialist and get peace of mind or a plan of action.
It is recommended to repair abdominal aortic aneurysm once they reach a certain size, if the person with the aneurysm is otherwise healthy. Up until fairly recently, the repair involved a big operation, with a long abdominal incision. Most can now be repaired with a much less invasive procedure.