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Abdominal Aortic Aneurysm

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Diagnosis and Treatment of Abdominal Aortic Aneurysms, American Academy of Family Physicians:"Abdominal aortic aneurysms occur in 5 to 7 percent of people over age 60 in the United States. An aneurysm is defined as a permanent localized dilatation of an artery, with an increase in diameter of greater than 1.5 times its normal diameter. Abdominal aortic aneurysms may be manifested by catastrophic rupture, signs of pressure on other viscera or an embolism originating in the aneurysmal wall, but most cases are asymptomatic. The diagnosis is often made by physical examination of the abdomen, which reveals a pulsatile mass left of the midline, between the xyphoid process and the umbilicus. The diagnosis may be confirmed by B-mode ultrasound. Ultrasound screening should be considered for individuals at risk for abdominal aortic aneurysms. This group includes individuals over age 60 who smoke, have hypertension or have vascular disease. Elective surgical intervention is indicated for most patients with abdominal aortic aneurysms greater than 5 cm in diameter to prevent rupture and death. Smaller abdominal aortic aneurysms should be monitored by regular ultrasound measurements. Screening and identification of abdominal aortic aneurysms by primary care physicians can have a significant impact on patient survival."
American Academy of Family Physicians
P.O. Box 11210 Shawnee Mission, KS 66207-1210
Toll free: 800-274-2237 Local: 913-906-6000, fp@aafp.org
http://www.aafp.org/afp/2006/0401/p1198.html

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Abdominal Aortic Aneurysm, Bandolier:"Bandolier has been asked by a GP whether there is enough evidence about the effectiveness of screening for abdominal aortic aneurysm (AAA) for it to be introduced into his practice. To try and answer this we searched MEDLINE from 1993 to the present to see if there were any new reports which helped. There was no single source of information which brought this subject together, but we did find some interesting papers."
Bandolier Office, Pain Research
The Churchill Oxford, OX3 7LJ
Telephone +44 1865 226132 Fax +44 1865 226978 Bandolier@pru.ox.ac.uk
http://www.jr2.ox.ac.uk/bandolier/band27/b27-3.html

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Abdominal Aortic Aneurysms, Pathophysiology, California State University, Fresno:"An aneurysm is a abnormal localized sac or a irreversible dilation caused by weakness (decreased elastin) of arterial wall. Aneurysms are classified as either fusiform or saccular. In a saccular aneurysm one side of the artery wall is outputted. In the fusiform the entire circumference of the artery is outputted. The abdominal aorta is the most common site for an aneurysm to develop. The exact cause of abdominal aortic aneurysms (AAA) is unknown. However, risks associated with AAA include atherosclerosis , hypertension and smoking. Other risks include trauma to the arterial wall, infection and congenital defects of the artery wall. Most AAA occur below the level of the renal artery and involve the bifurcation of the aorta as well as the proximal ends of the iliac arteries."
5241 N. Maple Avenue Fresno, CA 93740-8027
559.278.4240
webmaster@csufresno.edu
http://www.csufresno.edu/nursing/n140/studassign/Grp7/abdaneurysm.htm

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Abdominal Aortic Aneurysm and Low Back Pain, Dynamic Chiropractic:"An aneurysm, by definition, is a sac formed by the dilatation of the wall of an artery, a vein or the heart. The chief signs of an arterial aneurysm are the formation of a pulsating tumor and often a bruit is heard over the swelling. Sometimes there are symptoms from pressure on contiguous parts. The aorta is the largest artery in the body. It arises from the left ventricle, ascending and bending over the heart, descending anteriorly to the thoracic and lumbar vertebrae. It splits at L-4 into the common iliacs, femorals, tibials, and dorsalis pedis arteries, supplying the lower extremities. The average diameter of aorta is 2.0-2.5 cm. More than 90 percent of abdominal aneurysms are associated with atherosclerosis and can cause leg pain (claudication), numbness or fatigue. An artery may be sclerosed (hardened) but if the lumenal diameter isn't altered, there is no aneurysm."
Dynamic Chiropractic
PO Box 4109 Huntington Beach, CA 92605-4109 (714) 230-3150
http://www.dynamicchiropractic.com/mpacms/dc/article.php?id=39225

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abdominal aortic aneurysm, Collaborative Hypertext of Radiology (CHORUS), Medical College of Wisconsin:"focal widening greater than 3 cm, greater than 60 years; M:F = 5:1, infrarenal (90%), extension into iliac arteries (66%), plain film: mural calcifications (90%), CT: perianeurysmal fibrosis (10%), may cause ureteral obstruction, US: 98% accuracy in size measurement, Angio: mural thrombus (80%)."
Medical College of Wisconsin
8701 Watertown Plank Road, Milwaukee, Wisconsin 53226
414-456-8296, webmaster@mcw.edu
http://chorus.rad.mcw.edu/doc/00990.html

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Abdominal Aortic Aneurysm, Medicinenet.com:"What is an aneurysm? What is an aortic aneurysm? What are the thoracic and abdominal aorta? Where do aortic aneurysms tend to develop? What shape are most aortic aneurysms? What's inside an aortic aneurysm? Who is most likely to have an abdominal aortic aneurysm? What is the most common cause of aortic aneurysms? What are other causes of aortic aneurysms? What are the symptoms of an abdominal aortic aneurysm? How is an abdominal aortic aneurysm diagnosed clinically? What tests help in the diagnosis of an abdominal aortic aneurysm? What is the natural history of abdominal aortic aneurysm? What are the complications with an abdominal aortic aneurysm? How are abdominal aortic aneurysms repaired? What is done if an abdominal aortic aneurysm threatens to rupture? What happens if an abdominal aortic aneurysm ruptures? Abdominal Aortic Aneurysm At A Glance."
MedicineNet, Inc.
903 Calle Amanecer, Suite 300 San Clemente, CA 92673
Telephone: 949.940.6500 Fax: 949.940.1094, smartservice@medicinenet.com
http://www.medicinenet.com/abdominal_aortic_aneurysm/article.htm

What is an Abdominal Aortic Aneurysm? J. Gordon Wright, MD, Midwest Vascular Center:"Putting the above three definitions together, it is easy to see that an Abdominal Aortic Aneurysm (AAA) is a bulge in the aorta in your abdomen that measures at least 4 centimeters (cm) in diameter."
J. Gordon Wright, MD, Midwest Vascular Center, Good Samaritan Hospital
Tower #2, Suite #303 3825 S. Highland Avenue Downers Grove, IL, 60515
Phone: 630-322-9126 Fax: 630-322-9128
http://www.aortic-aneurysms.com/

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Weighing risks in abdominal aortic aneurysm, Postgraduate Medicine Magazine Online:"Surgery is the only effective treatment for an abdominal aortic aneurysm. Unless serious contraindications prohibit it, repair should be undertaken in all patients with a known aneurysm while it is still an elective procedure. Complication and mortality rates increase dramatically when an aneurysm ruptures and surgery becomes an emergency procedure. In this article, the authors discuss what is known about formation and rupture of aneurysms, including patients at risk. In addition, they summarize diagnostic procedures and preoperative, operative, and nonoperative patient care. Gorski Y, Ricotta JJ. Weighing risks in abdominal aortic aneurysm: best repaired in an elective, not an emergency, procedure. Postgrad Med 1999;106(2):69-80"
Postgraduate Medicine
4530 W 77th St Minneapolis, MN 55435
phone: (952) 835-3222 fax: (952) 835-3460
http://postgradmed.org/doi/10.3810/pgm.1999.08.651

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Abdominal Aortic Aneurysm, Spotlight Health:"Each year, approximately 15,000 people die suddenly from an abdominal aortic aneurysm (AAA), an abnormal bulging of the lower portion of the aorta. To be precise, they die not from the aneurysm itself, but from a rupture—where the aneurysm breaks open and causes severe internal bleeding. Given that there are rarely any symptoms, many victims are completely unaware of the aneurysm's existence prior to rupture. AAA is not a condition where you can wait to feel ill before consulting your doctor. Even those who appear perfectly healthy could have an aneurysm growing slowly—and quietly—in their aorta, the largest artery in the body. Should it become large enough to burst, mortality is a staggering 80%."
Spotlight Health
1940 Century Park East, 4th Floor Los Angeles, CA 90067
(310) 552-0800 Phone (310) 552-6213 Fax
info@spotlighthealth.com
http://www.spotlighthealth.com/abdominal_aortic_aneurysm/aaa/aaa.htm

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Open repair of Abdominal Aortic Aneurysm Surgery, Surgical Care Associates:"An aneurysm is a swelling or dilation of a weakened wall in an artery. Arterial aneurysms have a tendency to grow and burst causing life threatening bleeding. Treatment of this disease has been ongoing for many years through open surgical repair of the dilated artery. Using an abdominal incision, open surgical repair of abdominal aortic aneurysms allows complete removal of the aneurysm with replacement using a piece of Teflon tubing. Within the last five years a new approach to treating aortic aneurysms has been developed. This is a minimally endoscopic invasive approach that was pioneered by Surgical Care Associates in this area."
Surgical Care Associates
4003 Kresge Way Louisville, Kentucky 40207
Appointments 502-897-5139 502-897-0269
Billing Inquiries 502-897-6373
info@surgicalcare.com
http://www.aorticaneurysm.com/

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Abdominal Aortic Aneurysm, Division of Physiologic Imaging, Dept. of Radiology, Univ. of Iowa:"The patient has an abdominal aortic aneurysm measuring approximately 10 cm in diameter. The aneurysm starts below the renal arteries and extends to the common iliac arteries. Both iliac arteries are dilated and atherosclerotic."
cook@everest.radiology.uiowa.edu
http://everest.radiology.uiowa.edu/nlm/app/aorta/aaa/aaa.html

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Abdominal Aortic Aneurysm, Introduction to Clinical Radiology(x-ray photographs, pictures), Virtual Hospital: Abdominal:The patient presented with sudden onset of severe abdominal pain radiating to the back. On physical examination, a palpable mass in the periumbilical region. The plain film revealed a bulging calcification of the abdominal aorta. The CT reveals an abdominal aortic aneurysm with a diameter of 10 cm and a large clot."
University of Iowa Hospitals and Clinics
200 Hawkins Drive Iowa City, Iowa 52242
http://application.fnu.ac.fj/classshare/Medical_Science_Resources/MBBS/MBBS1-3/PBL/Radiology/Abdominal%20Xrays-Virtual%20Hospital/AAA.html

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Chlamydia pneumoniae Causes Abdominal Aortic Aneurysm, CDC.gov:"The expanding spectrum of C. pneumoniae infection has been extended to atherosclerosis and related clinical manifestations such as coronary heart disease, carotid artery stenosis, aortic aneurysm, claudication (occlusion of the arteries of the lower extremities), and stroke. This overview summarizes the studies associating C. pneumoniae infection with atherosclerosis and discusses preliminary in vitro and in vivo studies suggesting the plausibility of a causative role."
http://www.cdc.gov/ncidod/eid/vol4no4/campbell.htm

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Other types of Aneurysms:

Aortic Aneurysm, Surgery can stop this silent danger, East Carolina University:"Abdominal aortic aneurysm" isn't a condition you hear about everyday. Yet two Mayo Clinic studies document a three-fold increase over the past 40 years. The increase may be partly due to the upsurge in smoking since World War II. Also, as more people live longer, this type of aneurysm occurs more frequently. About 15,000 Americans die each year from ruptured abdominal aortic aneurysms. Compared with the half million who die annually of heart attacks, the number of deaths due to aneurysms is small. But it's scary that an abdominal aneurysm may rupture and cause sudden death. If detected early, however, surgery eliminates this silent danger 95 percent of the time."
https://www.ecu.edu/cs-dhs/surgery/abAneurysm.cfm

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Aneurysm Outreach Inc.:"Aneurysm Outreach Inc., a non-profit organization, is dedicated to mobilizing people and resources to eradicate aneurysms. Our primary goals are to promote public awareness about the threat of aneurysms, especially the fact that certain families have a predisposition toward their occurrence, to stimulate and fund genetic research through advocacy and TAX-DEDUCTIBLE DONATIONS and to coordinate a support network for those affected or at risk and their families."
Aneurysm Outreach Inc.
17222 Hwy. 929 Prairieville, LA 70769
Call (225) 622-1577
or email AOI@ALink.org
http://www.alink.org/

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What causes an aortic aneurysm and who is at risk? BUPA:"Most aortic aneurysms occur in the abdominal aorta, the main cause being arteriosclerosis. This is a condition in which fatty deposits are laid down in the walls of arteries, which are less elastic and weaker as a result. Major risk factors for arteriosclerosis are smoking and high blood pressure, although it also probably runs in families."
BUPA House
15-19 Bloomsbury Way
London WC1A 2BA
http://www.bupa.co.uk/individuals/health-information/directory/a/aortic-aneurysm

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Brain Aneurysm Foundation:"The Brain Aneurysm Foundation was established in Boston on August 19, 1994, as a public charity. The Foundation developed from a close relationship between patients and healthcare professionals who identified the need for comprehensive information and support for brain aneurysm patients, their families, and the medical community. The mission of the Brain Aneurysm Foundation is to provide support networks and educational resources to raise public awareness regarding early detection and treatment of brain aneurysms."
Brain Aneurysm Foundation
12 Clarendon Street Boston, MA 02116
Phone: (617) 723-3870 Fax: (617) 723-8672
information@bafound.org
http://www.bafound.org/

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The Aneurysm Information Project, Columbia University:"An aneurysm is a dilation of a blood vessel (similar to a balloon) that poses a risk to health from the potential for rupture, clotting, or dissecting. Rupture of an aneurysm in the brain causes stroke, and rupture of an aneurysm in the abdomen causes shock. The abdominal aortic aneurysm (AAA) is the most common, and the rest of this discussion will focus on the AAA."
http://www.columbia.edu/~mdt1/

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Aortic Aneurysms, Description, Healthcentral.com:"There are three common types of aortic aneurysms. Saccular and fusiform aneurysms are balloon-like swellings of the arterial wall that can occur in the portion of the aorta within the chest or, most commonly, just below the kidney in the abdomen."
comments@healthcentral.com
http://www.healthcentral.com/encyclopedia/408/447.html

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What is an Aneurysm? Mamashealth.com:"A brain Aneurysm, also called a cerebral or intracranial aneurysm, is a weak bulge in the blood vessel in the brain. The bulge is similar to a bulge in an inner tube or a thin balloon. There are also aneurysms that are not present in the brain. Aneurysms can occur in any blood vessel in the body. They tend to form where the artery divides or branches off."
Mamashealth.com
PO Box 361045, Los Angeles, CA 90036
http://www.mamashealth.com/aneurysm.asp

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Intracranial Aneurysms, Mount Sinai School of Medicine:"What is a cerebral aneurysm? How common are aneurysms? What causes aneurysms to form? How do patients with aneurysms present to the doctor? Incidentally discovered, unruptured, or asymptomatic intracranial aneurysms Diagnostic Tests for Intracranial Aneurysms Treatment Options for Intracranial Aneurysms Optimal Treatment Aneurysm Case Presentations."
One Gustave L. Levy Place, New York, New York 10029
http://www.mountsinai.org/patient-care/health-library/diseases-and-conditions/aortic-aneurysm

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What is Cerebral Aneurysm? NINDS Cerebral Aneurysm Information Page, National Institute of Neurological Disorders and Stroke:"A cerebral aneurysm is the dilation, bulging or ballooning out of part of the wall of a vein or artery in the brain. The disorder may result from congenital defects or from other conditions such as high blood pressure, atherosclerosis (the build-up of fatty deposits in the arteries), or head trauma. Cerebral aneurysms can occur at any age, although they are more common in adults than in children and are slightly more common in women than in men. The signs and symptoms of an unruptured cerebral aneurysm will partly depend on its size and rate of growth."
National Institute of Neurological Disorders and Stroke
National Institutes of Health
NIH Neurological Institute
P.O. Box 5801, Bethesda, MD 20824
Voice: (800) 352-9424 or (301) 496-5751, TTY (for people using adaptive equipment): (301) 468-5981
http://www.ninds.nih.gov/disorders/cerebral_aneurysm/cerebral_aneurysm.htm

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Aneurysm & AVM Support site, State University of West Georgia:"The purpose of this Aneurysm & AVM Support site is not to echo data from many other informative Web pages, but instead, will be a place for survivors, their families, and those whom have lost loved ones to aneurysms, to exchange experiences, pre- and post aneurysm diagnosis. That stated, I hasten to add that any narrative, medical or anecdotal, regarding any type of vascular aneurysm, is, and shall always be, welcomed and encouraged."
State University of West Georgia
1600 Maple St. Carrollton, GA 30118
(770) 836-6500
http://www.westga.edu/~wmaples/aneurysm.html

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Subclavian Artery Aneurysm: Frequently Asked Questions:"What are the causes of Aneurysm of the Subclavian Artery? The most common causes are arteriosclerosis (hardening of the arteries), thoracic outlet obstruction (a mechanical, poststenotic dilation), post-traumatic (i.e. gun-shot, blunt trauma), aberrant (malposition) right subclavian artery and miscellaneous. Rare causes include: syphilis, tuberculosis and abnormalities of the vessel wall (fibromuscular dysplasia)."
http://stu.westga.edu/~wmaples/subclav.html

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Created on July 24, 1999

Last updated by Andrew Lopez, RN on Monday, November 22, 2010


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