Aortic aneurysm is a condition in which the aneurysm in the arteries in the abdomen reach a twofold width compared to the artery itself. Since most of the time it does not show any symptoms it can lead to fatal results if a timely diagnosis and treatment is not made. It is more dangerous in patients with chronic bronchitis due to the fact that the cough creates a pressure on the stomach therefore increasing the risk of rupture of the artery. In this case, the person may lose their life. In addition, in some romotological and connective tissue diseases, regardless of the size of the aneurysm, appropriate medical treatment following an emergency surgical intervention decision saves the patient’s life. Especially patients who have high blood pressure should undergo examination with an ultrasound, tomography or if needed, CT angio scan. It is important to regularize these examinations after the treatment of the aortic aneurysm because it is a condition that may reoccur. Symptoms such as an abdominal pain which is not recovered, the sensation that the heart is beating in the stomach and back pain may indicate an aortic aneurysm.
Cough can make the vein explode.
In cases of aneurysms, treatment decisions should not be taken only by examining the size of the diameter of the vessel, but by investigating the person’s chronic diseases and lifestyle. In general, publications related to aortic aneurysms suggest follow – up with medical treatment in aneurysm up to 5 and 6.50 centimeters. The risk of explosion increases as the diameter of the vessel increases. However, in specialised patients (patients with COPD and some patients of connective tissue and rhomatology) when compared to their own artery width, even when the maximum value is two or two and a half fold, meaning a width of 4 centimeters the patient is under a risk of rupture. If the patient has complaints as well, surgery must be made immediately. There is no time to lose especially if the patient has chronic bronchitis and/or is a smoker. Because the person’s cough will increase the pressure on the abdomen it will put the artery under the risk of rupture. And this causes death. Various connective tissue and rheumatic diseases also trigger aneurysms. In rare cases such as Takayasu Vasculitis, Behçet, and Marfan Syndrome, that threaten women under 40 years of age, emergency surgery is also required.
Minimally invasive surgery in aortic aneurysm
In these surgeries where we apply many different techniques together, we reach an aneurysm zone with small cuts on the abdomen without opening the groin and we attach the new vascular graft to the main artery. Aortic Aneurysm Surgery is one of the most difficult surgeries performed in vascular surgery. We need to complete the operation without damaging the patient, injuring the intestines, blowing the vein or paving way to a heart attack.