Aortic Aneurysm

An aortic aneurysm is a bulge or enlargement in the aorta, the main blood vessel that delivers blood from your heart to the rest of your body. This condition can be serious as the wall of the aorta can weaken, leading to a risk of rupture. This leads to life-threatening internal bleeding.

Firstly, take a deep breath. It’s important to gather as much information as you can and discuss your concerns and treatment options with a specialist. Early diagnosis and management are key in dealing with aortic aneurysms. Dr. Lim and his team are here to support you every step of the way, providing compassionate care, detailed information, and expert medical advice to help you make informed decisions about your health.

The treatment for aortic aneurysms is multifaceted and based on various factors including size, location, and individual health conditions. Dr. Lim emphasizes a tailored approach to each patient’s condition. Treatment approaches include:

• Monitoring and Medication:

Small aneurysms may be closely monitored with regular imaging tests and medications to manage blood pressure and prevent the aneurysm from growing.

• Endovascular Aneurysm Repair (EVAR)

An EVAR is a minimally invasive procedure that involves placing a stent-graft within the aneurysm to reinforce the weakened section of the aorta. This procedure can be suitable for patients with certain types and locations of aneurysms and is associated with shorter recovery times compared to open surgery.

• Open Repair Surgery for Aortic Aneurysms 

This is a more traditional method where an incision is made in the abdomen to access the aneurysm. The weakened section of the aorta is replaced with a synthetic graft. Open repair is highly effective but involves a longer recovery period.

Not all aortic aneurysms require surgery. Small aneurysms are often monitored with regular imaging tests to check for any changes in size or symptoms. Surgery is generally recommended when the aneurysm is large, growing quickly, or causing symptoms like backaches or abdominal pain. Dr. Lim will assess your particular situation and help you decide the best course of action based on your overall health, lifestyle, and personal preferences.

Dr. Lim meticulously evaluates several factors to determine the most appropriate surgical approach for your aortic aneurysm. These include the size, shape, and location of the aneurysm, your age, medical history, and overall health. Endovascular aneurysm repair (EVAR) is a minimally invasive option suitable for some patients, while open surgery may be necessary for others. Dr. Lim will discuss the benefits and risks of each option with you and collaborate with you to decide the best treatment plan tailored to your needs.

A rupture of an aortic aneurysm is a medical emergency and can lead to severe internal bleeding and potentially be life-threatening. It’s crucial to seek immediate medical attention if you experience sudden, intense, and persistent abdominal or back pain, as this could be indicative of a ruptured aortic aneurysm.

Aortic aneurysms often develop silently, but early signs- depending on the location- may include a pulsing feeling in the abdomen, back or chest pain, or a persistent cough. Sudden severe pain may indicate a rupture and requires urgent medical attention.

Yes, many people live long lives with an aortic aneurysm, especially if it’s small and monitored regularly. Managing blood pressure and avoiding smoking can slow its growth. Surgery may be needed if the aneurysm is large or causes symptoms.

An aortic aneurysm isn’t “curable” in the traditional sense, but it can be effectively treated. Small aneurysms are often monitored, while larger or symptomatic ones may need surgery. With proper care and follow-up, many people can live well with this condition.

Risk factors for aortic aneurysm include older age, smoking, high blood pressure, high cholesterol, and a family history of aneurysms. Men and people with heart or vascular disease are also at higher risk. Regular check-ups help with early detection.

Aneurysms often have no symptoms until they rupture. However, some people may experience warning signs like back, chest, or abdominal pain, a pulsating sensation, or a persistent cough. Sudden, severe pain may signal a rupture and needs immediate medical attention.

No, an ECG cannot detect an aortic aneurysm. ECGs measure heart rhythm and electrical activity, not the size or condition of the aorta. Aneurysms are usually diagnosed with imaging tests like ultrasound, CT scan, or MRI.

Avoid heavy lifting, intense straining, and high-impact exercises, as they can raise pressure on the aorta. Activities that suddenly spike blood pressure should also be limited. Always check with your vascular surgeon before starting or continuing any exercise routine.

Triggers for aneurysm growth or rupture include uncontrolled high blood pressure, heavy lifting, physical strain, trauma, and smoking. These factors can increase pressure on the aortic wall, raising the risk of complications—especially if the aneurysm is already large.