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Blood is the basic element for our survival. It is carried through our body through two main blood vessels, namely arteries and veins. Arteries carry oxygenated blood to provide oxygen and other nutrients to the body organs. Any defect in these arteries could be life threatening.
Aneurysms are one such rare and life threatening defect in arteries. They cause out pouching and dilatation of the arteries owing to lack of elasticity in the arterial wall. The result is [link widoczny dla zalogowanych] ischemia at the distal arteries or the end organ and could be fatal in the event of rupture.
Causes of Aneurysms:
The exact cause of [link widoczny dla zalogowanych] aneurysm has not yet been defined. Some aneurysms are congenital and are present at birth. The etiological factors for acquired aneurysms are cigarette smoking, increased blood pressure and [link widoczny dla zalogowanych] increased blood cholesterol levels. Maybe for these reasons, men have an increased risk of acquiring aneurysms than women.
But the most common cause is atherosclerosis, which challenges the elasticity of arterial walls. Atherosclerosis is the accumulation of fat deposits which cause degenerative changes and result in widening and ballooning of arteries.
Other less common causes of aneurysm are penetrating or blunt trauma and acute or chronic infections.
Aneurysms can happen anywhere [link widoczny dla zalogowanych] in the body, but the most common ones are:
- Aortic aneurysms that happen in the aorta - the biggest artery that carries blood [link widoczny dla zalogowanych] from the heart to all other body parts
- Cerebral aneurysms of the brain
- Aneurysms in the legs due to ballooning of the popliteal artery
- Mesenteric aneurysms of the intestines and
- Aneurysms in the spleen due to widening of the spleenic artery
Symptoms of aneurysms:
The manifestations of aneurysm depend on [link widoczny dla zalogowanych] their location of onset.
- Aortic aneurysms are associated with severe stabbing chest pains, an increase in heart rate, rapid breathing, immobility, and a deep feeling that something is terribly wrong.
- Cerebral aneurysms cause stiff neck with pain, and blurred vision with pain behind the eyes.
- Mesenteric and spleenic aneurysms are associated with stabbing abdominal pain after meals, and distension and tenderness of abdomen and malnutrition. Bruits can be heard on auscultation and palpable mass can be noted during a routine physical examination.
Treatment of Aneurysms:
Early diagnosis and prompt treatment is required to prevent [link widoczny dla zalogowanych] the rupture of [link widoczny dla zalogowanych] aneurysms.Conservative management is enough for people having an aneurysm of 4 cm. This includes risk factor modification, reducing blood pressure, cholesterol levels, etc.
For [link widoczny dla zalogowanych] large and ruptured aneurysms, surgical management is preferred. The traditional surgical technique for an aortic aorta is to cut open the affected blood vessel, remove the accumulated cholesterol mass completely, and place a synthetic graft inside the vessel so that future cholesterol plagues do not accumulate and replace the original blood vessel over the graft as a protective cover. More recently for all types of aneurysms, bypass surgeries are performed using an allograft.
Prevention is better than cure. It is easy to fight anything when it is small. Most aneurysms could be prevented by having a constant check on the blood pressure and cholesterol levels. By following a proper lifestyle with regular exercise and periodic health [link widoczny dla zalogowanych] checks, we can keep the development of aneurysms at bay.
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