What is abdominal aortic aneurysm?

The dilation of the wall of the aorta exposes the risk of cracking, or even breakage, fortunately exceptional. Surgery avoids any complication, but it is also safe. Let us return to the conditions of its formation, its symptoms, its treatments and the best means of prevention.

Who is affected by the aneurysm of the abdominal aorta?

This is the formation of a small "bag" in the wall of the abdominal aorta.

Does the frequency of aneurysms of the abdominal aorta increase?

A man smoker, obese or diabetic makes a good candidate for the aortic aneurysm.

What are the symptoms of aneurysm of the abdominal aorta?

It does not increase, but its earlier detection in people at risk, improves its prognosis.

How is the diagnosis of the aneurysm of the abdominal aorta?

Can an aneurysm of the abdominal aorta be prevented?

What are the main treatments for aneurysm of the abdominal aorta?

Do natural medicines fit in with the treatment of the aneurysm of the abdominal aorta?

An aneurysm may pass completely unnoticed until it breaks.

Ultrasound and abdominal scanning have no difficulty in recovering the aneurysm, but these tests are only required in people at risk or in case of suspicious signs.

What are the baseline exams? Ultrasound allows a quick diagnosis and the abdominal scan allows a more detailed analysis of the aneurysm to help the surgeon prepare for his intervention.

It is enough to act on its many risk factors.

You must stop smoking, control your diabetes, blood pressure, cholesterol and exercise regularly.

The only real treatments are surgery and endovascular treatment

They are especially useful for taking action beforehand on the different risk factors.

Sources

The website of the National Society of Cardiology: www.sfcardio.fr.

The aneurysm is a dilatation of the wall of the aorta. This large artery distributes blood to all organs, including the brain (except the lungs). While the diameter of the abdominal aorta is normally in the order of 20-25 millimeters in humans, An aneurysm results in a diameter greater than 30 mm. Beyond 50 mm, the risks of rupture are real and this accident is often dramatic. Of the 100 victims of a ruptured abdominal aortic aneurysm, 25 will die before they reach the hospital, 50 before reaching the operating theater, and 13 postoperatively. Only 12 will therefore survive the event. However, the terrible prognosis of abdominal aortic rupture is counterbalanced by the rarity of this event. "The normal diameter of a woman's abdominal aorta is less than that of men, ranging from 15 to 20 millimeters. Thus, what would be considered an aneurysm under simple human surveillance - for example, a 45 mm diameter aneurysm - is actually a very large aneurysm in a woman whose aorta usually measures 15 millimeters This dilation is caused by the loss of elasticity of the wall, following the formation of a cholesterol plate. This plate is initially constituted by a very small deposit of cholesterol in the wall of the vessel, then it aggregates with other molecules of cholesterol circulating in the blood. Other causes may be found as an infection or an inflammatory disease of the arteries (mainly Horton's disease) or a pathology Congenital injury affecting all elastic tissues, or, finally, trauma.

They are mostly men, over the age of 50, smokers, hypertensive, with an excess of bad cholesterol, overweight, diabetic and with low physical activity that are concerned.Persons often have several associated risk factors, But sometimes none!

If we decided to measure the diameter of the abdominal aorta in all smokers over 60 years of age, we would find a very worrying diameter aorta - more than 50 millimeters - in 1.6% of (And even in 5% of those over 75 years, age being also a risk factor). Thus, screening is mostly performed in people who have multiple risk factors, as well as in adults whose lifestyle is more likely to die from any other event. One of the parents was the victim.

The most typical symptoms are abdominal pain. It may be a feeling of bloating, low back pain (unrelated to osteoarthritis), difficulty in urinating without a known urological cause, or difficulty walking due to pain in With the perception of a swinging mass in the abdomen may announce that the aneurysm will soon break down. Call for emergency help

Up to 5 cm in diameter in a man, it is more reasonable to monitor the evolution of the aneurysm (usually it grows 0.5 cm / year) by an abdominal scan every year. Beyond this one must operate, under penalty of complications like the cracking of the aneurysm or the rupture (often fatal). The other risks are the compression of the digestive system, which can then mimic an occlusion, the appearance of lumbar pain by compression of the nerves, or a renal failure per obstacle preventing the flow of urine. Finally, there is a risk of embolism by aggregation of the platelets on the plate, forming a clot that can dislodge at any moment .; The surgery is not devoid of risks (4 to 5% of postoperative mortality). It requires a laparotomy (incision throughout the abdomen) and consists of opening the aorta, cleaning the internal face of the wall, removing the cholesterol plate and a possible clot in formation. A prosthesis is then put in place and the surgeon re-implants all the arteries attached to the prosthesis to ensure the irrigation of the different organs such as the kidneys and the lower limbs.- An alternative but suitable only for very precise morphologies is The exclusion of the aneurysm by means of a stent. A metallic spring stent is introduced by the femoral artery at the groin and then introduced through the aorta, thus replacing this dilated artery without the need to remove it. This procedure requires only a small incision at this level. With this technique and selecting well patients, mortality is 1 to 2%

Traditional use and to stop smoking: heavy smokers are more likely to do so with a nicotine replacement and follow-up by a tobacco specialist for one year. Non-dependent smokers can eventually "drop out" with the help of acupuncture, auriculotherapy, passiflora in phytotherapy or Tabacum in homeopathy. The phytotherapist and the homeopath adapt the dosages on a case-by-case basis. The usual doses are 25 drops TM of Passiflore in a glass of water, 3 times a day and Tabacum 4CH, 3 granules 5 times a day, in traditional use and against high blood pressure: olive tree, l Hawthorn and mistletoe are three plants that can be useful. On prescription, the doses usually observed are, in Elusanes, 1 capsule morning and evening or in mother tinctures, 50 drops morning and evening. In aromatherapy, traditional massages with essential oils of lavender and Geranium robert are done on the level of the plexus. Relaxation under hypnosis can traditionally relax an exacerbated pressure. In Nutritherapy, supplementation with Omega 3 is an excellent indication. Music therapy has beneficial relaxing effects. (From "Phytotherapy, Health by Plants", ed. Vidal, Selection of Reader's Digest, "Handbook of Music Therapy" R. Benenzon ed. Privat, "The Log Book of Alternative Medicines" by Dr. S. Rafal, eds Marabout, "Health and well-being by plants" by Dr. Bonnabel-Blaize at Edisud, "Phytotherapy" by Dr. Hector Valnet, ed. Acupuncture can help lower blood pressure which is one of the risk factors for aortic aneurysm (from "Encyclopedia Practice of New Western Medicine and Alternative for All Ages" by the Duke Center, Edited by Robert Laffont).