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Aortic aneurysm

Aneurysma aortae · Výduť aorty (aneuryzma)

What it is

The aortic wall balloons; rupture is usually fatal.

Symptoms & signs

  • Silent until rupture
  • pulsating abdominal mass
  • deep back pain
  • sudden tearing pain if it goes

🚩 Get help if…

  • call 112 / 911 now Sudden severe belly, back or chest pain
  • call 112 / 911 now Collapse, fainting or cold, pale skin with pain
  • see a doctor soon New throbbing lump in the belly
  • see a doctor soon Growing aneurysm or new back pain on a known aneurysm

Where it strikes

Medical treatment

  • Ultrasound surveillance
  • blood-pressure control
  • surgical or endovascular repair at 5.5 cm (men) or 5.0 cm (women)

Natural & lifestyle

  • Stop smoking (the single biggest factor)
  • blood-pressure control
  • avoid heavy straining

Emerging & experimental

  • Endovascular sealing devices
  • metformin trials to slow growth (doxycycline failed)

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Doxycycline to slow growth — a controlled trial found no effect not confirmed in trials
  • Metformin — observational data show slower growth in diabetics; trials running early / small studies
  • Vitamin C and copper for vessel wall collagen — plausible, untested anecdotal / traditional

ICD codes