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I have been diagnosed with two aneurisms one in my leg ...

Sent to Health Experts September 23 2006 at 10:46 AM
   

I have been diagnosed with two aneurisms one in my leg 3.4 in size and one below my belly button 3.7 in size. How critical are these toward bursting. My surgeon says one in belly is critical but my health provider feels it is questionable for surgery. I have taken a stress test for heart and have been given good results. Further I am 84 yrs of age. My great concern is having the 0ne in my belly bursting and doing bodily damage while I am driving. Your opinion please. Irving Sherman
My e-mail address is BettyandIrv2@peoplepc.com

 

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Male , Age: 84

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Customer (name blocked for privacy)
Status:  Closed   Value: $8
Info Request
September 23 2006 at 11:05 AM (18 minutes and 54 seconds later)
         
REPLIED to Info RequestCheck Mark

Hello

Do you have any symptoms due to abdominal aortic aneursm?

When were this first diagnosed?

At what rate it is increasing in size?

Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
Reply
September 23 2006 at 11:19 AM (14 minutes and 8 seconds later)
         
Reply to Dr AMIT MUNJAL's Post: No Symptoms. Discovered during MRI
Do not know rate of increase
Customer (name blocked for privacy)
Answer
September 23 2006 at 11:31 AM (12 minutes and 25 seconds later)
         
ACCEPTEDCheck Mark

Hello

Most vascular surgeons currently recommend surgery for asymptomatic aneurysms 5 cm or larger, since the risk of rupture (25-41% over 5 years) is substantially higher than risks from surgery.While more aggressive management of smaller aneurysms (4-5 cm) has been recommended by some, others have suggested that asymptomatic, slow-growing aneurysms under 6 cm can be successfully followed by serial ultrasound.

If your aneurysm is large enough, or if the aneurysm is growing more than 1 centimeter (cm) per year, surgery may be your best option.

Check this link

http://cpmcnet.columbia.edu/texts/gcps/gcps0016.html

Since the size of aneursym is below 4 cm , its is asymptomatic i would agree with your health care provider in following a wait and watch approach and getting it monitored at regular intervals (15 - 30 days).If the size increases at a faster rate surgery should be considered .

Also some points from the above study :

Few aneurysms less than 4 cm in diameter will rupture.

Overall, 3-6% of aneurysms greater than 4 cm in diameter will rupture annually



Edited by dr_amitmunjal on September 23 2006 at 11:34 AM

Please press the accept button if you find my comments useful.
The information provided herein is for educational purposes only .
Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
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