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Aortic Aneurysm Rupture
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- often abdominal
- E.g. abdominal aortic aneurysm (AAA)
Risk Factors
- male sex
- advancing age
- hypertension
- tobacco smoking
- chronic obstructive airways disease
- infection
- occlusive arterial disease
Examination
- expansile mass in umbilical region
- infra-renal / supra-renal
- can get above it if infra-renal
- tender
- auscultation
Complications
- rupture
- distal emboli
- severe back pain
- thrombosis leading to distal ischaemia
Treatment
- safe to watch whilst
- mortality of elective repair 5-10%
- open repair
- stent repair
- if 1 inch between aneurysm and renal arteries and normal iliac
arteries
- applies to 40% patients
- 10% risk of leakage
- need scan every 3 months
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