Thoracic aortic aneurysms | Circulatory System and Disease | NCLEX-RN | Khan Academy

[@lbburgett]

I was just diagnosed with an ascending aortic aneurysm. I have none of the risk factors, and was diagnosed accidentally while looking for coronary artery disease, which I do NOT have. The only risk factors I have are three genetic defects. Also, this was discovered after orders from my primary physician's intern. I go to a teaching clinic, and it was the sharp mind of an intern that sent me in for the CT angio scan. The regular doctor just figured my symptoms were from being overweight or anxious, and ordered a heart monitor to "rule out" my tachycardia. This would NOT have detected an ascending aortic aneurysm as well as a CT angio. Thank heaven for that intern! Thanks for the info.

[@itsm3th3b33]

So, what was the prescribed treatment?

[@lbburgett]

@@itsm3th3b33 The treatment is blood pressure medication that lowers my heart rate-a beta blocker. They initially thought the aneurysm was 4.6 cm, but the cardiologist did a better imaging test that showed it was only 4.2 cm. But the medicine will help prevent further distensión.

[@debrascott8492]

@@lbburgett .....The use of high blood pressure medications will definitely help with growth of your aneurysm, however your aneurysm will continue to grow in size (just at a lower rate of speed). A yearly cat scan will show the growth. Once an aneurysm has stretched your aorta, it will continue to grow.

[@lbburgett]

@@debrascott8492 Thank you.

[@dwillmayne5516]

@@debrascott8492 what is the best treatment option ?

[@rwes2940]

great video. I suffered a thoracic aneurysm from the arch to the kidney area. 4 stents placed. 2 weeks in ICU and 1 week on recovery floor. I survived do to the awesome doctors who took care of it.

[@indrajitsinhsodha5837]

Hii my papa have same problem.can you say me where are you from? And where you go for hospital?

[@yourhealthinformer6948]

Oh.... Happy for you.... Doctor's are awesome... I read of what they do even if most know what they... A deep thinking about it makes you feel like... "This category of professionals is different from the rest out there"

[@tabassumshaikh3680]

What type of symptoms you were facing n how old are you?

[@wisperone11]

Best videos around..easy to listen, follow, and understand...thank you...my EMT students thank you too!

[@RobinahJuru1992]

Saving med student from day 1

[@yourhealthinformer6948]

I am glad he did... And it's so awesome that you still remember it... I Iove it!

[@Bloodworthdeb4869]

Very informative and helpful information, THANKS🤗

[@yourhealthinformer6948]

Found it helpful... 2

[@babuantony7455]

Excellent explanation.Thank you.

[@racheledwards4884]

very informative ty

[@mmalacria]

You have a great way of explaining, 👏

[@lalardh9976]

Well explained. Thank you

[@bloomprinceton]

God bless :'D

[@medicinelectures7117]

Best video

[@steadfast9326]

Something about the narrator's calm, deadpan voice explaining why aneurysms aren't the best thing to have happen inside of us keeps me laughing

[@Poppy-tk2cc]

This was a very interesting video !! My mum died of this very condition, nearly 4 years ago… should i get tested??

[@dbkle]

Yes, right away. Its safer to be sure, especially because you can be asymptomatic while having the condition

[@dr.shubhamdesale1137]

Nice

[@jacknikolson7480]

Nice video i was just diagnosed accidentally with aortic aneurysm …didnt know anything about all these before..i dont smoke,i was training almost all my life..i am just 31 y.o…can u make more videos about these pls? thanks

[@TheLizzabelle]

how are you now?

[@debrascott8492]

@rwes2940 or Jack Nikolson....I was just recently diagnosed with a thoracic aneurysm aortic dissection (TAAD Type B) on 11/28/17. Per cat scan results, I am currently at 4.3 cm. I am a 64 year old female. I am scheduled for endovascular surgery on 3/12/18. My surgeon states that tubes have to be placed in my spinal cord for this procedure. I have elected to do conscious sedation. What were your procedures and your thoughts on this? I am extremely scared and experiencing severe anxiety about all of this.

[@peternapolitano860]

@@debrascott8492 how did you make out? 🙏🙏🙏

[@debrascott8492]

@@peternapolitano860 .....Well...You made find this hard to believe - I cancelled my surgery. My then, thoracic surgeon terrified me (I lost faith & trust in him), and I should not have. My insurance company paid for two additional diagnosis's with two other thoracic surgeons that had been recommended to me. They also terrify me. I have since had another cat scan (July, 2018) at 5.3cm. Yes, of course, the aneurysm is growing. I am seeing one of the chosen three surgeons and another cat scan is scheduled for July 2019 (if it does not rupture before then). Here is the low down on the fear that I have. This aneurysm is located in the middle of my chest and I also had a dissection (tear) in my aorta. Endovascular surgery (they say) would be applicable for this surgery along with tubes placed in my spine to relieve any build up of fluids that would travel to my brain or kidneys. All three surgeons have told me that there is "high" probability that after the surgery I will no longer have use of my legs, no kidney function (dialysis rest of my life), massive stroke and/or massive heart attack. And this is why I am terrified. How does a person wrap their mind around this ? I am currently on high doses of blood pressure medications and prescription diuretics (severe side effects from all). I know my time for decisions is fast approaching and let me say that I do a lot of praying. Seems as though I am damned if I do and damned if I don't. I also find it very interesting to know that women only have a chance of 1 in 300,00 for a thoracic aneurysm. I guess I won this lottery.

[@peternapolitano860]

@@debrascott8492 you can email me [e-mail] I can give you my # to text etc. I have a great surgeon in ny dr Allen stewart mount Sinai hospital..it was a 4hr operation it's no issue you will have no issues trust me I can have him recommend someone in your state..the real fear should be doing nothing please don't wait much longer you can damage your aortic valve!!!! I had my valve spared ...dont fear the operation I was scared too!! 98 percent success rate ..

[@donnaberscht5320]

My doctor hete in Saskatchewan diagnosed me with a aortica aneurysem last week i am 70 she sent me for ultra sound nut i haven herd from a surgeon yet my blood pressure is high and low what can i do should i go to emergancey

[@lawrenceporter3723]

My aneurysm is actually this type,,does cardiovascular exercise spike bp and cause further issue ? I have moderate high bp

[@debrascott8492]

@lawrence porter......Moderate to high blood pressure, smoking, high stress, obesity and family history are the main causes for a thoracic Aneurysm. Cardiovascular exercise is highly recommended (done in moderation). Your Doctor can tell you what to do and what not to do.

[@lawrenceporter3723]

@@debrascott8492 thanks very much

[@ramanpatel1245]

It was done at Assian Heart Institute BkD Mumbai on 14/04/2013

[@CaroleAnneHochstetler]

Having found this after being surprised with the diagnosis is a beginning of wisdom

[@Satya2btrue]

Can you see an aneurysm from the outside of the body?

[@debrascott8492]

@Vicki Boucher......NO, you cannot see an aneurysm from outside the body. An aneurysm would have to be detected by a Cat Scan, Ultrasound, MRI or EKG.

[@Satya2btrue]

@@debrascott8492 thanks for your response

[@dannyspitzer1267]

Definitely not

[@dbkle]

@@debrascott8492 Can an EKG be show no signs of it but another test says different?

[@debrascott8492]

@@dbkle .....An EKG can detect a thoracic aneurysm, and an EKG can be read incorrectly, however your best detector is a cat scan or MRI.

[@roadstomadness2335]

You don't mention that a aneurysm can cause a Dissection. You just say a Dissection can cause a aneurysm.

[@debrascott8492]

@Roads ToMadness......I first had the dissection and then the Aneurysm was found. And YES, a dissection will most definitely cause an Aneurysm.

[@SanSitralu]

I have an aortic aneurysm at the base of left subclavian artery for the the said artery is connected to bulge of 2.82 cm, my doctors are unable to suggest anything can anyone give info.

[@Bint_S]

How long does it take for an aneurysm to rapture?

[@rabbie1973]

how long is a piece of string, could be tomorrow, could be a year from now, no way to know

[@powerjay8920]

They don’t have to key ! Please look up DR.JOEL WALLACH he can show you and tell you and you versus these issues

[@delphiniapickett2934]

What about mild dilation ascending thoracic aorta 4 cm in diameter?

[@peternapolitano860]

I had the operation I was at 5.2cm , 4cm not big enough thank god...at 4.5 they start considering it..Any questions feel free to ask I pray your ok 🙏🙏🙏🙏

[@nisar5947]

@@peternapolitano860 my mother have a fusiform aneurysm in descending thoracic aorta measuring 6.1*4.2*3.9cms (CC*TR*AP). Does this aneurysm need surgery ? There are many others located in different parts of the aorta but this one is the largest in measurment of all.

[@debrascott8492]

@@nisar5947 .....A descending thoracic aneurysm (like I have) needs to be repaired by 5.0 - 5.5 cm. Most of these (descending) aneurysms can be repaired with an endovascular procedure instead of open surgery. Your Mother's aneurysm is "extremely" large and needs repair. Please let us know how she is doing.

[@boddusrinivas1556]

4.2safe or not

[@R3velations]

Safe. But you need annual ct scans for surveillance of growth

[@CP-ww1nj]

I am 4.3 or 4.4. Each doctor measures a bit differently and can be up to .3 variation.