Abdominal aortic aneurysm (AAA) treatment in 522 Vascular surgery clinics worldwide

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522 clinics specializing in Vascular surgery providing treatment of Abdominal aortic aneurysm (AAA) Abdominal aortic aneurysm (AAA) is a condition where the large blood vessel (aorta) that supplies the abdomen and lower body becomes abnormally enlarged and weakened, carrying a risk of rupture, which can be life-threatening.
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disease worldwide.

Africa · 7
Americas · 100
Asia · 182
Europe · 212
Oceania · 21
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Africa · 7 Americas · 100 Asia · 182 Europe · 212 Oceania · 21
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Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $52,919
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $69,584
  3. Carotid endarterectomy (CEA)
    ≈ $20,497
  4. Foam sclerotherapy (Unilateral)
    $4,824
  5. Peripheral artery angioplasty and stent placement
    ≈ $19,056
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $66,861
  7. Arteriovenous (AV) fistula surgery
    $2,456 - $4,210
  8. Endovascular thrombectomy
    ≈ $17,340
  9. Carotid angioplasty and stenting
    ≈ $29,631
photo
Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
The hospital is fully devoted to elevating its medical service quality by introducing state-of-the-art equipment and systems such as Robot surgery, Linear Accelerator, 3.0T MRI, read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    $6,210
  2. Carotid endarterectomy (CEA)
    $3,436
  3. Foam sclerotherapy (Unilateral)
    ≈ $300
  4. Peripheral artery angioplasty and stent placement
    $2,700
  5. Arteriovenous (AV) fistula surgery
    $344 - $515
  6. Endovascular thrombectomy
    $982
  7. Carotid angioplasty and stenting
    $3,927
  8. Uterine artery embolization (UAE)
    $2,160
  9. Varicose veins treatment
    $565 - $5,842
photo
Almaty, Kazakhstan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
Languages: English, Russian
At the Almaty SEMA Hospital Clinic, you can get a full range of medical services provided by our leading specialists. Whether you need a small read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $7,402
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,284
  3. Carotid endarterectomy (CEA)
    ≈ $2,881
  4. Peripheral artery angioplasty and stent placement
    ≈ $2,870
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $9,056
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,156
  7. Endovascular thrombectomy
    ≈ $2,192
  8. Carotid angioplasty and stenting
    ≈ $3,832
  9. Uterine artery embolization (UAE)
    ≈ $2,337
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Hospital São Camilo Pompeia has followed, over the years, the growth of the population and the scientific and technological advances aimed at medical and read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $7,402
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,284
  3. Carotid endarterectomy (CEA)
    ≈ $2,881
  4. Foam sclerotherapy (Unilateral)
    ≈ $353
  5. Peripheral artery angioplasty and stent placement
    ≈ $2,870
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $9,056
  7. Arteriovenous (AV) fistula surgery
    ≈ $1,156
  8. Endovascular thrombectomy
    ≈ $2,192
  9. Carotid angioplasty and stenting
    ≈ $3,832
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Integrated into the São Camilo de São Paulo Hospitals Network in March 1979, the Santana Unit has an agile and modern structure implemented to offer read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $7,402
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,284
  3. Carotid endarterectomy (CEA)
    ≈ $2,881
  4. Peripheral artery angioplasty and stent placement
    ≈ $2,870
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $9,056
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,156
  7. Endovascular thrombectomy
    ≈ $2,192
  8. Carotid angioplasty and stenting
    ≈ $3,832
  9. Uterine artery embolization (UAE)
    ≈ $2,337
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
A member of the Network since 2000, Hospital São Camilo Ipiranga has an emergency room for patients aged 12 years and over, an Intensive Care read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $7,402
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,284
  3. Carotid endarterectomy (CEA)
    ≈ $2,881
  4. Peripheral artery angioplasty and stent placement
    ≈ $2,870
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $9,056
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,156
  7. Endovascular thrombectomy
    ≈ $2,192
  8. Carotid angioplasty and stenting
    ≈ $3,832
  9. Uterine artery embolization (UAE)
    ≈ $2,337
photo
Belo Horizonte, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Lifecenter Hospital stands out among the most sophisticated and renowned health institutions in Minas Gerais. Its activities cover urgent and emergency medical care, surgeries, read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Carotid endarterectomy (CEA)
    ≈ $5,059
  4. Foam sclerotherapy (Unilateral)
    ≈ $727
  5. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  7. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  8. Endovascular thrombectomy
    ≈ $3,688
  9. Carotid angioplasty and stenting
    ≈ $6,200
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We invite you to visit one of the largest health institutions in the country… A sanatorium with history, but looking to the future. The Doctor read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Foam sclerotherapy (Unilateral)
    ≈ $727
  4. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  6. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  7. Endovascular thrombectomy
    ≈ $3,688
  8. Varicose veins treatment
    ≈ $4,586
  9. Radiofrequency ablation (RFA) for varicose veins (Unilateral)
    ≈ $1,759
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The British Hospital of Buenos Aires is a non-profit civil association that aims to provide the community with highly complex health care, train medical professionals read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Carotid endarterectomy (CEA)
    ≈ $5,059
  4. Foam sclerotherapy (Unilateral)
    ≈ $727
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  6. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  7. Endovascular thrombectomy
    ≈ $3,688
  8. Carotid angioplasty and stenting
    ≈ $6,200
  9. Varicose veins treatment
    ≈ $4,586
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Hospital de Clínicas José de San Martín is the flagship teaching hospital in our country. Dependent on the University of Buenos Aires, read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  4. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  5. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  6. Endovascular thrombectomy
    ≈ $3,688
  7. Uterine artery embolization (UAE)
    ≈ $3,560
  8. Renal artery angioplasty and stenting
    ≈ $3,576
  9. Aortography
    ≈ $1,410
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery
Inaugurated on March 1, 1991, the Suizo Argentina Clinic and Maternity began its history with a revolutionary vision in the concept of care and comfort read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Carotid endarterectomy (CEA)
    ≈ $5,059
  4. Foam sclerotherapy (Unilateral)
    ≈ $727
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  6. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  7. Endovascular thrombectomy
    ≈ $3,688
  8. Carotid angioplasty and stenting
    ≈ $6,200
  9. Uterine artery embolization (UAE)
    ≈ $3,560
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery, Oncology
The Revista del Hospital El Cruce (ISSN: 2524-9932), in its abbreviated name Rev Hosp El Cruce, is a scientific and continuous periodical publication of the read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Carotid endarterectomy (CEA)
    ≈ $5,059
  4. Foam sclerotherapy (Unilateral)
    ≈ $727
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  6. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  7. Endovascular thrombectomy
    ≈ $3,688
  8. Carotid angioplasty and stenting
    ≈ $6,200
  9. Varicose veins treatment
    ≈ $4,586
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Pueyrredon Private Clinic was born in response to the need of Mar del Plata doctors who worked at that time as professionals in mutual read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Carotid endarterectomy (CEA)
    ≈ $5,059
  4. Foam sclerotherapy (Unilateral)
    ≈ $727
  5. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  7. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  8. Endovascular thrombectomy
    ≈ $3,688
  9. Carotid angioplasty and stenting
    ≈ $6,200
photo
Córdoba, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We are a benchmark health care network in Argentina and we are committed to offering the world excellent medicine. Our Hospital is among the main read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $14,864
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,222
  3. Carotid endarterectomy (CEA)
    ≈ $5,059
  4. Foam sclerotherapy (Unilateral)
    ≈ $727
  5. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  7. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  8. Endovascular thrombectomy
    ≈ $3,688
  9. Carotid angioplasty and stenting
    ≈ $6,200
photo
Córdoba, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Instituto Modelo de Cardiologia Privado SRL (IMC) is a professional organization focused on the Vision and Mission of: Offer patients comprehensive personalized medical assistance, read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $36,121
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $48,154
  3. Carotid endarterectomy (CEA)
    ≈ $13,008
  4. Peripheral artery angioplasty and stent placement
    ≈ $13,424
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $47,763
  6. Arteriovenous (AV) fistula surgery
    ≈ $5,321
  7. Endovascular thrombectomy
    ≈ $11,112
  8. Carotid angioplasty and stenting
    ≈ $19,651
  9. Uterine artery embolization (UAE)
    ≈ $11,182
photo
Camperdown, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Portuguese, Russian, Turkish
Royal Prince Alfred Hospital is one of Australia's premier tertiary referral hospitals and is recognised as a worldwide leader in healthcare excellence and innovation. RPA read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $36,121
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $48,154
  3. Carotid endarterectomy (CEA)
    ≈ $13,008
  4. Foam sclerotherapy (Unilateral)
    ≈ $1,331
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $47,763
  6. Arteriovenous (AV) fistula surgery
    ≈ $5,321
  7. Endovascular thrombectomy
    ≈ $11,112
  8. Carotid angioplasty and stenting
    ≈ $19,651
  9. Varicose veins treatment
    ≈ $10,263
photo
Auchenflower, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
For generations of Queenslanders, The Wesley Hospital in Brisbane has provided care through life’s journey — from birth into childhood, to adulthood and to end read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $36,121
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $48,154
  3. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $47,763
  4. Arteriovenous (AV) fistula surgery
    ≈ $5,321
  5. Endovascular thrombectomy
    ≈ $11,112
  6. Aortography
    ≈ $3,765
  7. Bentall surgery
    ≈ $54,726
  8. Aortic arch replacement
    ≈ $29,219
  9. Complex aortic surgery
    ≈ $51,722
photo
Bedford Park, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Flinders Medical Centre (FMC) is the southern areas largest hospital and provides medical services for people living in the southern metropolitan area of Adelaide. The read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $36,121
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $48,154
  3. Carotid endarterectomy (CEA)
    ≈ $13,008
  4. Foam sclerotherapy (Unilateral)
    ≈ $1,331
  5. Peripheral artery angioplasty and stent placement
    ≈ $13,424
  6. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $47,763
  7. Arteriovenous (AV) fistula surgery
    ≈ $5,321
  8. Endovascular thrombectomy
    ≈ $11,112
  9. Carotid angioplasty and stenting
    ≈ $19,651
photo
Perth, Australia
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Established in 1855 Royal Perth Hospital (RPH) is Western Australia's longest-serving hospital and renowned for contributing to innovation and excellence in medical research and patient read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $36,121
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $48,154
  3. Carotid endarterectomy (CEA)
    ≈ $13,008
  4. Foam sclerotherapy (Unilateral)
    ≈ $1,331
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $47,763
  6. Carotid angioplasty and stenting
    ≈ $19,651
  7. Varicose veins treatment
    ≈ $10,263
  8. Radiofrequency ablation (RFA) for varicose veins (Unilateral)
    ≈ $5,553
  9. Endovenous laser ablation (EVLA) for varicose vein (Unilateral)
    ≈ $5,300
photo
Greenslopes, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Greenslopes Private Hospital is proud to be one of Australia’s leading private teaching hospitals, owned and operated by Ramsay Health Care. Located on the southside read more
Prices for popular procedures:
  1. Abdominal aortic aneurysm repair
    ≈ $36,121
  2. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $48,154
  3. Carotid endarterectomy (CEA)
    ≈ $13,008
  4. Foam sclerotherapy (Unilateral)
    ≈ $1,331
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $47,763
  6. Arteriovenous (AV) fistula surgery
    ≈ $5,321
  7. Endovascular thrombectomy
    ≈ $11,112
  8. Carotid angioplasty and stenting
    ≈ $19,651
  9. Uterine artery embolization (UAE)
    ≈ $11,182
photo
Brisbane, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
St Andrew’s is an acute care hospital specialising in technologically advanced surgical and general medical care. The hospital has 250 beds including a new state-of-the-art read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Clinical Hospital Lapino in Moscow, Russia and 5 more, clinic with the most reviews number of 35757 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 172 clinics .

Countries with the highest number of clinics treating the diseases:

Abdominal aortic aneurysm (AAA):

Related procedures:

Procedures are likely to be used for Abdominal aortic aneurysm (AAA) treatment: Abdominal aortic aneurysm repair and Abdominal endovascular aneurysm repair (EVAR) .

Abdominal Aortic Aneurysm (AAA): Insights into Detection, Risks, and Treatment

Definition and causes of the disease

An aortic aneurysm is an aorta enlargement that is 1.5 times more than the normal diameter.

The aorta is the human body's central vessel, a hollow tube through which the heart pumps over 200 million liters of blood during its lifetime. The aorta starts from the left ventricle of the heart, runs down the spine, and at the level of the fourth lumbar vertebrae, branches into the common iliac arteries that supply the pelvic organs and lower extremities. The diaphragm divides the aorta into two parts: the thoracic and abdominal aorta. According to these segments, thoracic and abdominal aortic aneurysms are distinguished. The diameter of the aorta gradually narrows from its root (origin) to its bifurcation (division into the iliac arteries). In the thoracic aorta of healthy people, it usually does not exceed 4 cm, and in the abdominal aorta, it does not exceed 3 cm.

The prevalence of aortic aneurysms in the general population is highly dependent on age, sex, and geographic location.

Causes of aortic aneurysm

The causes of aneurysm formation have not been fully elucidated. The disease most often affects the abdominal aorta's end (infrarenal) section. Increasing aneurysm size increases the lesion area, the middle vessel sheath thins, and elastic fibers are lost. These changes lead to further progressive widening of the aortic diameter.

Risk factors include advanced age, male gender, tobacco smoking, atherosclerosis (especially in the coronary and carotid arteries), hypertension, obesity, and heredity.

Symptoms of an aortic aneurysm

Aortic disease may often not present with any clinical manifestations. This is especially true for small and moderate-sized aneurysms. At diagnosis, 75% of patients have no complaints. Nevertheless, there are several symptoms of aortic aneurysm that should be paid attention to, especially in the presence of the above risk factors.

First and foremost is the pain syndrome. With aortic aneurysms, patients may feel sharp or throbbing pain in the abdomen. This pain may spread to the back, lower back, buttocks, groin, or lower extremities. These symptoms, especially with a feeling of distention and throbbing, may indicate rupture of a dilated vessel, which is a life-threatening condition accompanied by shock.

There are times when patients with undiagnosed aortic aneurysms come to the doctor for other reasons. For example, there may be strokes due to blockage of the cerebral vessels by clot fragments from the aortic aneurysm sac. Or intermittent claudication (pain in the legs when walking) and bluish discoloration of the feet, which is a consequence of blockage of small arteries of the lower extremities.

Pathogenesis of aortic aneurysm

At the microscopic level, abdominal aortic aneurysms cause changes in the vessel's middle sheath (media), which are accompanied by the destruction of elastic fibers. The lesion of the middle aortic sheath, i.e., its musculo-elastic carcass, due to age and inflammatory changes, leads to nutritional disorders of the vascular wall. A "bag" of replacement scar tissue is formed, inside which thrombi can accumulate. Blood movement in the dilated area slows down and swirls. As it grows, this "bag" compresses the stomach, intestines, kidneys, ureters, and nerves. Gradually, as the aneurysm progresses, necrosis is dying off of its wall. As a result, the aorta ceases to resist blood pressure and ruptures.

There are also so-called false aneurysms. They are formed from a pulsating hematoma due to traumatic injury to the aorta. It is limited only by connective (fibrous) tissue lined from the inside with thrombi. Quite often, such pathological conditions associated with severe organs are prone to progression.

Classification and stages of aortic aneurysm development

The classification of aortic aneurysms is quite extensive. It is different for thoracic and abdominal aortic aneurysms.

Classification of abdominal aortic aneurysms is determined by the need to determine the best method of surgical treatment. It considers the causes, structure (morphology), localization, and clinical course of aneurysms.

By etiology (cause):

  • congenital;
  • acquired.

By structure:

  • true;
  • false;
  • dissected.

Form:

  • sac-like;
  • diffuse.

By clinical course:

  • uncomplicated;
  • complicated (ruptured).

From the physician's point of view, the gradation of the disease by location and extent is of utmost importance. In this case, surgeons distinguish four types:

  1. Aneurysm of the proximal (near the beginning) segment of the abdominal aorta with lesions of visceral branches - arteries feeding internal organs.
  2. Aneurysm of the infrarenal segment (located below the level of the renal arteries branching from the aorta) without extension to the terminal part of the aorta (its bifurcation).
  3. Aneurysm of the infrarenal segment of the aorta with extension into the area of branching to the common iliac arteries.
  4. Total abdominal aortic lesion.

Complications of aortic aneurysm

Aortic dissection and rupture are considered to be the most dangerous complications of abdominal aortic aneurysms. Aortic dissection is a divergence of the main artery's middle sheath due to blood flow from the vessel lumen through a rupture of the inner (intimal) sheath. The resulting channel is called a false lumen. At the same time, it is worth understanding that aortic dissection can be observed without an aneurysm. Aortic rupture in the absence of treatment is accompanied by 100% lethality. Death can occur immediately or a few days after rupture.

Aortic dissection is divided into acute (lasting up to two weeks), subacute (lasting up to two months), and chronic stages. The aortic wall is as fragile as possible in the acute stage, so its ruptures are the most common. Depending on the extent, four types of aortic dissections are distinguished, which play a fundamental role in determining treatment tactics. Symptoms and clinical manifestations of aortic dissection are immediate: an acute increase in pressure, weakening of pulsation, consciousness becomes lethargic, the eye is fixed, and the body is covered with cold, sticky sweat.

Complications of abdominal aortic aneurysms also include ruptures and thrombosis. Quite often, the rupture of these aneurysms serves as the first symptom of the disease. The main complaint of patients will be pain syndrome: sharp pain in the middle of the abdomen, more often on the left side, with irradiation to the lumbar region, groin, and perineum. In the abdomen, a pulsating formation is felt, and a decrease in blood pressure is noted.

Diagnosis of aortic aneurysm

Physical examination

Any examination begins with a physical examination. Palpation of the abdomen can detect a pronounced pulsation, as well as increased size of the aorta, but most often, the presence of this pathology can rarely be determined by objective examination. Therefore, additional instrumental methods play a leading role in diagnosis.

CT and MRI

Computed tomography (CT) and magnetic resonance imaging (MRI) can determine the diameter and extent of the aneurysm and the presence of blood clots. Scans can be performed with or without contrast.

Computed tomography can also diagnose aortic aneurysms, requiring additional contrast agent administration most often.

Aortography

The best, although not obligatory, way to diagnose the thoracic aorta is aortography - an X-ray examination with an injection of contrast agent directly into the aortic root through a catheter from the femoral (or other) vein.

Ultrasound

Abdominal aortic aneurysms can be diagnosed by routine examination. It is detected palpatory as a dense, pulsating mass in the abdomen at approximately the navel level. The patient is then usually referred for ultrasound diagnosis of the abdominal aorta, as this method of examination has several advantages: speed of performance, safety, informativeness, and reproducibility, which makes it one of the best methods for diagnosing end aortic aneurysms.

Treatment of aortic aneurysm

Treatment of aortic aneurysms is aimed at preventing them from rupturing. It can be conservative and surgical.

Conservative treatment

The primary purpose of conservative therapy is to reduce blood pressure and the force of heart contraction, as well as to correct comorbidities such as coronary heart disease, diabetes, kidney disease, etc.

Surgical treatment

Modern surgical techniques for treating aortic aneurysms are divided into endovascular and conventional surgical interventions.

Endovascular method - remote implantation of special tubular prostheses (stent grafts) into the aortic lesion area from inside through a catheter placed in the femoral artery. This treatment method is performed under local or regional anesthesia; it is minimally traumatic and painless and reduces the time of hospital stay and mortality.

Abdominal aortic aneurysms with a diameter greater than 5.5 cm in men and 5.2 cm in women have a high risk of rupture and, therefore, require immediate consultation with a vascular surgeon to determine the indications for surgical treatment. It is performed in vascular departments by access through the anterior abdominal wall (laparotomy) and also aims to replace the affected aortic segment with a prosthesis.

There is a possibility of complications in the surgical treatment of such severe diseases (as in other therapeutic and diagnostic interventions).

Prognosis. Prevention

The prognosis of aortic aneurysms is complex because many factors have to be taken into account. Most patients are older people with several comorbidities, so the balance of risks (age, gender, body mass index, comorbidities, allergies) must be determined very carefully. In the absence of timely treatment, complications may develop, the most severe of which is the rupture of the aneurysm. In case of aortic rupture, it is rare to save the patient. Nevertheless, modern treatment methods reduce the lethality of this group of patients, prolonging and improving the quality of life. The five-year survival rate after elective abdominal aortic prosthesis surgery reaches 80%, and about 40% live at least ten years after the operation.

Prevention of aortic aneurysms should be emphasized. Excluding congenital conditions that cannot be prevented, it is often possible to reduce the risk of the disease by affecting modifiable, i.e., controllable, risk factors. First of all, the prevention of atherosclerosis is one of the causes of the development of aortic aneurysms. For this purpose, it is necessary to:

  • to control blood pressure;
  • adhere to the principles of healthy eating;
  • practicing moderate physical activity;
  • to stop smoking.

Tobacco smoking reliably increases the odds of abdominal aortic aneurysms fivefold.

The presence of several risk factors for abdominal aortic aneurysms (men over 65 years of age, smokers, those suffering from coronary heart disease, atherosclerosis of brachiocephalic arteries) should undergo a medical examination, during which ultrasound is targeted to detect pathologic dilation of the aorta. When applied on a mass scale, this approach can reduce the mortality rate from ruptured aneurysms almost twofold.

  • Isabella, Gonzalez
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