Aortic aneurysms

Aortic aneurysms are dilations in the aorta caused due to the weakening of the vessel wall.

  • Classified as either true and false ("pseudoaneurysm"). Their shape can be fusiform or saccular.
    • True aneurysms involve all three layers of the vessel wall.
    • False aneurysms are wall defects that essentially form a hematoma contained within the connective tissue around the vessel.
  • The locations at which aortic aneurysms can appear are the thoracic aorta, and the abdominal aorta.
    • Thoracic aorta aneurysms are commonly associated with HTN.
    • Abdominal aorta aneurysms are commonly associated with atherosclerosis, between the renal arteries and iliac bifurcation.
  • Important contributing factors include HTN, and atherosclerosis. Other factors include:
    • Infections
    • Trauma
    • Connective tissue diseases
  • Aneurysms are usually asymptomatic, but they may cause pain, ischemia, thrombosis, and may progress to

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