Aortic aneurysm

Aortic aneurysm - limited expansion of the lumen of the aorta due to protrusion changed its walls. More common in men. Causes of aortic aneurysms are usually syphilitic aortic, atherosclerosis of aorta, rarely injury. Clinical manifestations depend on the size, location of the aneurysm of the aorta and other
When aneurysm of the ascending aorta, a considerable quantity is formed bulging section of the chest in the form of a pulsating "tumor." Patients complain of a dull, long pressing pain in the upper chest. Marked systolic jitter and noise at the handle of the sternum and in the II-III intercostal space. Often aneurysm of the ascending aorta, combined with the failure of the aortic valve. Aneurysm of the aorta arch leads to the compression of the trachea, left bronchus, recurrent nerve, cervical sympathetic nodes that causes painful cough, trigorskoe (wheezing) breathing, hoarseness. Aneurysm of the descending thoracic aorta meets much less often leads to the compression of the left lung, esophagus, of the vertebral bodies and nerve roots, causing the destruction of the bodies of the vertebrae and ribs, disorders swallowing, pneumonia, recurrent hemoptysis due to pressure in the pulmonary tissue. With aneurysm of the abdominal aorta appears throbbing tumor in epigastralna area on the left, which can be defined systolic jitter and noise; marked pains in the abdomen, impaired intestinal permeability. The leading role in the in vivo detection of aortic aneurysms plays an x-ray examination (Fig). Complications of aortic aneurysms - thrombosis and break the wall of the aorta fatal bleeding. Forecast when aortic aneurysm depend on its location, size, complications, and activity process that caused it.major aneurysm of the aorta arch
Treatment of aortic aneurysm surgery. At aneurism syphilis etiology shown active specific therapy.
Dissecting aortic aneurysm occurs due to a rupture of internal or domestic and average layers of the aorta. Penetrating in the gap blood rasslaivath the aortic wall. Often comes complete rupture of the aorta with bleeding in the cavity of the pericardium, the pleura , etc. Occurs when atherosclerosis, rarely syphilis, mainly among men of older age. Clinical manifestations depend on the localization of stratification. Dissecting aneurysm of ascending parts and arch of aorta is strong chest pain radiating along the separation of the aorta, along the spine with spread to the neck, and so on, If pathological process captures the mouth of the vessels departing from the aortic arch and supply blood to the braindevelops neurological shape, like brain damage. The clinical picture dissecting aneurysm of the abdominal aorta reminds acute abdomen, renal colic. Often there are shock, collapse. The prognosis is extremely poor, sick people die from fatal bleeding. Surgical treatment.