aortic aneurysm (DILATATION)

Degenerative 

Connective tissue disorders

Aortic dissection

Infection

TB

Traumatic

Ankylosing spondylitis

Others as the above list is not complete

In most of the patients , there is no symptoms, it may be an incidental findings.

Vague pain in chest , flank or abdominal pain.

Symptoms due to the pressure effect on surrounding structures- Hoarseness of voice, cough, dysphagia.

Systemic embolism (or vascular compromise of distal organs)

Neurologic disorders like paraplegia

Acute severe pain while dissection.

Treatment depends on the size of the aneurysm at the time of diagnosis and rate of increase of size over a period. In general aneurysm greater than 5cm are more prone for rupture and need immediate attention.

Strict blood pressure control, avoidance of smoking, lipid lowering drugs and serial follow up imaging. 

It is non surgical repair of the aortic aneurysm . There are many conditions to be considered for this repair like. Nowadays most of the aneurysm can be treated with this approach, But your treating surgeon is best guide for the choice of the treatment.

Figure on left side shows a successful repair of a thoracic aortic aneurysm distal to the left subclavian artery.

This is an invasive surgery to be considered in patient who are not suitable for endovascular treatments.