Aneurysms: Treatment and Prevention (for Abdominal Aortic Aneurysms)

Aneurysms: Treatment and Prevention - In all cases, aneurysms that have ruptured or are on the verge of a rupture must be immediately repaired surgically. In other cases, the course of treatment, conservative or surgical, will usually depend on the size of the aneurysm being monitored. Aortic Aneurysms 2 inches or wider will usually require aggressive surgical intervention, while those 2 inches or less are much less likely to rupture, and will not require aggressive treatment. Though surgery for abdominal aortic aneurysms have a high rate of complications, they are usually recommended to protect the life of the patient, unless it's considered too risky for other medical reasons.

Surgical repair and rebuilding of the artery. Surgical treatment consists of the insertion of a synthetic graft to repair the aneurysm. Though this procedure is risky (it has a 2% mortality rate) it is usually considered medically necessary to protect against rupture or to repair the rupture.



An abdominal aortic aneurysm that has ruptured or is on the verge of rupturing will require immediate surgery. a patient undergoing emergency surgery for this condition has a 50-50 chance of survival. If the aneurysm does rupture before emergency surgery can be performed, the medical complications include kidney damage due to the shock related to blood loss, or disruption of blood supply. If the emergency operation fails to restore kidney function (kidney failure), the prognosis for survival becomes poor. Though the risk of surgery is high, it is medically necessary, due to the 100% mortality rate if the rupture goes untreated.

Prevention. Though there does appear to be an underlying hereditary component to this disease (putting some people at a higher risk), there are also behavioral factors that can put people at a higher/lower risk to developing aneurysms. Cigarette smoking and hypertension (high blood pressure) increase the risk of developing this condition.

Hypertension (high blood pressure). People with high blood pressure can lower their risk of blood vessel diseases (like aneurysms, coronary artery disease, and stroke) by taking medical and lifestyle steps to reduce their blood pressure. Hypertension can be treated by weight loss and exercise, the avoidance of certain foods, and medications, if necessary. Doctors will often recommend conservative treatments first before pharmaceutical medications are considered to treat. Weight loss, achieved through a healthy program of diet and exercise, may be sufficient to reduce blood pressure. Weight loss programs that are sustainable are recommended over YoYo diets and those that patients will not be able to maintain months and years down the road. Patients should consult with their doctors before considering high animal protein diets (such as the Atkins diet) that me help achieve weight loss but actually raise cholesterol levels. Some of the most successful modern weight loss diet programs that people have been able to successfully sustain include Jenny Craig, Weight Watchers, the South Beach Diet, The Zone Diet, The Pritikin Principle. Most diet plans include a reduction in sugar consumption (especially simple sugars and products containing high fructose corn syrup), carbohydrates (especially grain and gluten carbohydrates), and processed foods (such those out of a box or can).