The doctor’s examination revealed that the abdominal aortic aneurysm was ruptured and his life was in danger, and the doctor immediately issued a critical illness. The doctor immediately issued a notice of critical illness and informed that emergency surgery was needed. After a few hours of emergency surgery to save the doctor, Master Li finally turned to safety. Aortic aneurysms are known as “untimely bombs” in the human body. The aneurysm is not a real tumor, but its danger lies in the increasing risk of rupture as the aneurysm grows, and once it ruptures, it bleeds and endangers life, which is no less dangerous than any malignant tumor. Famous people who died of abdominal aortic aneurysm In 1955, the great scientist Albert Einstein died suddenly, the early diagnosis of death was acute cholecystitis, but later scholars believed that he died of hemorrhagic shock caused by a ruptured abdominal aortic aneurysm because “the doctors at the time misdiagnosed his illness”. In 1970, French President Charles de Gaulle died of a ruptured abdominal aortic aneurysm; in 1971, Li Siguang, a famous geologist in China, died of a ruptured abdominal aortic aneurysm. Abdominal aortic aneurysms are caused by gradual expansion of the abdominal aorta due to atherosclerosis, inflammation, infection, and dysplasia. The normal abdominal aorta is about 2 cm in diameter, and when it expands more than 3 cm, it is called abdominal aortic aneurysm. The larger the diameter, the higher the risk of rupture, which is like blowing up a balloon, the bigger it is, the greater the possibility of bursting. Thus, the maximum diameter of the abdominal aortic aneurysm is the main parameter that determines the need for surgical treatment.
What kinds of conditions require vigilance for abdominal aortic aneurysm? Usually patients have no obvious clinical symptoms and are often detected during physical examination or abdominal surgery, especially during ultrasound. In some emaciated patients, a pulsating abdominal mass can sometimes be palpated on its own. Sudden onset or increase in abdominal pain often indicates the possibility of rupture.
What are the surgical options?
The main surgical treatment options available include traditional open surgery and minimally invasive endovenous stenting. Both methods can achieve satisfactory treatment results, and the operative mortality rate is <5%. In comparison, open surgery is highly invasive and requires a large incision in the abdomen of about 50 cm in length, while minimally invasive intracavitary surgery can be completed with an incision of only about 5 cm in length in the groin, and indicators such as blood loss, postoperative cardiovascular and pulmonary complication rates, and hospitalization time are significantly reduced.
1
Open surgery: artificial vessel replacement 2
Minimally invasive surgery: endoluminal isolation with membrane stent Health tips
The formation of abdominal aneurysm is strongly related to atherosclerosis, which is a direct consequence of poor lifestyle such as unbalanced eating and movement. As age increases, the vascular elasticity of the aortic wall decreases, coupled with less movement, more food, excessive fat intake, and poor blood sugar and blood pressure control, the formation of atherosclerotic plaques in the arterial wall will promote the formation and development of abdominal aortic aneurysms.
Therefore, elderly people need to be alert to the “eight highs and one low”, namely high blood lipids, high blood sugar, high uric acid, high body weight, high blood pressure, high (blood) viscosity, high age, high (mental) stress, and reduced exercise.