Key factors to consider when selecting patients for TAA repair. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 2006;81:169-177. Disclosures: None. The archs downward portion, called the descending aorta, is connected to a network of arteries that supplies most of the body with oxygen-rich blood. Writing Committee, Riambau V, Bckler D, et al. Its still not well understood why some people develop an aortic aneurysm while others dont. Mayo Clinic Staff. I had surgery 5/20/16 for a TAA repair. The DOT Guidelines: Allow a 1 year card for asymptomatic AAA over 4 but less than 5cm but only with clearance from cardiovascular surgeon. Your age and overall health are also factors that affect your recovery speed. . The larger the aneurysm the greater the risk. Achneck HE, Rizzo JA, Tranquilli M, Elefteriades JA. Get a tattoo or body piercing. Abdominal Aortic Aneurysm. Patients with AAAs larger than 7.0 cm lived a median of 9 months.A ruptured aneurysm was certified as a cause of death in 36% of the patients with an AAA of 5.5 to 5.9 cm, in 50% of the patients with an AAA of 6 to 7.0 cm, and 55% of the patients with an AAA larger than 7.0 cm. robhinchliffe@gmail.com My aneurysm is 4.2 cms for the last 2 years. Thanks again. Bristol, Bath, United Kingdom Your doctor may also recommend aortic aneurysm surgery if: You may have a choice of open surgery (most common) or endovascular surgery, which is less invasive with less recovery time. Paul Hollering She is also an Associate Professional Counselor and Clinical Rehabilitation Counselor, adding mental health and wellness to her area of expertise. A cerebral aneurysm (also known as a brain aneurysm) is a weak or thin spot on an artery in the brain that balloons or bulges out and fills with blood. Brown LC, Powell JT. This occurs as a consequence of the weakness of the elastic lamina at the junction of the aortic media and the annulus fibrosis. [13] If the aorta is between four and 4.5 cm, testing should be repeated every six months. Family history: About 20 percent of all thoracic aneurysms develop in people with a family history of thoracic aneurysms. Risk of aneurysm rupture annually depends on its specific size, according to which- Less than diameter of 4cm has a risk of less than 1 among 200 in total Diameter between 4cm and 4.9cm have risk between 1 in total 200 and 1 in total 20 Diameter between 5cm and 5.9cm have risk between 1 in total 30 and 1 in total 7 She wasnt terribly concerned since I am relatively active but did advise to monitor. Most of the patients have relatively longer periods with lesser changes in the size of aneurysm. Ascending and aortic arch aneurysms. 17. The force of blood pumping can split the layers of the artery wall, allowing blood to leak in between them. Like you it took a while to adjust to the fright of it all. You can partner with your doctor in monitoring your aneurysm. The reported 30% to 50% short-term mortality in patients with aortic aneurysm diameters >6 cm was, until fairly recently, the basis for recommendation of elective aortic surgery at 6 cm. Usually, surgical repair is necessary once an aneurysm reaches 5 centimeters (cm) in diameter. Based on this, they stratified patients into three groups: those with an ASI < 2.75 cm/m2 who were at low risk for rupture (4% per year), an ASI of 2.75 to 4.25 cm/m2 was considered moderate risk (8% per year), and those with an ASI > 4.25 cm/m2 were at high risk (20%25% per year). Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. But sometimes people have no symptoms at all. And the risk increases significantly when the diameter of the bulge exceeds 5.5 cm (more than 3 cm is considered an aortic aneurism, and 4 cm indicates "clinical significance"). hello Gigi, thank you so much for your msg. 1993;17:357-368. Symptomatic aneurysms and aneurysms associated with a rapid growth rate of > 1 cm per year should also be repaired because of an increased risk for rupture. Wheezing, coughing, or shortness of breath as a result of pressure on the trachea (windpipe) Hoarseness as a result of pressure on the vocal cords. Only 5.3% of those with a diameter of 40 to 44 mm achieved the theoretical threshold size (55 mm) within 2 years. Other TAAs are those that result from aortic dissection or acute aortic syndrome or are associated with anatomic variants such as an aberrant left subclavian artery (Kommerell diverticulum). 2005;41:1-9. The function of the normal sinuses is to prevent occlusion of the . You have more than one aneurysm along the length of the aorta. We and our partners use cookies to Store and/or access information on a device. The 32-year-old actress has started a charity to help others recovering from brain injuries and strokes. An abdominal aortic aneurysm surgery becomes dangerous only if the patient is suffering from additional risk factors. Open surgery for thoracic aneurysmal disease is a complex procedure with a high perioperative risk. Elective surgery to repair an aneurysm has only a 5 percent mortality rate. Dividing patients into high- or low-risk groups would be very helpful to identify who may or may not benefit from early intervention. family history, ( on my mom's . 1994;331:1729-1734. The aortic valve releases blood from the heart into the aorta. Other groups have demonstrated similar results. appropriate medical assistance immediately. Once formed, an aneurysm will gradually increase in size and get progressively weaker. 2010;252:603-610. I think I overreacted at the time because I was a nurse and thought of the worst case outcome. Ascending aortic aneurysms: Pathology and indications for surgery. So, aortic aneurysms are potentially quite dangerous! We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. If you think you may have a medical emergency, immediately call your doctor or dial 911. Went to the ER and they found the BAV with ascending aortic aneurysm measuring 4.7. An aneurysm is a weak spot in a blood vessel wall. Therefore, it is still unclear if these new molecular imaging technologies can be helpful in the management of patients with TAAs. There are some promising developments, such as molecular imaging and new insights in medical therapy, that may also help in this process when they become available for clinical use. However, a few forms of aneurysms because of unclear reasons remain fixed in their sizes for a specified time and later on, undergo with rapid burst. Lane, PhD, BSc, MBBS, MRCS; Sadie Syed, MD, MBBS, FRCA; Richard Gibbs, MD, MBChB, FRCS; and Colin D. Bicknell, MD, FRCS, left-arrow Thoracic aortic aneurysm: Symptoms and diagnosis. If symptoms are present, they may include: If the aorta ruptures, youll feel a sudden, sharp pain in your chest that extends to your back, between your shoulder blades. Asked by: Jacey Braun Score: 4.6/5 (22 votes) . In a recent study, Forsythe et al have examined the pathobiologic processes of AAA progression and rupture including neovascularization, necrotic inflammation, microcalcification, and proteolytic degradation of the extracellular matrix.20 With emerging cellular and molecular imaging techniques, there remains the potential to allow improved prediction of expansion or rupture and better guide elective surgical intervention for AAAs. Because the wall stress for saccular aneurysms is believed to be greater than that for fusiform aneurysms, saccular aneurysms are considered to be at greater risk of rupture. Save my name, email, and website in this browser for the next time I comment. In a person with no symptoms, if the AAA is 4.0 to 5.5 cm in diameter, treatment depends on several factors, including: The size of the aneurysm If the aneurysm is expanding If there are symptoms If there are aneurysms in other blood vessels A person's surgical risk View risks, prognosis, videos and what to expect when considering this procedure. Abdominal Aortic Aneurysm takes place whenever walls of main blood vessel in humans responsible for carrying the blood away from their heart i.e. 2005;365:2187-2192. 9. 2007;84:1180-1185. The surgical guidelines of the American Heart Association, 1 Society of Thoracic Surgeons, American Association for Thoracic Surgery, and European Society of Cardiology 2 recommend preemptive repair of ascending aorta aneurysms at a diameter of 5.5 cm and 5.0 cm for patients with connective tissue . Primary form of aortoentric fistula or an abnormal connection in between the bowel and the aorta, Thromboembolism i.e. Coronal and oblique axial contrast-enhanced CT images show that the aneurysm had a 4.0-cm diameter at baseline; 2 years later, black-blood MRI shows that the aneurysm grew to 4.2 cm at a growth . An AAA is defined as the enlargement of the abdominal aorta to 3 centimeters or more caused usually by the degeneration of the media portion in the arterial wall, by atherosclerosis hardening or other causes, including natural wear and tear with age. An aneurysm can grow without you knowing it, so dont take any chances. I'm in a lot if stress. Methods: Clinicians were asked to refer all patients with an AAA, even if unfit or elderly. A systematic review of the pharmacological management of aortic root dilation in Marfan syndrome. A thoracic aortic aneurysm is a bulge in the wall of the aorta. Centers for Disease Control and Prevention. I had an echo and maintain yearly and a CT scan every 6mos. The aneurysm has grown quickly (more than 0.5 cm in six months or more than 1 cm in one year). By 2000 this number had increased to 31 but due in part from advances made with medicine and surgery over time its now expected that people will live past their 65th birthday! (2017). Learn how we can help 4.6k views Answered >2 years ago Thank A 50-year-old female asked: 2013;46:533-541. I am very well and keep fit in case I need it done. Our website services, content, and products are for informational purposes only. The thoracic aorta begins where the left ventricle ends at the aortic valve and continues down through the chest. I am not on any medicines at all. Comparison of the effect on long-term outcomes in patients with thoracic aortic aneurysms taking versus not taking a statin drug. . 6 years ago, 10. Third Party materials included herein protected under copyright law. Background: The risk of rupture of large abdominal aortic aneurysms (AAAs) remains uncertain. Expansion rate of descending thoracic aortic aneurysms. Circulation. Notes on 4cm ascending aorta aneurysm 53yrs, https://patient.info/forums/discuss/4cm-ascending-aorta-aneurysm-53yrs-533575. J Vasc Surg. Loscalzo et al. Aortic aneurysms at the site of the repair of coarctation of the aorta: a review of 48 patients. Patterson BO, Sobocinski J, Karthikesalingam A, et al. An aortic aneurysm is a balloon-like bulge that affects the aorta, the main artery that carries oxygen-rich blood directly from the heart to smaller blood vessels in your body. 1. I'm a European citizen living I the United Arab Emirates in Dubai at the moment and this is not a surgery someone would like to do in Dubai. Usually, surgical repair is necessary once an aneurysm reaches 5 centimeters (cm) in diameter. sa i read all these stories, about thoracic aorta annerysms,.it calms my fears. These infections include syphilis and salmonella. Always consult a medical provider for diagnosis and treatment. and Privacy Policy and steps will be taken to remove posts identified Pity because I wouldn't have taken up a job which required me to lift as much. Aortic aneurysms less than 4 centimeters in size have a low chance of bursting, but an aneurysm more than 5.5 centimeters in diameter has an increasing chance of rupturing in the next year.One of the things that makes aortic aneurysms so dangerous is that many times, they go undetected until they burst. Ann Surg. 2012;109:1050-1054. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in These are. Use of the forums is subject to our Terms of Use 29. THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. Aortic pathology determines midterm outcome after endovascular repair of the thoracic aorta: report from the Medtronic Thoracic Endovascular Registry (MOTHER) database. A long section of the aorta is involved. The one-year incidence of rupture is 9 percent for aneurysms 5.5 to 6.0 cm in diameter, 10 percent for 6.0 to 6.9 cm, and 33 percent for AAAs of 7.0 cm or more. The aortic diameter of more than 3.0 cm [1] . If you have an aneurysm, be sure to follow your doctors advice about medications and follow-up exams. Ann Thorac Surg. An ascending aortic aneurysm is often found during a routine checkup or an examination ordered for another condition. And more than 70% of patient with ruptured aortic aneurysm are not able to reach hospital alive. It happens when the artery wall weakens. In a recent study, Patterson et al aimed to determine the rate of TAA expansion.18 After analyzing CT scans from nearly 1,000 TAA patients, an aortic expansion rate of 2.76 mm per year was reported for all patients. I only found out it's reputation much later. Elefteriades JA. J Vasc Surg. Endovascular repair is more likely with abdominal aortic aneurysms than thoracic aortic aneurysm. (based upon risk assessment) diameter indicates increasing danger because theyre harder to detect before too much damage has been done! I am in the UK by the way. Susan Fishman, APC, CRC is a veteran freelance writer with more than 25 years of experience in health education. Professor of Vascular Surgery For example, a chest X-ray can show a bulging aorta. I need to live and I know it upset the whole household in the early days. What is a Thoracic Aortic Aneurysm (TAA)? 2005;112:1082-1084. Data from Yale have described the incidence of rupture and dissection as a function of initial aneurysm size and that the risks of these events increase with greater aneurysm diameter.14 Further analyses revealed that baseline aortic diameter was the only significant risk factor for adverse aortic events, with a hinge point of aortic diameter around 60 mm, while the yearly rate of serious aortic complications increased exponentially from 10% at 6 cm to 43% at 7 cm.14 Based on these findings, the authors suggested the threshold of 5.5 to 6 cm for prophylactic surgical aortic repair. The mortality benefit means lives saved both literally as well, The risks of undergoing major surgery areevealing themselves in the form aortic aneurysms. An aortic root aneurysm occurs in the beginning, or root, of the aorta. Gopaldas RR, Huh J, Dao TK, et al. Open surgical repair of TAAs is associated with high mortality and morbidity rates. My blood pressure is normal, DIA is a bit higher, around 80ish, cholesterol on the edge, around 205 if I remember good. It is not a substitute for professional medical advice, diagnosis or treatment. This is because an aortic diameter of 5.5 cm is associated with much greater likelihood of rupture. Ann Thorac Surg. Svensson LG, Crawford ES, Hess KR, et al. Once diagnosed, the 3-year survival for large degenerative TAAs (> 60 mm in diameter) is approximately 20%.1 Hospital admissions in the United Kingdom for TAAs have doubled in the last decade, and von Allmen and colleagues reported a TAA hospital admission rate of nine per 100,000 population.2 The causes and treatment of TAAs vary depending on their location. Endovascular interventional endovascular grafting for treatment of aortic aneurysms has been used in the world for the past 2-3 decades and Vietnam several years ago to effectively treat aortic aneurysms. While treatment for a small aneurysm is not always necessary, its important to keep a watchful eye on it. Evidences have suggested that expansion of aneurysms takes place at the average rate from 0.3cm to 0.4cm yearly and tends to expand at the fastest rate as compared to any small aneurysm. Recovery After Aortic Aneurysm Repair: What to Expect, An ideal Risk factors for aneurysm rupture in patients kept under ultrasound surveillance. Conrad MF, Ergul EA, Patel VI, et al. . Aneurysms are dangerous because they can rupture, causing internal bleeding. Infection: Sometimes, certain infections can also weaken artery walls, including those in the aortic arch. The more serious side effects include heart problems due to interruption between your spines blood flow and nerves that control muscles down below; infections at sites where there was open tissue removal during surgery (this includes local wound healing); swelling around areas Vishnu Siva wrote about but didnt go into detail on because they were less relevant than others like kidney function loss which could lead you towards needing dialysis therapy eventually. There are more than 10,000 deaths per year from ruptured abdominal aortic aneurysms. Treatment options An aneurysm that is less than 5 cm may be monitored without surgery.. The four trials suggest no overall advantage with early surgery for small AAAs (4.0 cm to 5.5 cm). This new procedure has been found highly successful by many doctors across America so get your self into consultation soon before theyre gone forever!. Davies RR, Gallo A, Coady MA, et al. Lancet. No change. All Rights Reserved. I'm thinking of getting a second opinion soon though. Endovascular abdominal aortic aneurysm repair: type 2 endoleaks and risk of rupture . Merck Manual Professional Version. Could my rheumatic fever as a child cause this? A recent systematic review revealed that smoking, peripheral artery disease, cerebrovascular disease, male sex, renal failure, high diastolic blood pressure, and history of AAAs were reported to accelerate TAA growth rates. Trouble swallowing due to pressure on the esophagus. Management of diseases of the descending thoracic aorta in the endovascular era: a Medicare population study. While certain genetic diseases, acquired diseases (like high blood pressure), and unhealthy behaviors can increase your risk for aortic aneurysm, there are things you can do to help: Your doctor may also recommend medicines to help control your aortic aneurysm size. The recovery time for a less-invasive endovascular procedure is shorter than for an open surgery. The shortfall in long-term survival of patients with repaired thoracic or abdominal aortic aneurysms: retrospective case-control analysis of hospital episode statistics. Expansion rates and outcomes for the 3.0-cm to the 3.9-cm infrarenal abdominal aortic aneurysm AAAs of 3.0 cm to 3.9 cm expanded slowly, did . Once that wall becomes too weakened, it can burst. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks. Risk related to the burst or rupture of small aneurysms i.e. University of Bristol Preoperative Risk Assessment for Optimal TEVAR Outcomes, By Tristan R. A. Aneurysm may takes place in almost every area present in aorta, but abdominal area is the common one. Stenosis occurs when the opening to the mitral valve is narrowed. This will help control your blood pressure as well as your cholesterol levels. I had six month tests for a year and then yearly. This aneurysm is considered large and therefore at high risk for rupture. Thoracic aortic aneurysm: Treatment. Because patients with high rates of growth and large aneurysm size are selected out for surgery, following the natural history of the disease in an unbiased manner is difficult. 2013;127:24-32. The portion further down in your trunk is called the abdominal aorta. Considering the available trials and registries that have demonstrated the high all-cause mortality in TAA patients, it would appear justified to increase the threshold in high-risk (complex comorbidities) patients or where the procedure is predicted to be technically difficult (ie, off label or outside the instructions for use). Take time to research the doctors experience. In the VALOR trial, the rate of serious morbidity among patients undergoing open surgical repair of the descending aorta was double that of the TEVAR patients (84% vs 41%, respectively). Chaikof EL, Dalman RL, Eskandari MK, et al. Cardiol Young. Always speak to your doctor before acting and in cases of emergency seek However I am glad that it was found, because I get tested regularly and if it got worse action would be taken. Once the diameter exceeds 6cm, the risk of rupture or dissection is extremely high. 2002;74:S1877-S1880. Most people have an aortic valve with three flaps or leaflets that open and close with each heartbeat. Ann Thorac Surg. In terms of restrictions on activity, we agree with the 2010 multidisciplinary guidelines for managing patients with thoracic aortic disease [Hiratzka et al. Otherwise known as an aortic root dilatation, when the first section of your hearts main pipeline where youll find its valves begins to grow larger than normal this can be dangerous and lead into life-threatening situations if not treated quickly enough. All 13 families had multiple affected members, often in more than 1 generation, consistent with an autosomal dominant pattern of inheritance. Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm? I am only 5ft 2 which apparently is another risk factor for early rupture too. If you have no symptoms and a. With 2 children, ages 39 & 41 and 2 grandchildren, should they be screened if the cause is usually genetic? J Vasc Surg. Along with the size, AAA rupture risk depends on the rate, by which aneurysm expands. All rights reserved. aorta dilate or bulge. How Game of Thrones Actress Emilia Clarke Survived Two Aneurysms, Glycemic Index: What It Is and How to Use It. Thoracic aortic aneurysm. 23. The aorta carries blood from your heart to your abdomen, legs, and pelvis. PMID: 29268916. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. Any thoracic aortic aneurysm 6 cm or larger requires surgery, but if the patient has Marfan syndrome or familial history of aneurysms, 5-cm aneurysms are considered for surgery. The bulging aneurysm can put pressure on the nerves or brain tissue. We want the forums to be a useful resource for our users but it is important to remember that the forums are 15. Prakash P, et al. The cardiologist said that it is in the nature of aneurysms to grow but it could remain the same for years. Ann Surg. More importantly, once it has widened, it will continue to do so. One hundred and ninety-two patients with an intact AAA of 5 cm or greater in diameter were seen in 9 years; 59 . Endovascular Stent Grafting or EVAR is a newer form of treatment for abdominal aortic aneurysms that can be less invasive than open surgery. Unoperated aortic aneurysm: a survey of 170 patients. However, the most common arteries include the brain and in the abdominal aorta. Therefore, the surgeon takes into account several factors before deciding to operate on the patient. Elefteriades showed that patients with aneurysms > 6 cm have a 14.1% annual risk of rupture, dissection, or death, compared with 6.5% for patients with aneurysms between 5 and 6 cm.16. The aneurysm is causing symptoms such as pain in the back, stomach . We'll go over some of the most common reasons for this, from pregnancy to eating a large, The glycemic index (GI) is a value used to measure how much a specific food increases your blood sugar levels. Aneurysms 5.0 cm to 6.0 cm in diameter have a 3% to 15% risk of rupture within one year; those 6.0 cm to 7.0 cm have a 10% to 20% risk, those 7.0 cm to 8.0 cm have a 20% to 40% risk, and aneurysms . This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. I find when I do have an appointment with him it is very rushed so it was worth the money. Surgery is typically reserved for aortic aneurysms that are 5.5 cm or greater in diameter. Both showed the aneurysm to be 4.1 whereas the echo had stated 4.6. I had a follow up CT scan and then an MRI. Was 48 when I was diagnosed with both. Get To Know What Possibly Could Be Causing Your Symptoms! Adopt a healthy diet rich in fruits and vegetables, and low in cholesterol and saturated fats. It will be fine. The bicuspid bit is genetic it seems. In this procedure, the weakened portion of the aorta remains in place. Your doctor will likely schedule regular visits to evaluate the size of your aneurysm using a CT scan, MRI or ultrasound. These include longer delivery systems and more accurate deployment systems (necessary in tortuous anatomy with very high blood flow and exceptionally large forces and motion). You have more than one aneurysm along the length of the aorta. Stanford Healthcare. Davies and colleagues followed 304 patients with unoperated thoracic aortic aneurysms (dissection free at presentation) with aortic diameters 3.5 cm, for a . (2016). Do you feel the same as before surgery? National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice. Population-based outcomes of open descending thoracic aortic aneurysm repair. It helps though when realize I'm not the only one. I hope yours remains within limits and good luck. I guess delivering and carrying 2 very large babies in my late 30s is when it may have grown last. The 2017 European Society for Vascular and Endovascular Surgery (ESVS) guidelines on descending thoracic aortic disease suggested that endovascular repair should be considered for descending TAAs > 60 mm diameter, as this is the diameter where risk of rupture sharply escalates (classification IIa, level B evidence).15 To evaluate the possible benefit of repair in a population with smaller aneurysms (< 55 mm), a randomized controlled trial would be necessary. The consent submitted will only be used for data processing originating from this website. So far it has not grown but they have discovered that I have a bicuspid aortic valve which often goes with the condition. Aortovenous fistula, popularly known as the abnormal connection presents in between a vein and an aorta. Aortic aneurysms account for 40,000 deaths annually in the United States.12 Maximum aortic diameter is the key parameter used to predict rupture risk and is therefore central in directing clinicians whether to offer surveillance or surgical repair.13 However, despite the increase in patients undergoing operations, natural history data concerning the risk of aneurysm rupture and the evidence base for threshold diameters at which TAA repair becomes beneficial are limited. Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. A thoracic aortic aneurysm is also called a thoracic aneurysm. An unrelated infection caused a few missed beats which the doctor decided should be checked with an echo just because I was in hospital anyway. Feel a pulse in your stomach? The long-term outlook for someone with an ascending aortic aneurysm is good if its repaired before it ruptures. 2016;103:1823-1827. With Timur P. Sarac, MD; Dittmar Bckler, MD, PhD; Moritz S. Bischoff, MD; Katrin Meisenbacher, MD; and Ian M. Loftus, MD, FRCS. and no plaque. How is a Thoracic Aortic Aneurysm Repaired? Circulation. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. Upgrade to Patient Pro Medical Professional? 30. 24. J Vasc Surg. Just had a CT scan and showed I have a 4.4 CM aortic root. Aside from morbidity and mortality rates, which have widely been published, few available data exist on the quality of life of patients who have undergone TAA repair. 2007;83:S862-S864; discussion S890-S892. How Dangerous Is A 4 Cm Aortic Aneurysm The aortic aneurysm is the most dangerous of all vessel diseases. Karthikesalingam A, Bahia SS, Patterson BO, et al. When the aortic wall is weak, the artery may widen. 1996;61:935-939. I am a bit careful lifting things though, but that is probably because of my age! The aorta is the lifeblood of our body and aneurysms can put pressure on it from all sides.

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