Aortic Aneurysm Rupture in Nice
Dr. Ilya Khantalin, Vascular Surgeon in Alpes-Maritimes
Aortic Aneurysm Rupture
Dr. Ilya Khantalin in Nice
An aortic aneurysm is an abnormal dilation of the wall of the aorta, the large artery that carries blood from the heart to the rest of the body. When an aortic aneurysm ruptures, it becomes a life-threatening medical emergency that requires immediate treatment.
Arterial diseases are now managed with modern techniques validated by the French National Health Authority (HAS), with an approach that emphasizes innovation and adherence to recognized surgical protocols.
Vascular diseases are recognized as Long-Term Conditions (LTCs), allowing for 100% coverage by the French national health insurance system.
What is an Aortic Aneurysm?
Vascular Surgeon in Saint-Laurent-Du-Var
The aorta is the body’s main artery, extending from the heart and transporting oxygen-rich blood to all organs. An aortic aneurysm occurs when the wall of this artery weakens and dilates under the pressure of circulating blood. This dilation can occur in different sections of the aorta: the thoracic aorta (in the chest) or the abdominal aorta (in the abdomen).
Aortic aneurysms can be asymptomatic and go unnoticed for many years. However, when an aneurysm becomes too large, it is at risk of rupturing, potentially causing massive internal bleeding and posing a life-threatening risk.
Causes and Treatments of Aortic Aneurysm Rupture
Vascular Surgery Specialist in Saint-Laurent-Du-Var
Aortic Aneurysm Rupture: An Imminent Danger
A ruptured aortic aneurysm is an emergency, often fatal if not treated immediately. When an aneurysm ruptures, blood escapes into the body, causing hemorrhagic shock, a drop in blood pressure, organ failure, and—without rapid intervention—death.
Abdominal aortic aneurysms are the most common, but thoracic aneurysms, especially those located near the heart, also carry a high risk of rupture. The rupture may occur suddenly, often without prior symptoms, although in some cases, sudden chest or abdominal pain may be a warning sign.
Causes of Aortic Aneurysm Rupture
Several factors can increase the risk of an aortic aneurysm rupture. The most common include:
- Chronic high blood pressure: Excess pressure on the aortic walls promotes dilation and rupture
- Atherosclerosis: Cholesterol plaques in the arteries weaken the aortic wall
- Family history: Some individuals have a genetic predisposition to aneurysms
- Advanced age: Aging arteries are more vulnerable to dilation
- Smoking: Tobacco use accelerates atherosclerosis and weakens arterial walls
Indications for Aortic Aneurysm Rupture Treatment
When an aortic aneurysm is diagnosed, prompt management is essential to prevent rupture. In the event of rupture, survival depends heavily on how quickly treatment is delivered.
Open Surgery
In cases of ruptured aortic aneurysm, open surgery is often the immediate solution. The goal is to repair or replace the damaged section of the aorta. This procedure generally requires general anesthesia and a large incision in the abdomen or chest, depending on the aneurysm’s location. The repair involves replacing the damaged portion of the aorta with a synthetic graft.
Endovascular Surgery
Endovascular surgery is a less invasive alternative that involves inserting a stent into the aorta through a small incision in the groin. This stent reinforces the aortic wall and helps stabilize the aneurysm, preventing rupture. This approach offers shorter recovery times and fewer risks compared to traditional open surgery.
Indications for endovascular surgery depend on the aneurysm’s size, location, and the patient’s overall condition. This technique is increasingly used for abdominal aortic aneurysms.
Follow-Up After Aortic Aneurysm Rupture
Following surgical treatment of a ruptured aortic aneurysm, medical follow-up is critical to ensure recovery and prevent complications. This includes:
- Regular imaging: Ultrasound, CT scans, or MRIs are used to check the integrity of the aorta and ensure that the stent or graft is functioning properly
- Blood pressure monitoring: Controlling blood pressure is essential, as hypertension can compromise the repaired aorta
- Infection prevention: Patients who undergo major surgery require monitoring for infections, particularly at the surgical site or stent insertion area
- Rehabilitation: In some cases, cardiac or physical rehabilitation may be recommended to help patients resume daily activities and reduce the risk of future complications
Aortic aneurysm rupture is a major medical emergency requiring fast and specialized intervention. Treatment options include open or endovascular surgery, depending on the patient’s clinical status. Careful follow-up after the procedure is essential to avoid complications and ensure optimal recovery.
If you’re looking for a vascular surgery specialist in Saint-Laurent-du-Var, don’t hesitate to consult Dr. Ilya Khantalin, an experienced vascular surgeon, for any concerns related to aortic aneurysms or other vascular conditions.
Early diagnosis and appropriate treatment significantly reduce the risks associated with this serious condition.