Emergency abdominal aortic aneurysm

The article was consulted with Specialist Doctor I Huynh Kim Long - Emergency Resuscitation Doctor - Emergency Resuscitation Department - Vinmec Danang International General Hospital.
Abdominal aorta contains a very large amount of blood, the pressure pushes the blood strongly. If not treated promptly, the abdominal aortic aneurysm has a high risk of rupture, and the ability to cure is poor because blood transfusions do not keep up with the lost blood volume.

1. What is an abdominal aortic aneurysm?

Abdominal aortic aneurysms (AAA) are the most common site of aortic aneurysms. The disease is difficult to detect early due to vague symptoms, no feeling of pain, making the patient go to the doctor but smoldering and tolerable.

2. Symptoms of abdominal aortic aneurysm

Symptoms of aortic aneurysm are as follows:
Back pain in the middle and lower back Abdominal pain, discomfort Feeling of a pulse in the abdomen
đau bụng
Phình động mạch chủ gây ra triệu chứng đau vùng bụng

3. Causes of abdominal aortic aneurysm

Smoking: This is a major risk factor for abdominal aortic aneurysms, with a 5-fold increased risk of aortic aneurysm compared with non-smokers. Aging: Old age, weakened blood vessel wall, increased risk of abdominal aortic aneurysm Gender: Men have a higher rate of aortic aneurysms than women. Hypertension: Blood pressure that is not effectively managed also increases the risk of aneurysms. High blood cholesterol Family history of aneurysm Trauma to the abdomen or chest causing an aortic aneurysm to develop or rupture.

4. Diagnosis of abdominal aortic aneurysm

Ultrasound scans and scans to diagnose abdominal aortic aneurysm are as follows:
Screening: Patients will be asked about their medical history related to risk factors. Physical examination: Abdominal aneurysms can be detected by physical examination in about one-third of people with abdominal aortic aneurysms. Ultrasound: Ultrasound is a safe, relatively rapid, and highly valuable diagnostic test in the detection of abdominal aneurysms. CT scan: CT is the test used to identify abnormal changes in the structure of the abdominal aorta and is useful in surgical planning to increase safety and accuracy. MRI: MRI has the same diagnostic value as CT. Depending on the characteristics of the aneurysm, an appropriate test is selected. Abdominal X-ray: X-rays are rarely used to diagnose an abdominal aneurysm, but depending on the condition, the doctor may still choose this test to diagnose the disease.
siêu âm bụng
Chẩn đoán bằng hình ảnh để phát hiện bệnh phình động mạch chủ bụng

5. Abdominal aortic aneurysm emergency

Emergency abdominal aortic aneurysm was determined based on the progress of monitoring the process of increasing the size of the aneurysm. First aid is indicated in case of threatened aneurysm rupture.
In the emergency case of abdominal aortic aneurysm, the patient is indicated for surgery. Depending on the complexity, the surgery can be fast or slow, on average between 3 - 6 hours. Doctors will perform a graft of the aneurysm of the aorta, check and ensure the safety of the surrounding blood vessels. During and after the surgery, the patient also received blood transfusions and fluids to compensate for blood loss to ensure hemodynamic stability. Patients usually get better and leave the hospital after about a week of continued monitoring and treatment.

6. Abdominal Aortic Aneurysm Prevention


To prevent recurrence of abdominal aortic aneurysm, patients need to minimize the risk of diseases such as:
Don't smoke Well control blood pressure and blood cholesterol Periodic physical examination The abdominal aorta contains a very large amount of blood. large, strong blood pressure. If not treated promptly, the abdominal aortic aneurysm has a high risk of rupture, and the ability to cure is poor because blood transfusions do not keep up with the lost blood volume.
Vinmec International General Hospital has a team of doctors and emergency nurses at the Department who are professionally trained, able to receive and urgently handle severe cases. With a system of facilities, modern medical equipment, combined with a team of cardiologists and thoracic specialists in medical treatment combined with intervention. The patient will be removed the bulging artery, grafted an artificial artery or inserted a stent-Graft will have more advantages depending on each case.

In April & May 2021, when there is a need for cardiovascular examination and treatment at Vinmec Times City International General Hospital, customers will enjoy dual incentives:
- Free specialist examination and discount 50% of many cardiac examination packages such as:
+ Basic Cardiovascular Screening Package
+ Hypertension Checkup Package
+ Heart Failure Checkup Package
+ Coronary Cardiovascular Examination Package
+ Comprehensive Cardiovascular Examination Package
- 50 off % of cost for customers with post-examination treatment indications. The program is limited to the corresponding technique of each hospital and to customers who perform this treatment technique for the first time at Vinmec.

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