Abdominal aortic aneurysm

Abdominal aortic aneurysm (aneurysm of the abdominal part of aorta) is a disease characterized by a protrusion in the aortic wall, or an increase of its diameter by 2 or more times. In 40% of cases this disease is complicated by the aneurysm rupture during the first year after the diagnosis confirmation. The frequency of this pathology is 30-40 cases per 100.000 population per year. Men suffer from the abdominal aortic aneurysm 8-10 times more often than women. The risk of the disease increases with age, as 80% of patients with abdominal aortic aneurysm are over 60 years old.

Abdominal aortic aneurysm – Diagnostics

Diagnostics of the abdominal aortic aneurysm is not a big deal. It can be easily detected with the help of ultrasound examination.

This examination method helps to receive the following information:

• Aneurysm localization
• Its size and extension
• Aorta walls condition
• Presence of blood clots

Further clarifying examination methods are prescribed, such as CT or MRI. These techniques help a doctor to identify the tears of the inner aorta layers, assess the structure of the aneurysm, visualize thrombotic masses. Simultaneously, the state of the adjacent anatomical structures is assessed.

Angiography may be used (X-ray examination with contrast) when branches of the abdominal aorta are involved in the pathological process. This examination is not carried out in each patient, as it is invasive and carries certain risk of complications.

Best clinics for the abdominal aortic aneurysm diagnostics in Germany:

University Hospital of Ludwig Maximilian University of Munich

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University Hospital Saarland Homburg

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Charite University Hospital Berlin

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Abdominal aortic aneurysm – Treatment

In the case of an abdominal aortic aneurysm, surgical treatment is indicated for all patients, because at any moment massive internal bleeding with fatal outcome may start. Surgery is performed as soon as possible, if there are no contraindications. Otherwise, a patient receives the conservative therapy. After compensation of the pathological process, the surgery is performed.

Aneurysm resection with prosthetics is a basic treatment method. Linear or bifurcation prostheses are implanted. The operation is performed with an open access.

Distant endovascular prosthetics is a new type of surgery implemented actively in the recent years. The access is performed via the femoral or iliac artery. This type of operation can significantly reduce risks for the patient and shorten the rehabilitation period after the surgery.

Best clinics for the abdominal aortic aneurysm treatment in Germany:

University Hospital of Ludwig Maximilian University of Munich

Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics

29643.61

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Endovascular bifurcational operation of the abdominal aortic aneurysm

29946.37

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Abdominal aorta open prosthetics of abdominal aortic aneurysm

34418.87

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St. Franziskus-Hospital Muenster

Abdominal aorta open prosthetics of abdominal aortic aneurysm

32756.82

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Charite University Hospital Berlin

Treatment of abdominal aortic aneurysm with endovascular aortic prosthetics

39637.82

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Endovascular bifurcational operation of the abdominal aortic aneurysm

39270.34

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Abdominal aorta open prosthetics of abdominal aortic aneurysm

45865.28

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Abdominal aortic aneurysm – Rehabilitation

Rehabilitation is the process of restoration from injuries, surgeries or diseases. After the surgical treatment of aneurysms, the rehabilitation program helps to endure the postoperative period much easier and return to everyday life as quickly as possible.

The most modern rehabilitation programs are used in Germany. They are adapted individually for each patient, and are based on the age, physical possibilities, and the results of previous treatment. Different specialists, such as cardiologists, therapists, psychologists, rehabilitators, physiotherapists are involved in the rehabilitation process.

The following methods of rehabilitation are used:

• Early activation and dosed physical activity
• Breathing exercises
• Training on the simulators and in the pool
• Physiotherapy
• Natural factors of the nature (mud, thermal waters, etc.)

Rehabilitation includes medicamentous support. The doctor selects drugs that normalize the level of blood pressure, improve the condition of the vessel wall and blood properties. It is necessary to hold a consultation with the patient about the proper nutrition and level of physical activity which is important for him in the current situation.

Rehabilitation programs in Germany are designed for 2 weeks. If necessary, they can last much longer. In this country, the patient is provided with qualitative care, accommodation in comfortable rooms and individually selected meals.

Rehabilitation programs in Germany show one of the best results in the world. Most patients successfully restore their working capacity and excellent health there. They remain physically active, return to the full social and family life.

Best clinics for general therapeutic rehabilitation rehabilitation in Germany:

Max Grundig Clinic Buehl

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Author: 

The article was edited by medical expert, board certified Dr. Nadezhda Ivanisova. For the treatment of the conditions referred to in the article you must consult a doctor; the information in the article is not intended for self-medication!

Sources:

Medscape

Johns Hopkins Medicine

Medical News Today