Clinical manifestation Often asymptomatic Symptoms depend on size and location: 1. Abdominal Aortic Aneurysm(AAA) Pulsatile abdominal mass Abdominal or back pain Bruit over the aorta 2.Thoracic Aortic Aneurysm(TAA) Chest, back, or interscapular pain Cough, dyspnea, hoarseness( compression of nearby structures) Dysphagia( oesophageal compression) 3.Complication symptoms: Sudden severe pain radiating to the back. Hypotension, shock, loss of consciousness
Management Lifestyle/Risk factor control Strict blood pressure control, statins for atherosclerosis, smoking=g cessation. 2. Surveillance: monitoring of small, asymptomatic AAA wit serial imaging. 3. Surgical/Interventional: Open surgical repair- resection and graft replacement. Endovascular aneurysm repair(EVAR) – less invasive stent graft replacement .
Nursing Management/Diagnosis Risk for ineffective tissue perfusion related to aortic wall and impaired blood flow. Acute pain related to pressure of aneurysm on surrounding tissues. 3. Risk for shock if rupture occurs related to massive hemorrhage from aortic rupture.