Splenic Artery Aneurysm
Вставка
- Опубліковано 31 лип 2024
- There are few words in medicine that people fear more than the word "aneurysm". When some people hear that they have an aneurysm, they worry that it may burst. But not all aneurysms are the same.
A splenic artery aneurysm is an aneurysm in the artery feeding the spleen. These are relatively common. Most do not require a procedure. But some do. Knowing when to intervene is not always straightforward. While there are formal criteria, there are many nuances.
One thing I am not saying in the video - Anyone with a splenic artery aneurysm needs to pay specific attention to blood pressure and cholesterol treatment.
For more information go here - angiologist.com/splenic-arter...
Subscribe to our channel here - / angiologist
Check out our main website - www.angiologist.com
For more clot related information - www.mybloodclots.com
Stay connected through twitter - / angiologist
#aneurysm #splenicarteryaneurysm #spleen
0:00 Introduction
0:26 What is an Aneurysm?
0:51 Why do Aneurysms Happen?
1:18 Is it Genetic?
1:47 Why do we Care about Aneurysms?
2:00 Do I Need a Procedure?
4:20 How do we Fix an Aneurysm?
5:35 Summary
*Remember: This video is NOT meant as medical advice. There are many more factors that go into choosing a blood thinner. These are obviously prescription medications and you must always consult your physician. - Наука та технологія
Thank you Dr. Weinberg. Clear and succinct. Long, long ago on the first day of my gross anatomy lab the prof said; "If I had it my way we'd all be made of some stainless steel polymer. However we're not...." and the class unwrapped their cadavers. I visit my vascular surgeon for a consult in a couple of weeks I've a 11mm aneurysm on the proximal section of my splenic artery. No symptoms. I'll post outcome etc here for other potential patients.
Thank you for sharing your story and also for your plans to share your journey.
Thank you for explaining that I was just recently diagnosed with a spleen artery aneurysm, and I am just wanted to check my options or what I might expect to hear from the doctor. I and 69 years old, they found it by chance. Thank you again
Thank you for your question. Unfortunately, without knowing specific details about the aneurysm (including looking at the images) I cannot comment about specific recommendations.
Recently we discussed about splenic aneurysm in one of my social media groups. Although the criteria of treatment are well established, sometimes colleagues get in doubt about interventions in particular cases. Your explanation was pretty much clear and I’m going to share with them
Thank you for sharing and I appreciate the trust!
Thank you for your explanation. It was very clear to me. I'll be going on a few hours for my first CT angiography.
It's wonderful to know before hand what I might need. Interestingly enough they found it through an x-ray of my abdomen and spine.
Thank you for sharing and good luck!
Thank you so much. Very helpful.
Anytime
Great! thank you very much.
Thanks. I appreciate you taking the time to comment.
Thank you very much! So helpful. Keep going :)
Glad it helped!
I almost died while in labor with my son due to an undiagnosed splenic artery aneurysm that ruptured.
I am sorry to hear. Thank you for sharing your story.
Thank you very much. recently discovered a couple on a ct scan. Makes some sense of intermittent pain,nausea, and subsequent unintentional weight loss I’ve been having from lack of appetite. . However, they are small (1.1cm each) distal and with calcifications, and it seems like my docs aren’t worried in the slightest. (It’s the symptoms I like to be rid of!) Does being on blood thinners (x16 years) make it more worrisome or less for doctors? I am 48 and not a patient patient esp with my low pain tolerance.
Sorry to hear about your symptoms. We can’t comment about anyone’s specific case. But *usually* splenic artery aneurysms are not associated with any symptoms. As for blood thinners - I don’t know that they increase risk of bleeding in small splenic artery aneurysms. But in some locations in the body they do (for instance, the brain). Again, *usually*.
57 F with 16mm SAA dx 2 months ago I’m worried I do get pain nausea was told to wait a year for rescan
I am sorry to hear about your concerns. Unfortunately, we cannot comment about specific cases or offer medical advice. I understand you are under the care of a physician, so I hope you can communicate with them about your concerns.
Is working out and lifting weights still possible with SAA?
Thank you for the question. Usually it is allowed. Yes. But I would make sure with your doctor that this applies to you as well.
Thanks for this video! Barely any information about SAA. I’ve been recently diagnosed with SAA (9.5mm x 21mm aneurysm) and I’m 35. Is this a dangerous size? I see the vascular surgeon next Thursday, but my anxiety is going off. Thank you
I am sorry to hear you are anxious. It is good you are seeing a vascular specialist. They will be able to assess the characteristics of your aneurysm and offer advice!
So relieved hearing this, mine is calcified. But I also have osteoporosis, so could bone loss occur in the calcified splenic aneurysm causing it to weaken and burst??! I think about this every.day
I'm 70
Sorry for not being able to comment an about your specific case. But in general I don’t know of a relationship between osteoporosis bone loss and changes in calcium in an aneurysm wall.
@@Angiologist Thank you!
Anytime. Be well!
Thankyou for explaining this. I have a calcified splenic artery pseudoaneurym. 13mm. It hasnt been explained to me very well. I was told not to worry about it and to continue on as normal. And said I am ok to go to gym for exercise. Dr Google kind scares me a little. This was explained well. Do you have videos explaining pseudoaneurysm's ?
I am sorry that you did not receive accurate explanations and happy we could help some. In any case, we cannot offer specific advice. Usually a small, calcified pseudoaneurysm is safe. But the question is why did you develop a pseudoaneurysm in the first place?
@@Angiologist Thankyou. I have a scan and followup appointment in July will ask that questions.
There is very little information available regarding multiple splenic artery aneurysms. I am 36 and I have 5 wide neck distally located aneurysms. I believe having multiple is rare but beyond that I am not sure if having multiple increases rupture risks. Splenectomy is my only option but I'd prefer to keep my spleen as long as possible. Any additional information regarding multiple splenic artery aneurysms and rupture/growth risks would be greatly appreciated.
Thank you for sharing. While I can’t comment about any particular case, I can say that in general, when we see multiple aneurysms, we think about two things. First, we try to understand the reason a person has several (examples include inflammation, genetic disorders, certain infections etc). Then, depending on the cause we try to address risk. Sometimes this means treating an aneurysm that has reached a certain size, and sometimes it means treating the root cause. Sometimes it also means looking for abnormalities elsewhere. Again, sorry can’t be more specific.
Thank you. I've seen multiple surgeons and doctors and no one seems to want to find a cause. I just keep hearing "cause is unknown" or "probably from having 2 children".
I appreciate your time. I was mainly curious if multiple aneurysms in general could increase rupture risks or if rupture risks are the same no matter if there's 1 vs multiple.
Rupture risk is related to size, calcium, your age, and also to the underlying cause. Depending on where you live, you may want to find a vascular medicine specialist for consultation. Try this link: members.vascularmed.org/i4a/memberDirectory/index.cfm?directory_id=25&pageID=3602
Thank you so very much for the link!
I hope you find answers!
Are they normally painful?
No. They are not.
About 4 years ago I thought I might have hurt my kidney when I fell so doctor ordered an MRI. This was not my regular doctor (he was out that day). Anyway, the other doctor called me and said my kidney was fine and sent me a copy of the MRI results. When I reviewed them, I was shocked to see it said I had a splenic aneurysm 😱and she never mentioned it when she called me. I told my doctor about the aneurysm during my annual physical. He said I could get another MRI to see how it’s doing. But I’m 80 years old and my kidneys are not what they used to be, so I don’t think the MRI chemicals are good for me. I’m not sure what to do about this aneurysm. I lost 120 lbs. in the past 10 years. No longer taking statins, bp meds, nor pre-diabetic. My A1C is 4.9.
What kind of doctor should I consult, if any? (The report said, “Curvilinear calcification in the splenic hilus is consistent with an 11 mm splenic artery aneurysm.”) Thank you kindly 🙏
Thank you very much for taking the time to tell your story. Unfortunately, I cannot offer specific advice. But I think it is safe for you to seek a second opinion with a vascular doctor. This can be vascular medicine, vascular surgery or vascular interventional doctor, depending on where you live.
@@Angiologist
Thank you. Your reply is much appreciated. It’s exactly what I wanted.🙏🩷🤸🏼
Of course. Anytime. All the best!
Thank you so much for the clarification. I have a question, I did CT and got this result, and wanna ask what would you suggest treatment for my case:
I’m 29 years old.
well-defined rounded enhancing lesion at the splenic hilum, suggestive of a saccular distal splenic artery aneurysm (axial image 90, series 4). It measures 2.1 x 1.6 cm (image 178,series 5) with the neck of the aneurysm, measuring 5 mm.
Can you be a living kidney donor if you have an SAA?
I am not sure. I don’t think it is related to the kidney at all, but there are rules about donating kidneys that can be quite strict. You will need to ask a kidney doctor.