Presentation and patterns of aortic aneurysms in young patients

Abstract

Aneurysmal disease presenting in the young adult is more likely to be symptomatic and associated with more proximal aortic involvement than aneurysmal disease in older patients. Smoking appears to play an important role in the pathogenesis of aneurysmal disease in the young patient and was associated in our study with more proximal aneurysms among older patients. A subgroup of patients at risk for early and aggressive aneurysm disease is suggested by these data.

ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): A Collaborative Report from the American Association for Vascular Surgery/Society for Vascular Surgery,⁎Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients

“…Although the UK surgical cohort now has a lower overall mortality rate than the nonoperative cohort (p Most AAAs are asymptomatic and are discovered incidentally on routine physical examination or on an abdominal roentgenogram (969) or an ultrasound scan that has been performed for other indications. Younger patients are more likely to be symptomatic at the time of diagnosis (970). Pain is the most frequent complaint in patients with symptomatic AAAs and usually is located in the hypogastrium or the lower part of the back.…”

Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology

“…A high proportion of cases are symptomatic, and the process is very often associated with more proximal aortic involvement [27] . Many studies reported familial aggregation of abdominal aortic aneurysms [28] .…”

ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)

“…Although the UK surgical cohort now has a lower overall mortality rate than the nonoperative cohort (p (92) 527 (93) Nonoperative cohort 327 (62) 349 ( Most AAAs are asymptomatic and are discovered incidentally on routine physical examination or on an abdominal roentgenogram (969) or an ultrasound scan that has been performed for other indications. Younger patients are more likely to be symptomatic at the time of diagnosis (970). Pain is the most frequent complaint in patients with symptomatic AAAs and usually is located in the hypogastrium or the lower part of the back.…”