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Archived on: 2/12/2017 1:51:00 AM
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[–] marymarynotcontrary 1 point 5 points 6 points (+6|-1) ago
Aortic aneurysm are usually due to birth defects WHICH CAN USUALLY BE SCREENED FOR and corrected but pretty much never are. They're rare enough that people dropping dead of them is considered okay.
[–] SurgicalShitlord 0 points 6 points 6 points (+6|-0) ago
Risk factors for aortic aneurysms:
Only four genetic reasons on the above list. Everything else is controllable by lifestyle choices. Screening (abdominal ultrasound) is recommended in 65+ smokers only and will only pick up abdominal aortic aneurysms. The above example sounds like a thoracic or aortic root aneurysm. That's a bad one. Hope your friend is OK, @orange-avocado
[–] FPHrefugee 0 points 5 points 5 points (+5|-0) ago
Not just Ehlers Danlos type IV but also the classical subtype I and II
[–] marymarynotcontrary 0 points 1 point 1 point (+1|-0) ago (edited ago)
Sorry, I meant in youngish, reasonably healthy people. This just isn't something that should be happening to them. I get so annoyed at people dying from undiagnosed issues that are easy to see. The conditions that you have from birth usually present with a thin/bulging aorta loooong before an aneurysm/dissection. And the dissections almost always happen to people who don't have coronary disease but something you can't do anything about...except surgery when you see the bulge to prevent the dissection.
Everything not genetic takes years and years to do damage. For example, smokers don't have aortic aneurysms under 50 or so unless they are ALSO fat.
[–] MahLardy ago
Nope, they are almost always a result of aging/shitty lifestyle. I went through almost 6 months of vascular/general surgery in med school and residency, and have also had some patients with AAAs in my practice, and not a SINGLE aneurysm I've dealt with was related to Marfan's or some other genetic condition. ALWAYS smoking and shitty eating/"metabolic syndrome" combined with older age.
[–] FPHrefugee 0 points 1 point 1 point (+1|-0) ago
I know several people with Ehlers Danlos as well as myself. I have yearly echos to check for aortic root dialation.