Difference Between Aortic Aneurysms in the Chest and the Abdomen
Difference Between Aortic Aneurysms in the Chest and the Abdomen
Aneurysms may occur in any part of the aorta; however, they are divided into two main categories: those in the chest, and those in the abdomen. Abdominal aneurysms are treated by vascular surgeons. Aneurysms in the chest are treated by cardiothoracic surgeons. The approach and recommendations are different for the abdominal aorta than for the chest.
The AP article quoted in this thread does not clearly mention which type of aortic aneurysm is being discussed, but it appears to be abdominal aneurysms. There is reference to a vascular surgeon, John Kern, and Dr. Lederle is also mentioned. In searching the literature, I found this paper from May 2002, which lists Dr. Lederle as the first author. This paper is referring to abdominal aneurysms, not aneurysms in the chest. Here is the link
http://www.ncbi.nlm.nih.gov/entrez/...ve&db=pubmed&dopt=Abstract&list_uids=12000813
For aortic aneurysms in the chest, the trend is toward doing the surgery sooner, at smaller sizes, in experienced aortic centers. In the past, when the surgery for aortic aneurysms in the chest carried higher risk, many people either dissected or ruptured while waiting, before they had surgery. Today the risk of surgery is low enough that people can have surgery sooner and avoid dissection or rupture.
It is important to know that the approach and surgical treatment for the aorta in the chest is different than that in the abdomen, and the surgeons who handle them have different expertise. I hope this helps clarify this.
Best Wishes,
Arlyss
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