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Aortic rupture is the breakage of all walls of the aorta, the largest artery in the body. Aortic rupture is a rare, extremely dangerous condition that is considered a medical emergency . [ 1 ] The most common cause is an abdominal aortic aneurysm that has ruptured spontaneously.
Before rupture, an AAA may present as a large, pulsatile mass above the umbilicus. A bruit may be heard from the turbulent flow in the aneurysm. Rupture may be the first sign of AAA. Once an aneurysm has ruptured, it presents with classic symptoms of abdominal pain which is severe, constant, and radiating to the back. [8]
This information may be useful before surgery. CT is used to watch the growth of a thoracic aortic aneurysm. Echocardiogram - This ultrasound exam is used to study the heart. A transthoracic echocardiogram (TTE) or a transesophageal echocardiogram (TEE) may also be done to further diagnose thoracic aortic aneurysm.
Symptoms can occur when the aneurysm pushes on a structure in the brain. Symptoms will depend on whether an aneurysm has ruptured or not. There may be no symptoms present at all until the aneurysm ruptures. [21] For an aneurysm that has not ruptured the following symptoms can occur: [citation needed] Fatigue; Loss of perception; Loss of balance
A ruptured aneurysm typically leads to an aortocardiac shunt and progressively worsening heart failure. [2] An aneurysm of the aortic sinus may rupture due to infective endocarditis involving the aortic wall and tertiary-stage syphilis. [citation needed] The manifestations appear depending on the site where the sinus has ruptured.
The condition can be mimicked by a ruptured cyst of the pericardium, [11] ruptured aortic aneurysm [10] and acute coronary syndrome. [12] Misdiagnosis is estimated at 39% and is associated with delays correct diagnosis and improper treatment with anticoagulants producing excessive bleeding and extended hospital stays. [12]
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Gary Gygax, co-creator of Dungeons & Dragons, died from an abdominal aortic aneurysm in 2008, at the age of 69. Harvey Korman died on May 29, 2008, aged 81, at UCLA Medical Center as the result of complications from a ruptured abdominal aortic aneurysm he had suffered four months earlier. He is interred at Santa Monica's Woodlawn Cemetery.
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