An
aneurysm is a bulging out of part of the wall of a blood vessel.
It forms where the wall has weakened, often due to the build-up
of plaque. It may also be an inherited condition or a complication
of high blood pressure (hypertension). Left untreated, aneurysms
may tear or burst (a ruptured aneurysm). Ruptures are very
painful events that cause massive internal bleeding. The patient
must be treated within minutes in order to have a chance of
survival. If an aneurysm bursts in the brain, it could cause
a hemorrhagic stroke. If an aneurysm bursts in the chest,
there is only a 20 percent chance of survival. Therefore,
early diagnosis and treatment are critical. Because aneurysms
often produce either no symptoms or mild symptoms (e.g., back
pain), routine physical examinations are strongly encouraged
so that a physician can regularly test for warning signs.
There are a number of different types of aneurysms, which
include the following:
- Aortic aneurysm. A general condition characterized by
the distention, or ballooning out, of part of the wall of
the aorta. The aorta is the main artery carrying oxygen-rich
blood from the heart to the rest of the body. Typically,
the widened part of the aorta is considered to be an aneurysm
when it is more than 1.5 times its normal size. If accompanied
by an aortic dissection, it is classified as a dissecting
aortic aneurysm.
- Cerebral aneurysm. Also known as a berry aneurysm, this
is a bulge in the wall of a blood vessel in the brain (one
of the cerebral arteries). A cerebral aneurysm is typically
found where the arteries branch at the base of the brain.
The cause is unknown, but smoking increases a person's risk
of developing this condition.
- Ventricular aneurysm. A bulging or ballooning out of part
of the wall of one of the heart's lower chambers (ventricles),
usually the left. If the aneurysm is present in the wall
between the ventricles (the ventricular septum), it is also
known as a ventricular septal aneurysm, an interventricular
aneurysm or simply a septal aneurysm. It may be present
since birth (congenital) or may be a complication of a heart
attack or other trauma.
- Atrial aneurysm. A bulging or ballooning out of part of
the wall of one of the heart's upper chambers (atria). If
the aneurysm is present in the wall between the atria (the
atrial septum), it is also known as an atrial septal aneurysm
(ASA), an aneurysm of septum primum or an aneurysm of the
septum secundum. An ASA has been associated with an increased
risk of stroke and is often accompanied by the presence
of a patent foramen ovale (PFO), an opening between the
upper chambers (atria) of the heart. Normally, this opening
is present in the developing fetus, and closes shortly after
birth. It is often present since birth (congenital).
- Cirsoid aneurysm. The enlargement of a network of blood
vessels that commonly occurs on the scalp and may result
in the formation of a tumor.
Strategies for preventing an aneurysm include managing high
blood pressure and preventing the build-up of plaque.