Aneurysm
Definition
- An aneurysm is a localized, abnormal dilation of a blood vessel, usually an artery, that is greater than 1.5 times the normal diameter of the vessel.
Classification
- True aneurysm: involves all three layers of the vessel wall (intima, media, and adventitia).
- False aneurysm (pseudoaneurysm): involves only the outer two layers of the vessel wall (media and adventitia), with the intima being absent.
- Aneurysm in situ: occurs within a single segment of a vessel.
- Aneurysm of an anastomotic site: occurs at the site of an anastomosis between two vessels.
Types of Aneurysm
- Atherosclerotic aneurysm
- Most common type of aneurysm
- Associated with atherosclerosis and hypertension
- Traumatic aneurysm
- Caused by trauma to the vessel wall
- May be caused by a penetrating injury or a deceleration injury
- Inflammatory aneurysm
- Caused by inflammation of the vessel wall
- May be caused by conditions such as Takayasu arteritis or giant cell arteritis
- Dissecting aneurysm
- Caused by a tear in the intima of the vessel wall
- May be caused by conditions such as hypertension or atherosclerosis
- Mycotic aneurysm
- Caused by an infection of the vessel wall
- May be caused by conditions such as endocarditis or sepsis
Investigations
- Imaging studies: such as ultrasound, CT scan, or MRI
- Angiography: to evaluate the blood flow through the vessel
- Anatomical studies: to evaluate the size and location of the aneurysm
Management
- Medical management: to control hypertension and prevent further growth of the aneurysm
- Surgical management: to repair or replace the affected vessel
- Endovascular management: to repair or replace the affected vessel using a minimally invasive procedure
Complications
- Rupture of the aneurysm
- Thrombosis of the aneurysm
- Embolism of the aneurysm
- Infection of the aneurysm
Homeopathic Treatment
- Lachesis: to reduce the size of the aneurysm
- Pulsatilla: to reduce the risk of rupture
- Calcarea carbonica: to reduce the risk of thrombosis
- Arnica: to reduce the risk of embolism
- Bryonia: to reduce the risk of infection