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Aortaaneurysm

Senast uppdaterad: Senast reviderad:
Sakkunnig:

Definition:
Lokaliserad utvidgad del av aorta, vanligast i abdominala aorta. Antas bero på ateroskleros.
Förekomst:
I obduktionsmaterial föreligger aortaaneurysm hos 2–4 % vid ålder över 50–60 år.
Symtom:
Vanligtvis asymtomatiskt, men kan med tiden ge symtom till följd av tryck från aneurysmet. Vid ruptur uppstår snabbt magsmärtor och chock.
Kliniska fynd:
Eventuellt pulserande fyllnad i buken.
Diagnostik:
Verifieras och följs med ultraljud eller DT.
Behandling:
Förebyggande kirurgi vid diameter över 55 mm hos män och cirka 50 mm hos kvinnor eller expansion över 1 cm per år. 
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  • Athena Adeli, legitimerad läkare, Karolinska Institutet

Tidigare sakkunniga

  • Anders Gottsäter, docent och överläkare, Kärlkliniken, Skånes universitetssjukhus