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Aortenaneurysma

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Definition:
Dilatation der Aorta, die mit zunehmender Größe rupturieren kann.
Häufigkeit:
Männer deutlich häufiger betroffen, Prävalenz bei Männer 1,3–1,7 %.
Symptome:
In der Regel asymptomatisch.
Befunde:
Evtl. pulsierende Resistenz im Bauch palpabel.
Diagnostik:
Abdominalsonografie bzw. Echokardiografie. Ein sonografisches Screening auf ein AAA sollte allen männlichen Patienten > 65 Jahre angeboten werden.
Therapie:
Abhängig von Größe und Risikofaktoren regelmäßige Überwachung, OP oder Stent.
  • European Society of Cardiology. Guidelines on the diagnosis and treatment of aortic diseases, Stand 2015. www.escardio.org 
  • Deutsche Gesellschaft für Gefäßchirurgie und Gefäßmedizin (DGG). Screening, Diagnostik, Therapie und Nachsorge des Bauchaortenaneurysmas. AWMF-Leitlinie 004-014. S3, Stand 2018. www.awmf.org 
  • Torbjørn Dahl, överläkare på kirurgavdelningen, St. Olavs Hospital i Trondheim
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  • Lino Witte, Dr. med., Arzt in Weiterbildung, Innere Medizin, Frankfurt
  • Günther Egidi, Dr. med., Arzt für Allgemeinmedizin, Bremen (Review)