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[quote]QUOTE: I read your article while researching SAA. (splenic artery aneurysm)and I have been looking for a doctor. Though much late, a brief information is herby posted for the other readers who are interested any way in the subject. Technically speaking, an aneurysm is defined as a dilatation of an artery more than double the lumen of the artery. Less than the double is called arterial ectasia not aneurysm. The incidence of SAA is 400% more in the females than males and there is high risk of rupture in the pregnant women perhaps due the increased intra-abdominal pressure and increased fragility of the body tissues. Because of the high risk of the complications or rupture rate in the pregnant women, early the treatment should be done. Treatment is indicated in the following cases. 1. The aneurysm associated with the symptoms like pain etc 2. The aneurysm more than two centimeters in diameter. 3. The aneurysm which are rapidly increasing diameter. 4. The aneurysm detected in women who are pregnant or of childbearing age. In these modern days, the preferred method of treatment is some minimal invasive approach (causing minimum physical and psychological trauma) it is easily available now a days. These methods are endovascular embolization and stenting etc. These procedures don’t involve major anesthesia or the hospital stay. However these are more costly. If these minimal invasive procedures are difficult or contraindicated (according to site and size of the aneurysm) then laparoscopic or conventional (open) surgery are inevitable. Such disorders involve the MULTI disciplines. I advise the patient to get check up by her local OBSTETRICIAN and the SURGEON then act on the advices accordingly. By the way, in general, if any one (mother or baby) is at risk then mother should be saved at the risk of the baby. Meanwhile control (before the definitive procedures) all the risk and aggravating factors like blood pressure and others must be done according to the advice of a PHYSICIAN to delay the complications to some extent. If available, I want to know reason of doing the CAT scan which revealed SSA incidentally. By the way, I am wondered to know CAT scan done in the first trimester of pregnancy exposing the patient and the foetus to the hazardous radiations equal to those used in 400 X- Ray chests.[/quote]
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