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Columbia Encyclopedia entry: aneurysm
Aneurysmăn'yoorĭzəm, localized dilatation of a blood vessel, particularly an artery, or the heart. Dilatation of an artery, and therefore weakness of that portion of the arterial wall, may be rarely congenital, or it may be caused by syphilis, hypertension (high blood pressure), arteriosclerosis, bacterial and fungal infections, or penetrating injury as from a bullet or knife. An aneurysm may be asymptomatic or it may cause varying symptoms, depending upon its location and size and on whether the expanding mass is pressing on adjacent nerves or vital organs. The weakened arterial walls of an aneurysm are always in danger of sudden rupture, with resulting hemorrhage and death.

Aneurysms occur most commonly in the large arteries; the aorta, the largest vessel in the body, is the one most often affected. Ventricular aneurysms of the heart often occur after myocardial infarctions. Aneurysms also occur in the arteries within the skull and in other areas of the body.

Aneurysms can be detected by echocardiogram, spin echo magnetic resonance imaging scans, coronary arteriograms, and biplane ventriculograms. Treatment, where feasible, may involve surgery to remove the aneurysm or the insertion of coiled wire to close it off. Coiled wire can only be used on aneurysms that are connected to the blood vessel by a narrowed neck. The coiling fills the aneurysm, obstructing the flow of blood into the dilatation, and blood clots form around the wire, preventing the aneurysm from bursting. Surgical excision of the dilated saclike portion of the affected artery sometimes requires the replacement of that portion by a synthetic graft, a section of vessel (made of polymer fiber) that is similar in size.

Wikipedia search results for: Aneurysm
From Wikipedia, the free encyclopedia
An aneurysm or aneurism, is a localized, blood-filled dilation of a blood vessel caused by disease or weakening of the vessel wall. Aneurysms most commonly occur in arteries at the base of the brain and in the aorta. As the size of an aneurysm increases, there is an increased risk of rupture, which can result in severe hemorrhage or other complications including sudden death. Diagnosis of a ruptured cerebral aneurysm is commonly made by finding signs of subarachnoid hemorrhage on a CT scan. If the CT scan is negative but a ruptured aneurysm is still suspected, a lumbar puncture is performed to detect blood in the cerebrospinal fluid....more »
Columbia Encyclopedia search results: aneurysm
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  • DeBakey, Michael Ellis

    DeBakey, Michael Ellis, 1908–2008, American surgeon, b. Lake Charles, La. While still at Tulane medical school (M.D., 1932), DeBakey developed the roller pump, which later became an essential ...

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