PENDAHULUAN

Masalah paling umum: Aortic Aneurism

Dua Tipe utama :
Thoracic Aortic Aneurysms (TAA)

terjadi di bagian atas aorta yang

melalui rongga dada (belakang
jantung). TAA terjadi pada 1 dari 4
aortic aneurysms.
Abdominal Aortic Aneurysms (AAA)
terjadi di bagian bawah aorta yang
melalui abdomen, just below where the
kidney (renal) arteries branch off. AAAs
terjadi 3 dari 4 aortic aneurysms

FAKTOR RESIKO
Lebih sering pada laki-laki 5 -10 kali
Pada wanita usia 45-54, kurang dari 1 dari 1000 memiliki

AAA sementara pada laki-laki 1 :100 .

Pada uisa 75 -84, 5% terjadi pada wanita, 13% pada lakilaki
High blood pressure,
High cholesterol,
Smoker Smoking is one of the strongest risk factors for
aortic aneurysms because it directly damages the
arteries and contributes to other conditions like
atherosclerosis and high blood pressure. Women and men
who smoke are 5 times more likely than nonsmokers to
have an aortic aneurysm, and as many as 3 in 4 people
with large AAAs are current or former smokers. 4
Penyakit yang berkaitan dengan atheroschlerosis:
coronary artery disease / carotid artery disease /
stroke /peripheral artery disease
Genetic 1 diantara 4 pasien AAA

ETIOLOGI

TANDA DAN GEJALA

Symptoms TAA
Nyeri dada yang dalam
Back pain
Batuk atau SOB (shortness of breath)
Serak, Susah atau sakit pada waktu menelan
Symptoms AAA
Abdominal pain or discomfort; can be constant or come and go
Pain in the chest, abdomen, lower back, or flank that can
spread to the buttocks, groin, or legs; lasts for hours or days
A pulsating feeling in the abdomen
Feeling of fullness after minimal food intake
Fever or weight loss
Discoloration, or sores on the toes or feet because of a plaque
or a blood clot that has broken off from the aneurysm and
become lodged in a blood vessel (jarang)

TANDA DAN GEJALA

Diameter ()normal aorta adalah: 1,8-2,5 cm
Jika terjadi Aneurisme bisa mencapai 5-7,5

cm Resiko pecah/ruptur
Jika ruptur Internal bleeding
Tanda :
Sudden severe chest or upper back pain,
often described as a tearing or ripping
sensation
Feeling dizzy or lightheaded or passing out
Weakness or trouble standing up
Confusion, anxiety, loss of alertness

DIAGNOSIS
Abdominal ultrasound
Echocardiogram
CT Scan/CT Angiogram
MRI
Contrast Angiogram

TREATMENT
Jika aneurisme (4,5 cm pada

dan 5 cm pada
imaging test
tiap 6 12 bulan
Healthy life style
Kontrol Tekanan Darah
Berhenti merokok
Jika lebih dari 4,5 aneurism
repair

TREATMENT
Surgical

Aneurysm Repair
Endovascular
Aneurysm Repair

A: Surgical ("open") aneurysm repair. B: Endovascular aneurysm repair.

Reprinted with permission from JAMA 302(18):2019. Copyright 2009 American Medical Association. All
rights reserved.

PROGNOSIS SETELAH
OPERASI
Tiap tahun menjadi tretament yang lebih

aman untuk cegah kematian

Pada study 8,663 pasien (17% wanita)
menjalani non-emergency AAA repairs
(surgical or endovascular), 69% survive
selama 5 tahun. Resiko komplikasi lebih tinggi
pada saat setelah operasi: 90% of those who
survive the first few months live for at least 5
years.

PENCEGAHAN PENYAKIT
Healthy heart diet low in saturated

fat and cho lesterol

Regular exercise min 30
menit/hari selama minimal 5 minggu
Stop Smoking
Maintain a healthy weight, and lose
weight if overweight or obese