Aortic Aneurysms: What are They & How to Monitor for This Condition
Published Feb. 16, 2024
Aortic aneurysms can be found during CT scans that your primary care physician may order to look for health conditions like lung cancer or heart disease.
Aortic aneurysms can be hard to detect. While rare, this condition is appearing more often due to the increase in preventive screenings performed by primary care physicians (PCP).
"Your PCP may order a CT scan to look for common problems like lung cancer or heart disease, but sometimes those pictures lead to what we call incidental findings, or the accidental discovery of something we weren't even looking for. And aortic aneurysms are a very common incidental finding in these screening studies," explains Dr. Andrew Baldwin, a cardiothoracic surgeon with Hawaiʻi Pacific Health Medical Group and the medical director of cardiac surgery at Straub Benioff Medical Center.
According to Baldwin, an aneurysm is another word for an enlarged blood vessel. These can occur anywhere in the body, from the brain to the abdomen.
"I think about an aneurysm like a water balloon – the bigger the water balloon gets, the weaker the walls of the balloon become, and the more likely that it is to pop. Aneurysms affect our arteries in the same way. The larger the aneurysm becomes, the more likely there is to be a tear or even a bursting of the artery," Baldwin explains.
Aneurysms that develop in the portion of the aorta that's near the heart are called thoracic aortic aneurysms.
"They can happen for lots of reasons, the most common of which are genetics, smoking or high blood pressure," Baldwin says. "They rarely have symptoms, and we only find them if we look for them."
Though this can be scary, Baldwin stresses that finding the aneurysms means there is an opportunity to monitor them to avoid problems in the future.
"This involves regular monitoring with your PCP, usually with a yearly CT scan," he says. "The vast majority of patients who have this condition will never need surgery."
When it comes to managing aneurysms, Baldwin says to concentrate on relieving pressure.
"If you think of the water balloon again, we want to avoid high pressure either inside or outside that balloon to avoid it popping," he says. "Blood pressure is the most important thing to think about when it comes to aneurysms. Working with your PCP to make sure that you monitor and control your blood pressure in the long run is the most important way to prevent these aneurysms from continuing to stretch.
"I tell patients all the time that aneurysms are not something that should make us afraid to live our normal lives," Baldwin adds. "Finding these things can help us avoid big emergencies and give us control to plan for our health care and hopefully give us some peace of mind."
This segment originally aired Feb. 15, 2024, as part of the Hawaiʻi News Now "Sunrise" Healthier Hawaiʻi series. Watch the full broadcast here or below.
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automatically need surgery if I'm diagnosed with this kind of condition? Thankfully, automatically need surgery if I'm diagnosed with this kind of condition? Thankfully, no, I'm diagnosed with this kind of condition? Thankfully, no, I'm diagnosed with this kind of condition? Thankfully, no, the I'm diagnosed with this kind of condition? Thankfully, no, the vast I'm diagnosed with this kind of condition? Thankfully, no, the vast majority I'm diagnosed with this kind of condition? Thankfully, no, the vast majority of I'm diagnosed with this kind of condition? Thankfully, no, the vast majority of patients of condition? Thankfully, no, the vast majority of patients of condition? Thankfully, no, the vast majority of patients who of condition? Thankfully, no, the vast majority of patients who have of condition? Thankfully, no, the vast majority of patients who have an of condition? Thankfully, no, the vast majority of patients who have an aneurysm of condition? Thankfully, no, the vast majority of patients who have an aneurysm will of condition? Thankfully, no, the vast majority of patients who have an aneurysm will ever the vast majority of patients who have an aneurysm will ever the vast majority of patients who have an aneurysm will ever need the vast majority of patients who have an aneurysm will ever need heart the vast majority of patients who have an aneurysm will ever need heart surgery.1 minute, 51 seconds
the vast majority of patients who have an aneurysm will ever need heart surgery. But the vast majority of patients who have an aneurysm will ever need heart surgery. But it the vast majority of patients who have an aneurysm will ever need heart surgery. But it can who have an aneurysm will ever need heart surgery. But it can who have an aneurysm will ever need heart surgery. But it can be who have an aneurysm will ever need heart surgery. But it can be nerve who have an aneurysm will ever need heart surgery. But it can be nerve wracking who have an aneurysm will ever need heart surgery. But it can be nerve wracking to who have an aneurysm will ever need heart surgery. But it can be nerve wracking to be who have an aneurysm will ever need heart surgery. But it can be nerve wracking to be told need heart surgery. But it can be nerve wracking to be told need heart surgery. But it can be nerve wracking to be told that need heart surgery. But it can be nerve wracking to be told that there's need heart surgery. But it can be nerve wracking to be told that there's a need heart surgery. But it can be nerve wracking to be told that there's a problem need heart surgery. But it can be nerve wracking to be told that there's a problem on need heart surgery. But it can be nerve wracking to be told that there's a problem on the be nerve wracking to be told that there's a problem on the be nerve wracking to be told that there's a problem on the inside be nerve wracking to be told that there's a problem on the inside of be nerve wracking to be told that there's a problem on the inside of your be nerve wracking to be told that there's a problem on the inside of your chest.1 minute, 56 seconds
be nerve wracking to be told that there's a problem on the inside of your chest. The be nerve wracking to be told that there's a problem on the inside of your chest. The good that there's a problem on the inside of your chest. The good that there's a problem on the inside of your chest. The good thing that there's a problem on the inside of your chest. The good thing about that there's a problem on the inside of your chest. The good thing about finding that there's a problem on the inside of your chest. The good thing about finding these inside of your chest. The good thing about finding these inside of your chest. The good thing about finding these aneurysms inside of your chest. The good thing about finding these aneurysms is inside of your chest. The good thing about finding these aneurysms is that inside of your chest. The good thing about finding these aneurysms is that we inside of your chest. The good thing about finding these aneurysms is that we can inside of your chest. The good thing about finding these aneurysms is that we can make thing about finding these aneurysms is that we can make thing about finding these aneurysms is that we can make plans thing about finding these aneurysms is that we can make plans and thing about finding these aneurysms is that we can make plans and monitor thing about finding these aneurysms is that we can make plans and monitor them thing about finding these aneurysms is that we can make plans and monitor them to aneurysms is that we can make plans and monitor them to aneurysms is that we can make plans and monitor them to avoid aneurysms is that we can make plans and monitor them to avoid problems aneurysms is that we can make plans and monitor them to avoid problems in aneurysms is that we can make plans and monitor them to avoid problems in the aneurysms is that we can make plans and monitor them to avoid problems in the future. plans and monitor them to avoid problems in the future.2 minutes, 2 seconds
plans and monitor them to avoid problems in the future. And plans and monitor them to avoid problems in the future. And usually plans and monitor them to avoid problems in the future. And usually we plans and monitor them to avoid problems in the future. And usually we watch plans and monitor them to avoid problems in the future. And usually we watch them plans and monitor them to avoid problems in the future. And usually we watch them with avoid problems in the future. And usually we watch them with avoid problems in the future. And usually we watch them with more avoid problems in the future. And usually we watch them with more CT avoid problems in the future. And usually we watch them with more CT scans avoid problems in the future. And usually we watch them with more CT scans typically avoid problems in the future. And usually we watch them with more CT scans typically once avoid problems in the future. And usually we watch them with more CT scans typically once a And usually we watch them with more CT scans typically once a And usually we watch them with more CT scans typically once a year.2 minutes, 5 seconds
And usually we watch them with more CT scans typically once a year. So And usually we watch them with more CT scans typically once a year. So if And usually we watch them with more CT scans typically once a year. So if the And usually we watch them with more CT scans typically once a year. So if the aneurysm And usually we watch them with more CT scans typically once a year. So if the aneurysm ever more CT scans typically once a year. So if the aneurysm ever more CT scans typically once a year. So if the aneurysm ever grows more CT scans typically once a year. So if the aneurysm ever grows to more CT scans typically once a year. So if the aneurysm ever grows to the more CT scans typically once a year. So if the aneurysm ever grows to the point more CT scans typically once a year. So if the aneurysm ever grows to the point where more CT scans typically once a year. So if the aneurysm ever grows to the point where we year. So if the aneurysm ever grows to the point where we year. So if the aneurysm ever grows to the point where we start year. So if the aneurysm ever grows to the point where we start to year. So if the aneurysm ever grows to the point where we start to worry year. So if the aneurysm ever grows to the point where we start to worry about year. So if the aneurysm ever grows to the point where we start to worry about a grows to the point where we start to worry about a grows to the point where we start to worry about a problem, grows to the point where we start to worry about a problem, that's grows to the point where we start to worry about a problem, that's when grows to the point where we start to worry about a problem, that's when you grows to the point where we start to worry about a problem, that's when you have start to worry about a problem, that's when you have start to worry about a problem, that's when you have a start to worry about a problem, that's when you have a conversation start to worry about a problem, that's when you have a conversation about2 minutes, 14 seconds
start to worry about a problem, that's when you have a conversation about surgery problem, that's when you have a conversation about surgery problem, that's when you have a conversation about surgery as problem, that's when you have a conversation about surgery as a problem, that's when you have a conversation about surgery as a way problem, that's when you have a conversation about surgery as a way of problem, that's when you have a conversation about surgery as a way of preventing a conversation about surgery as a way of preventing a conversation about surgery as a way of preventing problems a conversation about surgery as a way of preventing problems in a conversation about surgery as a way of preventing problems in the a conversation about surgery as a way of preventing problems in the future.2 minutes, 16 seconds
a conversation about surgery as a way of preventing problems in the future. All as a way of preventing problems in the future. All as a way of preventing problems in the future. All right, as a way of preventing problems in the future. All right, so as a way of preventing problems in the future. All right, so what as a way of preventing problems in the future. All right, so what are as a way of preventing problems in the future. All right, so what are some as a way of preventing problems in the future. All right, so what are some of as a way of preventing problems in the future. All right, so what are some of the problems in the future. All right, so what are some of the problems in the future. All right, so what are some of the important problems in the future. All right, so what are some of the important things problems in the future. All right, so what are some of the important things that problems in the future. All right, so what are some of the important things that you problems in the future. All right, so what are some of the important things that you want right, so what are some of the important things that you want right, so what are some of the important things that you want our right, so what are some of the important things that you want our viewers right, so what are some of the important things that you want our viewers to right, so what are some of the important things that you want our viewers to know right, so what are some of the important things that you want our viewers to know right right, so what are some of the important things that you want our viewers to know right now, important things that you want our viewers to know right now, important things that you want our viewers to know right now, in important things that you want our viewers to know right now, in this important things that you want our viewers to know right now, in this diagnosis?2 minutes, 23 seconds
important things that you want our viewers to know right now, in this diagnosis? Yeah, important things that you want our viewers to know right now, in this diagnosis? Yeah, so our viewers to know right now, in this diagnosis? Yeah, so our viewers to know right now, in this diagnosis? Yeah, so managing our viewers to know right now, in this diagnosis? Yeah, so managing aneurysms our viewers to know right now, in this diagnosis? Yeah, so managing aneurysms is our viewers to know right now, in this diagnosis? Yeah, so managing aneurysms is mostly in this diagnosis? Yeah, so managing aneurysms is mostly in this diagnosis? Yeah, so managing aneurysms is mostly about in this diagnosis? Yeah, so managing aneurysms is mostly about pressure.2 minutes, 25 seconds
in this diagnosis? Yeah, so managing aneurysms is mostly about pressure. If in this diagnosis? Yeah, so managing aneurysms is mostly about pressure. If you in this diagnosis? Yeah, so managing aneurysms is mostly about pressure. If you think managing aneurysms is mostly about pressure. If you think managing aneurysms is mostly about pressure. If you think about managing aneurysms is mostly about pressure. If you think about the managing aneurysms is mostly about pressure. If you think about the water managing aneurysms is mostly about pressure. If you think about the water balloon, about pressure. If you think about the water balloon, about pressure. If you think about the water balloon, again, about pressure. If you think about the water balloon, again, we about pressure. If you think about the water balloon, again, we want about pressure. If you think about the water balloon, again, we want to about pressure. If you think about the water balloon, again, we want to avoid about pressure. If you think about the water balloon, again, we want to avoid high about the water balloon, again, we want to avoid high about the water balloon, again, we want to avoid high pressure about the water balloon, again, we want to avoid high pressure either about the water balloon, again, we want to avoid high pressure either inside about the water balloon, again, we want to avoid high pressure either inside or again, we want to avoid high pressure either inside or again, we want to avoid high pressure either inside or outside again, we want to avoid high pressure either inside or outside that again, we want to avoid high pressure either inside or outside that balloon again, we want to avoid high pressure either inside or outside that balloon to again, we want to avoid high pressure either inside or outside that balloon to avoid pressure either inside or outside that balloon to avoid pressure either inside or outside that balloon to avoid a pressure either inside or outside that balloon to avoid a popping.2 minutes, 30 seconds
pressure either inside or outside that balloon to avoid a popping. Blood pressure either inside or outside that balloon to avoid a popping. Blood pressure pressure either inside or outside that balloon to avoid a popping. Blood pressure is outside that balloon to avoid a popping. Blood pressure is outside that balloon to avoid a popping. Blood pressure is the outside that balloon to avoid a popping. Blood pressure is the most outside that balloon to avoid a popping. Blood pressure is the most important outside that balloon to avoid a popping. Blood pressure is the most important thing outside that balloon to avoid a popping. Blood pressure is the most important thing to a popping. Blood pressure is the most important thing to a popping. Blood pressure is the most important thing to think a popping. Blood pressure is the most important thing to think about a popping. Blood pressure is the most important thing to think about when a popping. Blood pressure is the most important thing to think about when it a popping. Blood pressure is the most important thing to think about when it comes a popping. Blood pressure is the most important thing to think about when it comes to the most important thing to think about when it comes to the most important thing to think about when it comes to aneurysm.2 minutes, 33 seconds
the most important thing to think about when it comes to aneurysm. So the most important thing to think about when it comes to aneurysm. So working the most important thing to think about when it comes to aneurysm. So working with the most important thing to think about when it comes to aneurysm. So working with your think about when it comes to aneurysm. So working with your think about when it comes to aneurysm. So working with your primary think about when it comes to aneurysm. So working with your primary care think about when it comes to aneurysm. So working with your primary care doctor, think about when it comes to aneurysm. So working with your primary care doctor, to think about when it comes to aneurysm. So working with your primary care doctor, to make aneurysm. So working with your primary care doctor, to make aneurysm. So working with your primary care doctor, to make sure aneurysm. So working with your primary care doctor, to make sure that aneurysm. So working with your primary care doctor, to make sure that we aneurysm. So working with your primary care doctor, to make sure that we can aneurysm. So working with your primary care doctor, to make sure that we can monitor aneurysm. So working with your primary care doctor, to make sure that we can monitor and primary care doctor, to make sure that we can monitor and primary care doctor, to make sure that we can monitor and control primary care doctor, to make sure that we can monitor and control your primary care doctor, to make sure that we can monitor and control your blood primary care doctor, to make sure that we can monitor and control your blood pressure2 minutes, 42 seconds
primary care doctor, to make sure that we can monitor and control your blood pressure in sure that we can monitor and control your blood pressure in sure that we can monitor and control your blood pressure in the sure that we can monitor and control your blood pressure in the long sure that we can monitor and control your blood pressure in the long run, sure that we can monitor and control your blood pressure in the long run, is sure that we can monitor and control your blood pressure in the long run, is the sure that we can monitor and control your blood pressure in the long run, is the most control your blood pressure in the long run, is the most control your blood pressure in the long run, is the most important control your blood pressure in the long run, is the most important way control your blood pressure in the long run, is the most important way to control your blood pressure in the long run, is the most important way to prevent control your blood pressure in the long run, is the most important way to prevent these the long run, is the most important way to prevent these the long run, is the most important way to prevent these aneurysms the long run, is the most important way to prevent these aneurysms from the long run, is the most important way to prevent these aneurysms from continuing the long run, is the most important way to prevent these aneurysms from continuing to important way to prevent these aneurysms from continuing to important way to prevent these aneurysms from continuing to stretch.2 minutes, 47 seconds
important way to prevent these aneurysms from continuing to stretch. Other important way to prevent these aneurysms from continuing to stretch. Other things important way to prevent these aneurysms from continuing to stretch. Other things we important way to prevent these aneurysms from continuing to stretch. Other things we can aneurysms from continuing to stretch. Other things we can aneurysms from continuing to stretch. Other things we can control aneurysms from continuing to stretch. Other things we can control are aneurysms from continuing to stretch. Other things we can control are heavy aneurysms from continuing to stretch. Other things we can control are heavy lifting, stretch. Other things we can control are heavy lifting, stretch. Other things we can control are heavy lifting, exerting stretch. Other things we can control are heavy lifting, exerting yourself stretch. Other things we can control are heavy lifting, exerting yourself and stretch. Other things we can control are heavy lifting, exerting yourself and things control are heavy lifting, exerting yourself and things control are heavy lifting, exerting yourself and things that control are heavy lifting, exerting yourself and things that generate control are heavy lifting, exerting yourself and things that generate a control are heavy lifting, exerting yourself and things that generate a lot control are heavy lifting, exerting yourself and things that generate a lot of exerting yourself and things that generate a lot of exerting yourself and things that generate a lot of pressure exerting yourself and things that generate a lot of pressure inside exerting yourself and things that generate a lot of pressure inside the exerting yourself and things that generate a lot of pressure inside the chest exerting yourself and things that generate a lot of pressure inside the chest and that generate a lot of pressure inside the chest and that generate a lot of pressure inside the chest and push that generate a lot of pressure inside the chest and push on that generate a lot of pressure inside the chest and push on those that generate a lot of pressure inside the chest and push on those aneurysms.2 minutes, 55 seconds
that generate a lot of pressure inside the chest and push on those aneurysms. But that generate a lot of pressure inside the chest and push on those aneurysms. But I pressure inside the chest and push on those aneurysms. But I pressure inside the chest and push on those aneurysms. But I tell pressure inside the chest and push on those aneurysms. But I tell patients pressure inside the chest and push on those aneurysms. But I tell patients all pressure inside the chest and push on those aneurysms. But I tell patients all the pressure inside the chest and push on those aneurysms. But I tell patients all the time. push on those aneurysms. But I tell patients all the time.2 minutes, 56 seconds
push on those aneurysms. But I tell patients all the time. Aneurysms push on those aneurysms. But I tell patients all the time. Aneurysms are push on those aneurysms. But I tell patients all the time. Aneurysms are not push on those aneurysms. But I tell patients all the time. Aneurysms are not something tell patients all the time. Aneurysms are not something tell patients all the time. Aneurysms are not something that tell patients all the time. Aneurysms are not something that should tell patients all the time. Aneurysms are not something that should make tell patients all the time. Aneurysms are not something that should make us tell patients all the time. Aneurysms are not something that should make us afraid tell patients all the time. Aneurysms are not something that should make us afraid to Aneurysms are not something that should make us afraid to Aneurysms are not something that should make us afraid to live Aneurysms are not something that should make us afraid to live our Aneurysms are not something that should make us afraid to live our normal Aneurysms are not something that should make us afraid to live our normal lives Aneurysms are not something that should make us afraid to live our normal lives in that should make us afraid to live our normal lives in that should make us afraid to live our normal lives in finding that should make us afraid to live our normal lives in finding these that should make us afraid to live our normal lives in finding these things that should make us afraid to live our normal lives in finding these things can that should make us afraid to live our normal lives in finding these things can help live our normal lives in finding these things can help live our normal lives in finding these things can help us live our normal lives in finding these things can help us avoid live our normal lives in finding these things can help us avoid big live our normal lives in finding these things can help us avoid big emergencies.3 minutes, 6 seconds
live our normal lives in finding these things can help us avoid big emergencies. And finding these things can help us avoid big emergencies. And finding these things can help us avoid big emergencies. And also finding these things can help us avoid big emergencies. And also give finding these things can help us avoid big emergencies. And also give us finding these things can help us avoid big emergencies. And also give us control finding these things can help us avoid big emergencies. And also give us control to finding these things can help us avoid big emergencies. And also give us control to plan us avoid big emergencies. And also give us control to plan us avoid big emergencies. And also give us control to plan for us avoid big emergencies. And also give us control to plan for our us avoid big emergencies. And also give us control to plan for our healthcare us avoid big emergencies. And also give us control to plan for our healthcare and also give us control to plan for our healthcare and also give us control to plan for our healthcare and hopefully also give us control to plan for our healthcare and hopefully give also give us control to plan for our healthcare and hopefully give us also give us control to plan for our healthcare and hopefully give us some also give us control to plan for our healthcare and hopefully give us some peace for our healthcare and hopefully give us some peace for our healthcare and hopefully give us some peace of for our healthcare and hopefully give us some peace of mind.3 minutes, 12 seconds
for our healthcare and hopefully give us some peace of mind. All for our healthcare and hopefully give us some peace of mind. All rigt, for our healthcare and hopefully give us some peace of mind. All rigt, once for our healthcare and hopefully give us some peace of mind. All rigt, once again, hopefully give us some peace of mind. All rigt, once again, hopefully give us some peace of mind. All rigt, once again, though hopefully give us some peace of mind. All rigt, once again, though some hopefully give us some peace of mind. All rigt, once again, though some of hopefully give us some peace of mind. All rigt, once again, though some of the hopefully give us some peace of mind. All rigt, once again, though some of the discussion of mind. All rigt, once again, though some of the discussion of mind. All rigt, once again, though some of the discussion about of mind. All rigt, once again, though some of the discussion about your of mind. All rigt, once again, though some of the discussion about your heart of mind. All rigt, once again, though some of the discussion about your heart and of mind. All rigt, once again, though some of the discussion about your heart and hopefully though some of the discussion about your heart and hopefully though some of the discussion about your heart and hopefully to though some of the discussion about your heart and hopefully to make though some of the discussion about your heart and hopefully to make you though some of the discussion about your heart and hopefully to make you think though some of the discussion about your heart and hopefully to make you think about though some of the discussion about your heart and hopefully to make you think about things about your heart and hopefully to make you think about things about your heart and hopefully to make you think about things and about your heart and hopefully to make you think about things and make about your heart and hopefully to make you think about things and make yourself about your heart and hopefully to make you think about things and make yourself better about your heart and hopefully to make you think about things and make yourself better for to make you think about things and make yourself better for to make you think about things and make yourself better for those to make you think about things and make yourself better for those around to make you think about things and make yourself better for those around you.3 minutes, 19 seconds
to make you think about things and make yourself better for those around you. Thank to make you think about things and make yourself better for those around you. Thank you and make yourself better for those around you. Thank you and make yourself better for those around you. Thank you very and make yourself better for those around you. Thank you very much, and make yourself better for those around you. Thank you very much, doctor and make yourself better for those around you. Thank you very much, doctor for and make yourself better for those around you. Thank you very much, doctor for being those around you. Thank you very much, doctor for being those around you. Thank you very much, doctor for being with those around you. Thank you very much, doctor for being with us.3 minutes, 24 seconds
those around you. Thank you very much, doctor for being with us. And those around you. Thank you very much, doctor for being with us. And thank those around you. Thank you very much, doctor for being with us. And thank you those around you. Thank you very much, doctor for being with us. And thank you for very much, doctor for being with us. And thank you for very much, doctor for being with us. And thank you for making very much, doctor for being with us. And thank you for making us very much, doctor for being with us. And thank you for making us a very much, doctor for being with us. And thank you for making us a healthierDr. Andrew Baldwin is a cardiothoracic surgeon with Hawaiʻi Pacific Health and the medical director of cardiac surgery at Straub Medical Center.
