Diagnosis Aneurisma Aorta Abdominalis

Oleh :

dr.Eva Naomi Oretla

Diagnosis aneurisma aorta abdominalis (AAA) yang bersifat asimtomatis sering ditegakkan secara insidental ketika dilakukan pemeriksaan radiologi, seperti pemeriksaan ultrasonografi (USG), CT scan, maupun magnetic resonance imaging (MRI). Gejala yang sering muncul adalah nyeri dan nyeri tekan epigastrium. AAA sering didapatkan pada laki-laki dengan rentang usia ≥60 tahun dan memiliki riwayat kebiasaan merokok.[1,2,8]

Progresivitas penyakit aneurisma aorta abdominalis sering kali tidak diketahui karena bersifat asimtomatis, dan sering diabaikan hingga terdapatnya manifestasi klinis ruptur aneurisma aorta abdominalis beserta komplikasi lainnya.[1,2]

Anamnesis

Sebagian besar pasien dengan aneurisma aorta abdominalis datang tanpa keluhan hingga terjadinya ruptur pada aneurisma aorta abdominalis. Namun, beberapa pasien AAA dapat mengeluhkan adanya nyeri epigastrium dan nyeri tekan epigastrium.

Referensi

1. Haque K, Bhargava P. Abdominal Aortic Aneurysm. Am Fam Physician. 2022;106(2):165-172. Calgi P, McNeil J S. Abdominal Aortic Aneurysms (Etiology, Epidemiology, and Natural History). Anclin. 2022;40(4):657-669 DOI: https://doi.org/10.1016/j.anclin.2022.08.010
2. Calgi P, McNeil J S. Abdominal Aortic Aneurysms (Etiology, Epidemiology, and Natural History). Anclin. 2022;40(4):657-669 DOI:https://doi.org/10.1016/j.anclin.2022.08.010
5. Chaikof E. L., Dalman, R. L., et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. Journal of Vascular Surgery. 2018;67(1):2–77 DOI:10.1016/j.jvs.2017.10.044
7. Kus A, Szypłowska M, Obel M, et al. Comparison of treatment methods of abdominal aortic aneurysm(AAA) – review. Journal of Education, Health and Sport. 2020;10(9):730-738 DOI: http://dx.doi.org/10.12775/JEHS.2020.10.09.088
8. Laksono G AK, Tahele PL. A Systematic Overview of Abdominal Aortic Aneurysm (AAA). Journal of Widya Medika Junior. 2020;2(1):75-85. http://journal.wima.ac.id/index.php/JWMJ/article/view/2338
11. Torres- Fonseca M, Galan M, et al. Pathophysiology of abdominal aortic aneurysm: biomarkers and novel therapeutic targets. Clín Investig Arterioscler. 2019;31:166-177 DOI: https://doi.org/10.1016/j.arteri.2018.10.002
12. Shaw P M, Loree J, Gibbons R C. Abdominal Aortic Aneurysm. StatPearls. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470237/
14. Hellawell HN, Mostafa Ahmed MHAM, et al. Abdominal aortic aneurysms part one: Epidemiology, presentation and preoperative considerations. Journal of Perioperative Practice. 2021;31(7&8):274–280 DOI: 10.1177/1750458920954014
18. Chung MJ. Abdominal Aortic Aneurysm. JAAPA. 2020;33(5):52-53. https://pubmed.ncbi.nlm.nih.gov/32345949/
19. Clancy K, Wong J, Spicher A. Abdominal Aortic Aneurysm: A Case Report and Literature Review. Perm J. 2019;23(18);218 DOI: https://doi.org/10.7812/TPP/18.218
20. Wanjari M B, et al. Abdominal Aortic Aneurysm - A Case Report. Journal of Pharmaceutical Research International. 2021;33(43A):265-269 DOI:10.9734/JPRI/2021/v33i43A32486
21. McClarty D B, Kuhn D C S, Boyd A J. Hemodynamic Changes in an Actively Rupturing Abdominal Aortic Aneurysm. J Vasc Res. 2021;58:172–179 DOI:10.1159/000514237
22. Gragossian a, Shaydakov M E, Dacquel P. Mesenteric Artery Ischemia. StatPearls. 2023. https://www.ncbi.nlm.nih.gov/books/NBK513354/
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25. Perea GO and Corneli M. Non-invasive techniques in diagnosis and treatment of patients with abdominal aortic aneurysm. e-Journal of Cardiology Practice, 18(23); 26 Aug 2020. https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-18/non-invasive-techniques-in-diagnosis-and-treatment-of-patients-with-abdominal-ao
26. Liu Z. Editorial: Abdominal aortic aneurysms: advancements in diagnosis, biomarkers, drug therapeutics, surgical and endovascular treatment. Front. Cardiovasc. Med. 2023;10:1218335 DOI: 10.3389/fcvm.2023.1218335
27. Patti L, Leslie SW. Acute Renal Colic. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK431091/
28. Fu Yu, Liu H, Li K, et al. C-reactive protein deficiency ameliorates experimental abdominal aortic aneurysms. Front. Immunol. 2023;14:1233807 DOI: 10.3389/fimmu.2023.1233807
29. Hensley S E, Upchurch G R. Repair of Abdominal Aortic Aneurysms. JACC. 2022;80(8):821-831 DOI: https://doi.org/10.1016/j.jacc.2022.04.066

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Diagnosis Aneurisma Aorta Abdominalis

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