Hello Tina, I am Dr. Arun and will be helping you today.An aneurysm is the dilatation of the wall. This means that there is a weakness of the wall of the artery. The weakness can be congenital (from birth) or acquired (due to thickening of the arteries due to aging). In her age group the most likely cause is atherosclerosis or thickening of the arterial wall. A thrombosed aneurysm is blocked by the blood clot. This is not an uncommon thing as an aneurysm due to atherosclerosis may predispose for the blood clot (thrombosis). Many of the aneursym can be treated by endovascular repair. This is done by the vascular surgeon. The surgeon first inserts a catheter into an artery in the groin and threads it to the aneurysm. Then, using an x ray to see the artery, the surgeon threads the stent graft into the aneurysm. Sometimes open surgery may be required depending on the type and size of the aneurysm. Open surgery may also be required if the kidney has lost significant blood supply and that part of the kidney or whole of one kidney may be necessary to be removed (the other kidney is good enough to take over the function). The dangers of aneurysm (if larger than one cm especially) are;1) rupture2) dissection (widening of the arterial wall), 3) infection, and 4) clotting (thrombosis, which have already occurred and this loose the blood supply of the part of the organ).Please feel free for your follow up questions.
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Is there any danger of the clot coming loose, resulting in a stroke? She had a stroke in 2008. Thank you for your help!
Thank you so much for your help! Best wishes to you and your family!
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