Dr. Marina Gafanovich MD


Dr. Marina Gafanovich MD, Internal Medicine


Internal Medicine, General Practice



English, Russian

Deal of the Day

Abdominal Aortic Aneurysm Screening

Internist Dr. Marina Gafanovich MD offers Abdominal Aortic Aneurysm S... for a 'Deal of the Day' price of $160

Examination for presence of Abdominal Aortic Aneurysm (AAA) risk using ultrasound.

Additional Information About This Offer:

Age Range: over 30

Background Information: What is an Abdominal Aortic Aneurysm (AAA)?

AAA is a condition in which the lining of the blood vessel called the aorta is enlarged within the abdomen. The Abdominal Aorta extends from your heart to above your groin.  Because abdominal aortic aneurysms are likely to tear if they reach 5 centimeters in diameter, monitoring is important for preventing a rupture. A ruptured AAA can cause blood loss, shock, and death. 

What you can learn from this test?
The abdominal aorta should measure less than 3 centimeters. If it measures more than 3 centimeters, an aneurysm is suspected. There are 2 types of aneurysms and our ultrasound equipment can screen for both. 

Abnormal abdominal aortic aneurysm screening results do not necessarily indicate the presence of an aneurysm, but they show the sign of a condition that could lead to an aneurysm.

Who should have a abdominal aortic aneurysm screenings?
Anyone who has risk factors for abdominal aortic aneurysms should have this screening. 

What are the risk factors? 
Gender: Males are five times more likely than females to be affected. 
Age: Approximately 5% of men over age 60 develop an abdominal aortic aneurysm. Aortic aneurysms are most common after 60 years of age. 
Cigarette smoking: cigarette smoking not only increases the risk of developing an abdominal aortic aneurysm, but it also increases the chance of life threatening complications. 
High blood pressure
High serum cholesterol 

What is the most common cause of aortic aneurysms?
Arteriosclerosis, or "hardening of the arteries" is the most common cause of AAAs, causing about 80%. The arteriosclerosis generally weakens the vessel wall and the high pressure of the blood flow shows expansion via ultrasound long before rupture generally.

What are other causes of aortic aneurysms?
Genetic/hereditary: People with close relatives that had abdominal aortic aneurysms have a higher risk of developing abdominal aortic aneurysm than the general population. They also tend to develop the aneurysms at younger ages and have a higher tendency to suffer aneurysm rupture than individuals without family history. 

Genetic disease: There are also rare inheritable genetic diseases of connective tissue (tissue that make up the wall of the aorta) such as Ehlers-Danlos syndrome and Marfan's syndrome that can lead to the development of aortic aneurysms. 

Post-trauma: After physical trauma to the aorta. 

Mycotic (fungal) infection: A mycotic infection that may be associated with immunodeficiency, IV drug abuse, syphilis, and heart valve surgery.

How often should one get an abdominal aortic aneurysm screening? 
This is a personal decision based on your risk factors and previous screening results. If you have two or more risk factors or have an enlarged area, we will recommend annual or even semi-annual visits.

Even though the risk is low, this is a simple, inexpensive, in-office test that can quickly rule out this possibility or potentially save your life.  We recommend all patients with one or more risk factors to get checked.  

Created on: 04/06/11
Last modified on: 04/06/11
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Upper East Side Office

1550 York Avenue
(between 81st and 82nd Street)
New York, NY 10025

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