Get screened for a stroke and cardiovascular disease risk near by. Ability to oppose the thumb to the volar aspect of the ipsilateral forearm. This treatment is most often used to repair an abdominal aortic aneurysm. 1. Familial aortic aneurysm and/or tear (dissection) in the chest (thoracic) can occur in the absence of other abnormalities throughout the body (nonsyndromic). It is not known how accurate this test may be. Besides. Often the ECG result is normal in uncomplicated aortic aneurysms. The intrarenal area of the abdomen, just below the kidneys, is one of the most common places to develop an abdominal aneurysm. The threshold for surgery is still a subject of debate but varies between 5. The test is simple: Holding up one hand and keeping the palm flat, the patient flexes their thumb as far as possible across the palm. 4%) and non-AscAA disease in 246 (80. 4. As expected, this test is not sensitive (7. It is a simple test you can do right now, and it could save your life. Positive Predictive Value of the Thumb-Palm Test for General Population Screening of Ascending Aortic Aneurysm Am J Cardiol . GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. A simple test using one’s thumb might be the unassuming key that uncovers a serious heart condition: an ascending aortic aneurysm. S. Thumb aneurysm test. Another aortic disease, which often occurs in the presence of aortic aneurysms, is called aortic dissection. BERRY ANEURYSM Involve cerebral arteries at bifurcations Probably arise at congenital points of weakness in wall Can rupture and result in subarachnoid hemorrhage Clinically may see headache, stiff neck (meningeal irritation) and death. • Avoid strenuous activities. 2. We will also discuss which types of endoleaks. The correlation between AAA and carotid artery plaque is unknown and a common etiology and pathophysiology is suspected by some authors. A higher risk of complications is seen in large or rapidly enlarging aortic aneurysms, uncontrolled hypertension, and smoking. A self-conducted test involving the thumb & palm of one hand could help. [2] It occurs due to the intrinsic weakness of the aortic wall. smoke or used to smoke. g. Blood vessels that send blood to the brain (brain. As an aortic aneurysm grows, you might notice symptoms including: Difficulty breathing or shortness of breath. An arterial aneurysm is defined as a permanent. If the. A saccular (or berry) aneurysm is the most common type of cerebral aneurysm. WATCH: FOX 56 News from 5-9 a. 4%. increased aortic stiffness. Get screened for a stroke and cardiovascular disease risk near by. These aneurysms are also called ascending thoracic aortic aneurysms (ATAAs) since they. Many syndromes include a. Get screened for a stroke and cardiovascular disease risk near by. 1,2 Aneurysms are usually asymptomatic until they rupture. Aortic disease can also. Carotid arteries are generally tightened by a build-up of plaque – composed of fat. • An abnormal bulging of the aorta, the largest artery in the body. A carotid ultrasound is done to check for tightened carotid arteries, which boost the risk of stroke. 114-116, 10. 123. Thumb test aneurysm. While generally asymptomatic, progressive aneurysmal dilation is associated with the devastating. 5 cm or more over 6 to 12 months, regardless of its size. One, in the chest, is a thoracic aortic aneurysm. However, the relevance of using angiotensin II induction model to. The new test could help to identify if a person has an unknown aortic aneurysm- an abnormal bulge that occurs in the wall of the major blood vessel. Aortic disease is the direct cause of close to 10 000 deaths annually in the United States. The most common emergency test for aortic aneurysm involves a computed tomography (CT) scan of the chest, and possibly abdomen and pelvis,. Get screened for a stroke and cardiovascular disease risk near by. This buildup, called atherosclerosis, is among the leading sources of stroke. This bulge or swelling is called an abdominal aortic aneurysm, or AAA. We calculated the accuracy (sensitivity and specificity) of the thumb palm test in determining presence or absence of AscAA (defined as ascending aortic diameter > 3. Applicable To. Although they do not normally pose a serious threat to health, theTests to diagnose an abdominal aortic aneurysm include: This is the most common test to diagnose abdominal aortic aneurysms. An aneurysm that occurs in the part of the aorta running through the abdomen is an abdominal aortic aneurysm (AAA). 1The test is checking for connective tissue disease. 5%) but high specificity (98. Aortic disease or an injury may also cause an aneurysm. Abdominal aortic aneurysms are the easiest type to identify and follow, Brown says. A negative test does not exclude an aneurysm. Elytriades, MD, the William W. Seminal work from various researchers have identified several genetic factors and mutations that predispose to aortic aneurysms, which will aid in better screening and early. If the thumb crosses beyond the far edge of the flat. The prevalence of AAA has declined over the past 2 decades among screened men 65 years or older in various countries such as the United Kingdom, New Zealand, Sweden, and Denmark. An aortic aneurysm is a bulge in the aorta, the main blood vessel that ferries blood from the heart throughout the chest and the rest of the body. Thumb palm test for aneurysm. Hoarseness (if the aneurysm presses on nerves that affect your voice box ). Photo illustration by WeBeFit; Facebook; Twitter; WhatsApp; SMS; Email; Print; Copy article link; Save;. g. Sustained subcutaneous angiotensin II infusion can induce aortic aneurysms in mice. The authors used these data to. Screenings are examinations that seek illness before you have signs and symptoms. If the thumb extends past the very edge of the flat palm (don’t flex your palm!), this may indicate a hidden aneurysm. It is a simple test you can do right now, and it could save your life. This study supports the utility of the thumb-palm test in evaluation for ascending thoracic aortic aneurysm. Shortness of breath, especially when lying flat. That is to say, a positive test implies a substantial likelihood of harboring an ascending aortic aneurysm. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organsIt is a simple test you can do right now, and it could save your life. If they burst, abdominal aortic aneurysms can be fatal. According to a Yale News report, aortic aneurysms are the 13 th most common cause of U. Aneurysms of the aortic root and ascending aorta are typically diagnosed at younger patient ages than aneurysms of the descending thoracic aorta (60 versus 72 years, respectively). S. e. , 2016; Longobardo et al. Three in four aortic aneurysms are AAAs. Carotid arteries are generally narrowed by a build-up of plaque – comprised of. If a blood clot breaks loose from the inside wall of an aneurysm, it can block a blood vessel elsewhere in the body. Aneurysms usually start small and then get bigger. Abdominal aortic aneurysm (AAA) is largely an asymptomatic disease, but the aneurysm may rupture with subsequent mortality rates of at least 80% if early detection and elective AAA repair are not performed [1–4]. S. 2021. These bulges develop in the part of the aorta that brings blood from the heart to the pelvic area, legs, and abdomen. A study determined that the thumb palm test is effective in detecting how likely a person is to suffer an aortic aneurysm. “Our study showed that the majority of aneurysm patients do not manifest a positive thumb-palm sign, but patients who do have a positive test have a high likelihood of harboring an aneurysm,”. If your thoracic aortic aneurysm is small, your health care provider may recommend medicine and imaging tests to watch the aneurysm. In aortic valve and aortic root replacement (bottom-right image), the aortic valve and a part of the aorta. OBJECTIVE. The thumb test has been recommended as a way of identifying ascending aortic aneurysms, the part of the blood vessel which comes out of the heart upwards. A thoracic aortic aneurysm is a weakened area in the body's main artery in the chest. Numbness in the thumb can also happen if the nerve supply to the thumb and hand is injured or affected by a medical condition. 1 Aortic aneurysms are divided into thoracic aortic aneurysms (TAAs),. An abdominal aortic aneurysm (AAA) is defined as an aorta having a diameter of at least one and a-half times the normal diameter of the aorta at the level of the renal arteries [1]. A study has found a self-conducted test involving the thumb and palm of one hand could help alert people to their risk of having a hidden aortic aneurysm. Get screened for a stroke and cardiovascular disease risk near by. Ischemic stroke. An aortic aneurysm is a swelling or bulging at any point along the aorta. That is to say, a positive test implies a substantial likelihood of harboring an ascending aortic aneurysm. The prevalence of abdominal aortic aneurysm ("AAA") has been reported to range from 2 to 12% and is found in about 8% of men more. Business, Economics, and Finance. Aortic dissection. 5–2% of the population worldwide have the possibility to be attacked by this disease, which 75% of them are male (Dargis et al. It's often the screening method of choice for detecting an abdominal aortic aneurysm, a weakened, bulging spot in your abdominal aorta, the artery that runs. Some people are born with them. fainting or dizziness. The results can aid your physician identify a therapy to decrease your stroke threat. Rapid heart rate. One in 10 people with abdominal aortic aneurysms have a family history of them. All in favor of a test for aortic aneurysms, raise your hand A Yale study has found that a self-conducted test involving the thumb and palm of one hand could help alert thousands of people each year to their risk of having a hidden aortic aneurysm. Common risk factors for AAA include advancing age, smoking, hypercholesterolemia, hypertension and the male gender. 5 preventive health screenings: Carotid Artery Disease, PAD, AAA, Afib, Osteporosis. Aortic aneurysm first gained purchase in general medical practice with the realization of the prevalence of abdominal aortic aneurysm (AAA) in older patients. the revised Ghent criteria should be employed as a high pre-test probability of disease confers 66–91% odds of finding an FBN-1 mutation and. A simple thumb test could be used to identify people at risk of a condition that can kill in minutes and has no symptoms. Heritable thoracic aortic diseases (HTAD) are rare pathologies associated with thoracic aortic aneurysms and dissection, which can be syndromic or non-syndromic. But a Yale study found that you can conduct your own test using the thumb and palm of one hand to assess your risk of having an aortic aneurysm. The most common emergency test for aortic aneurysm involves a computed tomography (CT) scan of the chest, and possibly abdomen and pelvis, depending on the case. According to a Yale News report, aortic aneurysms are the 13 th most common cause of U. Aortic aneurysm is characterized by a permanent increase in the diameter of the aorta (>50% increase). deaths. We conducted the thumb-palm test in 305 patients undergoing cardiac surgery with intra-operative transesophageal echocardiography (TEE) for a variety of disorders:. Background Abdominal aortic aneurysm (AAA) diameter remains the standard clinical parameter to predict growth and rupture. Finding an aortic aneurysm before it ruptures offers your best chance of recovery. 7 Risk factors for the. Aneurysm is defined as the segmental dilation of a vessel, involving all the three wall layers, with at. Tests. A burst aortic aneurysm is a life-threatening emergency. If discovered. As the tear extends along the wall of the aorta, blood can flow in between the layers of the blood vessel wall (dissection). There are two locations of aortic aneurysms. Thoracic endovascular aortic repair (TEVAR) is a procedure to treat an aneurysm in the upper part of your aorta. Abdominal aortic aneurysm treatment options may include: Endovascular repair. Their hospital-based study population comprised 305 patients undergoing cardiac surgery, including 93 patients (30. . Thumb Test Aortic Aneurysm. 2, 3 Randomized clinical trials. L. The causes of aneurysms are sometimes unknown. The aorta is the largest blood vessel in the human body. Lexington 35°. Clinical Considerations: Patients with aortic abnormalities are at risk for enlargement, aneurysm development, dissection, and rupture. is to say, a positive test implies a substantial likelihood of harboring an ascending aortic aneurysm. Although there has been a decline in AAA incidence as a result of the decline in cigarette smoking, population-based studies in men older than 60 years still report an AAA. Symptoms on exercise test clearly related to aortic stenosis. Objective: The purpose of the study was to assess the anticipated incremental risk of a concomitant aortic resection performed with an aortic valve replacement. • Treatment includes open surgery,. Methods: This was a retrospective. Ischemic stroke. It may be used to check for a number of conditions. The thoracic aorta consists of the aortic root, ascending aorta, aortic arch, and the descending aorta. deaths. However, “spreading knowledge of this test may very well identify carriers of silent aneurysms and save lives,” said Dr. And eat lean meats, lots of fruits and vegetables, and whole grains. 6%) with ascending aortic aneurysm as diagnosed by transesophageal echocardiography. An abdominal aortic aneurysm is a condition that occurs when part of the aorta becomes enlarged. But most occur in the arteries in the brain or in the aorta , which is the major artery that carries blood to the whole body. 6. When this happens in the aorta (one of the main blood vessels in the body), it’s called an aortic aneurysm. Hoarseness. Yale Experts Explain How to Test Yourself for Aortic Aneurysms With a Thumb Test. . Stroke symptoms, which can develop when the dissection affects blood vessels leading to the brain. A pulsating or throbbing feeling in your stomach area. Thumb test aortic aneurysm. If a large aneurysm ruptures it can cause huge internal bleeding and is. 2015;102(8):902-906. It runs from your heart down through your chest and abdomen. Carotid (kuh-ROT-id) ultrasound is a secure, painless procedure that makes use of acoustic waves to take a look at the blood flow through the carotid arteries. This test shows if the diameter of your aorta is bigger than it should be. Most people with aneurysms will do great if the condition is found. The three types of aortic aneurysms include: Abdominal aortic aneurysm (AAA), an aneurysm in the lower part of the aorta. 6%) (including CABG, valve repair, and descending aortic aneurysm). However, an aneurysm can occur in different parts of the aorta, including the abdominal section which runs into the arteries in the legs. with one thumb pushing the trachea to one side while the other thumb and index finger feel deeply on either side of the SCM. The thumb-palm test is. They kill about 10,000 people each year and affect adults of all ages. The aneurysm can burst completely, causing bleeding inside the body. A long section of the aorta is involved. 3 For any given patient. Most of the literature is devoted to the study of the diameter of AAA since it is known that risk of rupture increases exponentially with. For the study, the researchers gave the test to 305 patients undergoing cardiac surgery for a variety of disorders, including aortic aneurysms. A negative test does not exclude an aneurysm. The test, which is self-conducted by experts associated with Yale New Haven Hospital’s Aortic Institute of Yale New Haven Hospital. If it is larger than normal, your provider may recommend another screening later to check for growth. Aortic Aneurysm. Thumb test for Aortic Aneurysm,help determine if someone is suffering from an aortic aneurysm that is hiddenthat could be fatal Aortic Aneurysm. S. Maximal ascending aortic. Just stick out your hand like you’re telling someone to stop, and then see how far your thumb can stretch across your pa…Introduction. 5%) for the thumb-palm test in detecting ascending aortic aneurysm. Health (969) Beauty (420) Fitness (797) Diet (284) Golf (1129) Travel (188) Home Decor (140) Latest Posts. They kill about 10,000 people each year and affect adults of all ages. Abdominal aortic aneurysms can happen anywhere below the diaphragm. No confirmatory test exists,. Studies suggest that using solely AAA diameter for risk stratification is insufficient. Abdominal aortic aneurysm (AAA), abnormal focal dilation of the abdominal aorta, is a life-threatening condition that requires monitoring or treatment depending upon the size of the aneurysm. Thoracoabdominal aneurysm, a complex aneurysm that involves branches of the abdominal aorta that supply blood to the liver, intestines and kidneys. They kill about 10,000 people each year and affect adults of all ages. Talk to your doctor about whether the benefits of screening would outweigh the risks in your case. Tenderness or pain in the chest. • Involves cardiac surgery, vascular surgery & endovascular surgery, cardiovascular. A study has found a self-conducted test involving the thumb and palm of one hand could help alert people to their risk of having a hidden. The outcomes can aid your doctor establish a therapy to lower your stroke risk. 1016/j. Request PDF | On Dec 1, 2021, John A. It may be used to check for a number of conditions. Aim Autophagy plays essential roles in abdominal aortic aneurysm (AAA) development and progression. THORACIC ANEURYSM. They kill about 10,000 people each year and affect adults of all ages. It is estimated that an. Occasionally, there may be abdominal, back, or leg pain. Most of the aneurysms are caused by atherosclerosis whilst trauma, infection and genetic syndromes are other causes. 36 These patients with a positive thumb. aortic aneurysm and aortic dissection are the most fearsome consequences - findings suggestive of higher risk of aortic dissection are: family history of aortic dissection. CTA: This is a special type of CT scan that focuses on the blood vessels. Blood pressure - keep your blood pressure. S. Introduction. An abdominal aortic aneurysm (AAA) is a. 5 times normal size. For instance, risks of aortic rupture. That is to say, a positive test implies a substantial likelihood of harboring an ascending aortic aneurysm. Pressure on a nerve is one of the most common causes of a numb thumb. The thumb-palm test is. John A. An aortic aneurysm is a bulging of the wall of the body's main blood vessel due to the weakening of the blood vessel wall. The outcomes can assist your medical professional determine a therapy to decrease your stroke danger. Low blood pressure. . evidence review A: risk factors for predicting presence of an abdominal aortic aneurysm. Get screened for a stroke and cardiovascular disease risk near by. deaths. Abdominal aortic aneurysm (AAA) is the abnormal dilatation of the infrarenal abdominal aorta of 3. An aneurysm is an enlargement of the aorta and as the aorta enlarges, it becomes thinner. The aorta carries blood from the heart to the body. J. Aneurysms of the aortic root and ascending aorta are typically diagnosed at younger patient ages than aneurysms of the descending thoracic aorta (60 versus 72 years, respectively). For the study, the researchers gave the test to 305 patients undergoing cardiac surgery for a variety of disorders, including aortic aneurysms. 1965; 50: 364–373. An aortic aneurysm is an abnormal bulge in a major blood vessel, which can kill quickly if it ruptures. This accumulation, called atherosclerosis, is among the leading sources of stroke. a Elastica van. The prevalence of the disease depends on the population studied, with reported prevalences varying between 1. Aneurysms can tear or rupture (break open) and cause severe, life-threatening internal bleeding. There are two locations of aortic aneurysms. 5 preventive health screenings: Carotid Artery Disease, PAD, AAA, Afib, Osteporosis. CT and MR angiography are the optimal imaging modalities to detect TAAs, determine the aortic diameter, and identify rupture or. This treatment is most often used to repair an abdominal aortic aneurysm. An aortic aneurysm is a bulge in the aorta, the main blood vessel that ferries blood from the heart throughout the chest and the rest of the body. TAA occurs in 5-10/100 000 person-yr. An aortic aneurysm is a danger. Key takeaways: An aneurysm is the outpouching or ballooning out of a blood vessel that occurs when the wall of the blood vessel becomes weak and stretched out. Ischemic stroke. Br J Surg. Reduce the amount of sodium and cholesterol in your diet. Thumb test for aneurysm. Thumb Palm Test Aortic Aneurysm. AAAs can get bigger slowly and silently over many years. A negative test does not exclude an aneurysm. This can lead to aortic rupture or decreased blood flow. An AAA is typically defined as aortic enlargement with a diameter of 3. It's not always clear what causes it, but some people have a higher chance of getting one. It can be serious if it's not spotted early on because it could get bigger and. "If you have a positive thumb-palm test there's a pretty high likelihood that you may harbor a thoracic aneurysm," he said. And the cause of the aortic aneurysm can be hereditary or congenital. This review addresses the clinical use of common imaging tests for abdominal aortic aneurysms (AAA) in three clinical situations: screening, surveillance in a patient with an AAA, and evaluation of a symptomatic patient. S. So it’s important to carefully consider the pros and cons of surgery before making a decision. 1. Intervention should be considered when the diameter of a thoracic aortic aneurysm reaches 5. It is a simple test you can do right now, and it could save your life. 9 Up to 60% occur at the aortic root (ie, aortic root dilation) or in the ascending aorta, and the remainder in the descending thoracic aorta. 1 Even when considering just the “sporadic” aneurysms (ie, aneurysms in which there is no evidence of a syndromic, familial, or known genetic etiology), a. Thumb Test Aneurysm. Important advances have been made in the diagnosis and medical and surgical care of. 0 cm. It is a simple test you can do right now, and it could save your life. Clammy skin can be a tell-tale symptom of an abdominal aortic aneurysm. They kill about 10,000 people each year and affect adults of all ages. Causes of a Numb Thumb or Hand. amjcard. Their hospital-based study population comprised 305 patients undergoing cardiac surgery, including 93 patients (30. Chest X-ray. Some conditions that medical professionals commonly screen for. We have noted informally that many patients who are referred to our institution with documented thoracic aortic aneurysms can cross their thumb beyond the edge of the flat palm—a positive ‘thumb-palm’ test—even in the absence of other stigmata of Marfan syndrome or other connective tissue diseases. According to a Yale News report, aortic aneurysms are the 13 th most common cause of U. 2–5 Established risk factors for AAA include advancing age, male gender, smoking and family history. 16 The disease carries a complex genetic predisposition 17,18 and predominantly affects elderly. An aortic aneurysm is a bulge that occurs in the wall of the body's main artery, called the aorta. In 2021, researchers from Yale University published a study in the American Journal of Cardiology about a simple self-administered test utilizing the thumb and palm. Hoarseness (if the aneurysm presses on nerves that affect your voice box ). The body's main artery is called the aorta. Aortic root dilation (with a z score ≥ 2 for adults ages 20 or older or a z score ≥ 3 for patients younger than age 20) Systemic feature scoring table Feature and value. Max Gomez reports. Aortic Thumb Test. Mutations in several genes have been associated with an increased risk for aneurysm and dissection of the thoracic aorta and other major arteries. These aneurysms are usually asymptomatic until they rupture which is a catastrophic complication. 1 Consider cardiopulmonary exercise testing when assessing people for elective repair of an asymptomatic abdominal aortic aneurysm (AAA), if it will assist in shared decision making. 1-10 Population-based studies in men older than 60 years have. Angiogram: For a traditional angiogram, doctors insert a catheter (a thin tube) into your body to. A thoracic aortic aneurysm is a weakened area in the upper part of the aorta — the major blood vessel that feeds blood to the body. Hindfoot deformity — 2Thoracic aortic aneurysms often go unnoticed because people rarely feel symptoms. Elytriades, MD, the William W. Thumb test aortic aneurysm. According to a Yale News report, aortic aneurysms are the 13 th most common cause of U. 5 times its normal size. • An abnormal bulging of the aorta, the largest artery in the body. Abdominal aortic aneurysms are commonly found in men aged 65-85 years. Thumb test for aortic aneurysms. Carotid (kuh-ROT-id) ultrasound is a secure, painless treatment that makes use of acoustic waves to examine the blood flow through the carotid arteries. To do the “thumb palm test”, hold up one hand and keep the palm flat. Reply to the Positive Predictive Value of the Thumb-Palm Test for General Population Screening of Ascending Aortic Aneurysm Am J Cardiol . Get screened for a stroke and cardiovascular disease risk near by. deaths. A carotid ultrasound is done to evaluate for narrowed carotid arteries, which boost the threat of stroke. Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder that affects the microfibrils and elastin in connective tissue throughout the body. The thumb-palm test is. Healthy food is near and around us. Abdominal aortic aneurysm (AAA) screening is a way of checking if there's a bulge or swelling in the aorta, the main blood vessel that runs from your heart down through your tummy. Aortic Aneurysm Thumb Test. Thumb aneurysm test. They usually cause no symptoms except when ruptured. Also, an imaging contrast agent is given to the. The aorta carries oxygen-rich blood from the heart to the rest of the body. A true aneurysm has all the three layers of the arterial. Medical. February 4 108 views. We conducted the thumb-palm test in 305 patients undergoing cardiac surgery with intra-operative transesophageal echocardiography (TEE) for a variety of disorders: ascending aneurysm. However, “spreading knowledge of this test may very well identify carriers of silent aneurysms and save lives,” said Dr. Aortic aneurysms can happen anywhere along the length of the aorta, but they are most common in the lower part. Accuracy of the “thumb-palm test” for detection of ascending aortic aneurysm. Syphilitic aortic aneurysms are rarely seen nowadays, but if encountered they usually demonstrate extensive aortic calcification or. For people with small, asymptomatic aortic aneurysms, doctor may opt to monitor the aneurysm at regular intervals using ultrasound or CT scans. Aortic disease can manifest as aortic failure in the form of life-threatening dissection or rupture that is sometimes preceded by aneurysm development 1,2,3 (Fig. Abdominal aortic aneurysms are the easiest type to identify and follow, Brown says. It is a simple test you can do right now, and it could save your life. be ordered when there is a previous positive genetic test result in the family. It involves holding out one hand, keeping the palm flat, and laying your thumb down over it. , 150 (2021), pp. Clammy skin can be a tell-tale symptom of an abdominal aortic aneurysm. Just stick out your hand like you’re telling someone to stop, and then see how far your thumb can stretch across your pa…Abdominal aortic aneurysm (AAA): Abdominal aortic aneurysms may form where your aorta carries blood into your abdomen (belly). A negative test does not exclude an aneurysm. The test may be repeated after a short time to see if any changes have occurred in heart function. The diagnosis may be confused with renal calculus, diverticulitis, incarcerated hernia, or. In some circumstances, affected individuals can show subtle cysts of the colored portion of the eye (iris floculi) or a visible capillary network below the skin with a honeycomb appearance. This is a medical emergency. We have noted informally that many patients who are referred to our institution with documented thoracic aortic aneurysms can cross their thumb beyond the edge of the flat palm—a positive ‘thumb-palm’ test—even in the absence of other stigmata of Marfan syndrome or other connective tissue diseases. Cerebral aneurysms: Also called brain aneurysms, these aneurysms affect an artery in your brain. 5 preventive health screenings: Carotid Artery Disease, PAD, AAA, Afib, Osteporosis. And the cause of the aortic aneurysm can be hereditary or congenital. Thumb test for aortic aneurysm. breathlessness. The thumb-palm test is. This is the American ICD-10-CM version of I71. 223.