A member asked:

What can be done to repair an ascending aortic aneurysm?

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Surgical resection: Usually a procedure, varying in complexity, that involves resecting the affected portion of the aorta and replacing it with a tube graft made of gortex. Depending on degree of involvement, this usually involves stopping the heart on circulatory bypass and some times cooling the body and brief arrest of circulation. There is a less invasive "endovascular" sheath in developmental phase that may be.

Answered 9/10/2018

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Surgery: Ascending aa usually needs surgical repair with cardiopulmonary bypass. If the aortic arch is involved, may need a bentall procedure as well, which is reconstruction of the vessels coming off arch. If aortic root involved, may need aortic valve repair. In rare cases, endovascular repair may be possible. A cardiothoracic surgeon and/or cardiologist will do tests and advise.

Answered 8/21/2019

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