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Depends: In the correct hands, brain aneurysm surgery is less risky than it used to be 20 years ago. Unfortunately, all brain aneurysm surgeries (clipping or coiling) carry a risk for stroke and hence cannot be classified as "safe" surgeries. They are moderate to high risks surgeries depending on the size of the aneurysm and the health of the patient. Ask your doctor for details. ...Read moreSee 3 more doctor answers
Plenty: Most dreaded complication is a stroke, and a minority of these can be lethal. In some patients, bleeding in the surgical bed can lead to a collection of blood/fluid that generate enough pressure to impair airway function, this is a life threatening condition. Heart attacks, pulmonary emboli and arterial dissection can also happen, but fairly rairly. ...Read moreSee 2 more doctor answers
No: An aortic dissection is a tear in the lining of the aorta, causing blood to leak into the aortic wall, causing pain and possibly hemodynamic issues. An aneurysm is an enlargement of the vessel to more than 2 times its normal size. Dissections may occur in aneurysms, and may become aneurysmal, but can occur independent of each other. ...Read more
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No: Aneurysm is the dilation of your artery that can rupture if it gets too big overtime. A dissection is when the layers of your artery separate - generally associated with traumatic injuries (blunt or sharp), it is usually an acute event. Sometimes you can see dissection when the aneurysm starts to leak. Make friend with a vascular surgeon. ...Read moreSee 1 more doctor answer
63yodad ischemic stroke 2wks ago. Before had a DVT & asymptomatic brain aneurysm. @risk for falls from motor control issues. Should he start coumadin (warfarin)?
Risk / benefit tool?: Secondary Prevention of Stroke is important in reducing risk of recurrent stroke and potentially severe disability. Warfarin is indicated in Secondary Prevention if the patient has a diagnosis of Atrial Fibrillation. CHA2DS2-VASc and the HASBLED Scores at www.mdcalc.com can give some objective measure to help patient in discussion with doctor assess risk / benefit of anti-coagulation. A guide only ...Read moreSee 2 more doctor answers
Family history of Carotid Artery Occlusion.Good Angiogram Clear Artery's,had Mitral Valve Repair.Is Aspirin necessary?Surgeon says not really, agree?
Yes: When you are told "clear arteries" by angiogram, I suspect the doctors means "no obstructive coronary artery disease". That is not the same as saying as you have pristine arteries. There is likely some intimal thickening and or mild cholesterol buildup at your age, therefore one baby asprin 81 mg is probably the best thing u can do for yourself to reduce your risk of stroke and/or heart attack. ...Read more
Based on size: The risk of rupture of an aortic aneurysm increases with its size (diameter). When the size reaches a certain threshold, the risk of rupture becomes substantial. At this point, a repair is justified either with surgery or a percutaneous stent graft. ...Read moreSee 1 more doctor answer
It's OK to fly: There's nothing about flying that will adversely affect your thoracic aortic aneurysm. You should have it evaluated by a vascular surgeon, depending on its size, at least annually. Our usual threshold for repair of a thoracic aneurysm that is not causing symptoms (e.g., pain) is around 6 cm. ...Read moreSee 1 more doctor answer