Doctor insights on:
Aortic Aneurysm Surgery Mortality Rate
Do the mortality rates in Aortic Aneurysm surgery include those that are having emergency surgery for dissections, or how are they broken out?
"Aneurysm" has scary implications for many people. It just means an enlargement of an artery. The problem is that when arteries (including the aorta) get too large, their walls become weak and prone to tear (dissection) or rupture. If this happens in the aorta it can be a catastrophe. Management of aortic aneurysms depends on where it is, how big, whether it's growing, ...Read more
Ascending aortic aneurysm growth rate of 6 mm in a year -- now 4.6 is this a growth rate that could be dangerous?
Need to watch: Ascending aortic aneurysms typically need to be repaired somewhere between 5 and 6 cm in diameter. Typical growth rate is between 2-6 mm per year. The important thing is to keep follow up appointments and scans to closely track its growth. Given your age it is likely you will need it repaired at some point.See 1 more doctor answer
Depends: Depends if it was done open or endovascularly.See 1 more doctor answer
Open or Stent?: Major surgery of any kind carries certain risks that vary from one person to another, depending upon the patient's general state of health. The surgical risk for repair of an abdominal aortic aneurysm increases with age and the presence of other health conditions. As examples, people who have other heart or lung diseases, and people who smoke are more likely to develop complications.See 2 more doctor answers
Depends: Patients that have minimally invasive aortic surgery using stent grafts can often go home the next day. In my practice patients who have open aortic surgery typically stay in the hospital an average of four days. Some institutions have longer lengths of stay. Aneurysms above the renal arteries also stay longer because of the more extensive nature of the surgery.See 2 more doctor answers
When can patients resume their activities after aortic aneurysm repair surgery using deep hypothermic circulatory arrest technique?
Surgical approach?: The incision used will dictate activity rather than the use of dhca. I would assume you had a sternotomy (through the breastbone). You should lift no more than 5-10# for 2-3 months until the underlying bone heals, after which you should be able to resume normal activity. Have this discussion with your surgeon who should outline the plan for return to full activity.See 1 more doctor answer
My husband, 78, has aortic aneurysm measuring 4.8. Some mds insist on surgery at 5.0; others wait til 5.4. You? Also, bovine vs cadaver valve: prefs?
5 is standard: To my knowledge aneurysms are intervened when they reach 5.0 cm. Though there are different factors that might affect a given clinical situation, that is the standard. I am not aware of the exact location but some of these aneurysms are treatable with synthetic material stents. I am not aware of an advantage of bovine vs cadaver valves other than that the cadaver is the same species.See 1 more doctor answer
My father in law has thoracic aortic aneurysm that needs surgery? How long can he live with it untreated?
Why is my md suggesting genetic testing to help determine if I should wait or have surgery soon on my 4.9 thoracic aortic aneurysm?
Cause: Aortic aneurysms caused by genetic predisposition can have a much higher rupture rate and a more rapid rate of growth. These are operated on at a smaller size. Otherwise, 5- 5.5cm is the usual size to consider surgery. If there is a family history, or if the genetic testing is positive, family members should be tested.See 2 more doctor answers
I have had open heart surgery 18 years ago. I have an aortic aneurysm that has been growing for the last eight years. According to Cleveland Clinic,?
You have not: Indicated a question but if you are being followed on a routine basis by the CCF doctors it is unlikely you are not being treated properly. Follow the advice of your physicians and health care professionals.
Can I exercise with aortic aneurysm? My father is in his 70's and had a slight aortic aneurysm. He wants to start exercising in the gym, but I'm concerned it may be dangerous. Are there any particular machines or exercises he should avoid?
Your: Your father should avoid activities that raise the blood pressure excessively. Heavy weight lifting should be avoided at all costs, and he should focus on light aerobic activity such as briskly walking on a treadmill. A good rule of thumb is to exercise just enough to break a light sweat while maintaining the ability to carry on a conversation. I would recommend that he have an exercise stress test with a cardiologist to assess his blood pressure response to exercise and to help develop an exercise prescription. Any chest, back or abdominal pain or pressure with exercise should be taken very seriously and prompt immediate medical attention.See 2 more doctor answers
Marfan's?: Repair when diameter 4.5cm or greater if bicuspid aortic valve or marfan's, ehrles danlos, with or w/o aortic insufficiency. Otherwise 6cm. Your cardiac surgeon is the one that can advise you on the timing of your repair, earlier repair may be indicated depending on anatomy and sinus of valsalva size.See 1 more doctor answer
Size: What is the size and location. Repair advised if it grows over 0.5cm/6mo and diameter twice size of native aorta or 5+cm in diameter. It is unusual for a person your age to have an aortic aneurysm that needs repair but I have had several patients that I had to do coronary bypass in preparation for aaarepair surgery. R/o collagen disorder. Access arteriosclerosis, quit smoking, obesity, diabetes.
Yes: Though rare, there are certain genetic defects which cause a weakening in the walls of arteries including the aorta which can lead to aneurysms in younger patients.See 1 more doctor answer
At around 5cm: It needs to be followed up with ultrasound every 6 months. When it grows too fast or has reached 5cm then it needs to be considered for repairSee 1 more doctor answer
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