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Doctor insights on: Aortic Aneurysm Surgery Mortality Rate

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Do the mortality rates in Aortic Aneurysm surgery include those that are having emergency surgery for dissections, or how are they broken out?

Do the mortality rates in Aortic Aneurysm surgery include those that are having emergency surgery for dissections, or how are they broken out?

No: Emergency surgery has its own mortality rate. The stated figure would be for your specific risk factors based on your age, gender, lung and kidney function, heart status, diabetes and other comorbidities, derived from a large data base.

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Dr. Mario Matos-Cruz
941 Doctors shared insights

Aortic Aneurysm (Definition)

"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


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Ascending aortic aneurysm growth rate of 6 mm in a year -- now 4.6 is this a growth rate that could be dangerous?

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.

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Is there a surgery to fix an aortic aneurysm?

Is there a surgery to fix an aortic aneurysm?

Yes: The approach (open surgery vs. Endovascular) depends on the extent of the aneurysm (anatomy), age and health of the patient. A ct angiogram is usually obtained to evaluate the anatomy and help make a decision.

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Does any one know the risks of aortic aneurysm surgery?

Does any one know the risks of aortic aneurysm surgery?

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.

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Can I live longer if im not having surgery with a level 4 aortic aneurysm?

Can I live longer if im not having surgery with a level 4 aortic aneurysm?

A time bomb: Having aortic aneurysm is like having a time bomb in your body -- you may be ok if it does not explode but you don't know -- so don't let fear stop you from doing what is right for yourself and your life.

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Surgery for aortic aneurysm. How long is stay in hospital afterwards?

Surgery for aortic aneurysm. How long is stay in hospital afterwards?

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.

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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.

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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?

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.

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My father in law has thoracic aortic aneurysm that needs surgery? How long can he live with it untreated?

My father in law has thoracic aortic aneurysm that needs surgery? How long can he live with it untreated?

Depends on the size: The larger the size the greater the risk for rupture which has devastating impact and poor survival. Would encourage repair if a good candidate for surgery.

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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?

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.

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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.

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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?

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.

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Can an ascending aortic aneurysm shrink by itself?

Can an ascending aortic aneurysm shrink by itself?

Unlikely: This is very unlikely. Aneurysms treated endovascularly (stents / endografts) do often shrink because they are depressurized.

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How should I deal with an ascending aortic aneurysm?

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.

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Is it possible for an ascending aortic aneurysm to shrink?

Is it possible for an ascending aortic aneurysm to shrink?

Not usually: But there is some variation in ct, mri, ultrasound so that one may see a report with a few millimeters ambiance: 4. 2. 4.3 4.1 probably no change. Also some after surgical repair or endovascular repair will be shrunk.

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What to do if I have an aortic aneurysm and need some advice. Please!?

What to do if I have an aortic aneurysm and need some advice. Please!?

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.

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Can someone in their 20s have an aortic aneurysm growing in them already?

Can someone in their 20s have an aortic aneurysm growing in them already?

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.

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I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

Depends: Typically an ascending aortic aneurysm is repaired after it becomes between 5.0 to 5.5 cm in size, depending on other factors such as age, how quickly it is expanding, and the presence of other conditions such as marfan's disease.

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I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

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 repair

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Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


Dr. Shadi Abu Halimah
1,395 Doctors shared insights

Aneurysm (Definition)

An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of potential ...Read more