Doctor insights on:
Aortic Aneurysm Surgery Mortality Rate
"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
Do the mortality rates in Aortic Aneurysm surgery include those that are having emergency surgery for dissections, or how are they broken out?
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. ...Read more
Depends: Depends if it was done open or endovascularly. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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 ...Read more
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 more
Arteriosclerosis: Cigarrette smoking accelerates the process of arteriosclerosis which in turn results in atheroma formation with its multiple consequences depending on location. In the aorta it results in cystic medial necrosis leading to aneurysmal dilatation or the opposite, arteriosclerosis obliterans. ...Read more
It bursts: The wall of the aorta tears because of increased pressure from the expanding aneurysm. Ruptures can be "contained, " with the bleeding confined by the lining of the abdominal cavity, or they can be "free ruptures, " when the bleeding occurs into the abdominal cavity. The second type is more deadly. Mortality with ruptured aneurysms is 50-90%. As many as 50% of people die before reaching the hospital. ...Read more
No: Be careful if you have an AAA not to lift heavy weights. ...Read more
It depends: It depends on your overall health. Typically if the aneurysm is larger than 5 cm the risk of rupture is fairly high about 3-15%. Greater than 6cm about 10-20%. If successfully repaired then your life expectancy returns to near normal. Decision to operate depends on the aortic size and the estimated risk of surgery. ...Read more
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