Doctor insights on:
Aortic Dissection Guidelines
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
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
Aneurysm/Dissection: An aneurysm is an area where the aorta has ballooned out compared to the aorta below and above. The more expanded the greater the risk of rupture. Dissection is when there is a disruption of the inner layer of the aorta and blood can flow between the layers. This often will cause blockages of aortic branch vessels resulting in stroke, heart attack, and bowel/kidney infarction, etc. ...Read moreSee 1 more doctor answer
Technically no: As the disease is not affecting the heart itself, it would be more precise to classify this is cardiovascular disease. It is a problem that would be addressed by a cardiologist, also known as a specialist in cardiovascular disease. It's just a matter of semantics. ...Read moreSee 1 more doctor answer
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
2 questions: Aortic stenosis w/o symptoms has good prognosis. Symptomatic as has 5, 3, and 2 yr life expectancy depending on symptoms. Chest pain (5), passing out (3) and heart failure (2) yrs. This improves if the valve is replaced. Mitral valve prolapse does not significantly affect your prognosis by itself. Some though can worsen and begin to leak. This can also lead to heart failure. ...Read moreSee 1 more doctor answer
Couple of things: Ascending aortic aneurysms occur anywhere from just after the heart to just after the takeoff of the blood brain vessels. In descending aneurysm, the site is any of the remaining aorta. This becomes complicated because one type can also turn into the other. Generally speaking, ascending aneurysms are usually operated on, and descending are usually medically managed. Complicated topic. ...Read moreSee 1 more doctor answer
The 2 vertebral arteries arise from the left and right subclavian arteries and supply the brainstem and cerebellum. Dissection is rare (2.5/100, 000), affect women to men 3:1 and can cause stroke in people
Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family history of aneurysm, smoking or htn. Ascending aneurysms and para visceral (upper abdomen) aneurysms are probably the most challenging to repair. ...Read moreSee 1 more doctor answer
Depends: An aortic aneurysm can be the result of inherited conditions like marfan's syndrome. Conversley, aortic aneurysms may appear 'de novo' in those without a family history and only clinical risk factors such as atherosclerosis and hypertension. Since the relationship between genetics and environment is complex, if there is a family history one should always be extra vigilant and monitor. ...Read moreSee 1 more doctor answer
HCM: Not sure what you're asking. Hypertrophic obstructive cardiomyopathy in series with a bicuspid aortic valve has a potential for real trouble if the bicuspid becomes stenotic. If the bicuspid valve isn't stenotic, then the physiology is dictated by the ihss primarily. ...Read moreSee 1 more doctor answer
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
On labetelol tambocor (flecainide) diathazide severe PVC hypertension recent angiogram show ascending thoracic aorta prominent with 3.7 CM dilation. Concerned?
Close observation: It sounds like you have a couple different issues that require regular observation. While your aortic root diameter does not suggest that surgery is needed at this time, your blood pressure needs strict control and regular imaging studies can detect enlargement. And if your pvcs are not well controlled on tambocor (flecainide) or if you have more than 10-15, 000 per day, catheter ablation can be a good option. ...Read more
Is mod to sever aorta stenosis with peak/mean pressure gradient of 57.06mmhg/37.30mmh requiring aorta valve replacement stat?
It could be: It depends upon whether symptoms are present. If the aortic stenosis is causing chest pain, congestive heart failure, shortness of breath or blackouts then this is usually regarded as a reason for prompt treatment. If there are no symptoms then watchful waiting is sometimes appropriate. BTW some patients in this age group qualify to have the valve implanted through a catheter via the groin. ...Read moreSee 1 more doctor answer
My son had s.U.A, born with pfo, 3 pulmonary veins, coarctation/hypoplastic aorta, bicuspid aortic valve, l/t/b malacia. Future pregnancy tests recomended?
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