Doctor insights on:
Ascending Aortic Aneurysm Repair
Surgery or stent: Some aortic aneurysms occur in the chest. More often, aneurysms occur in the belly. Depending on the anatomy, some of the aneurysms can be surgically repaired and others can be repaired with a stent graft. Surgical repair involves excision and replacement of the aneurysmal segment. A stent graft is a percutaneous procedure. ...Read moreSee 1 more doctor answer
"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
See below: The repair is an operation so you might have pain from the incision. Now if there are complications, you could get many different symptoms depending on the type of complication. The aneurysm itself could cause pain or an abnormal pulsation in the abdomen but most commonly are discover by an x-ray for something else or at the time of a routine physical examination. ...Read moreSee 1 more doctor answer
I am 43 and need aortic aneurysm repair if i get endovascular stent and graft how long will it last before needing replacement or repair. ?
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 moreSee 1 more doctor answer
Surgery: Ascending aa usually needs surgical repair with cardiopulmonary bypass. If the aortic arch is involved, may need a bentall procedure as well, which is reconstruction of the vessels coming off arch. If aortic root involved, may need aortic valve repair. In rare cases, endovascular repair may be possible. A cardiothoracic surgeon and/or cardiologist will do tests and advise. ...Read moreSee 1 more doctor answer
5-6 cm: Generally, these are fixed when they get to be 5-6 cm in diameter; however, other factors may apply, such as presence of a congenital condition such as marfan's and whether the aortic valve is diseased. You should discuss this with a thoracic surgeon who has experience with this type of repair. ...Read moreSee 1 more doctor answer
I am 74 old, 73 in. Tall, 4.8cm ascending aortic aneurysm, with bicuspid aortic valve, when should it be repaired?
Valve is problem: Aneurysm is small and secondary to turbulant blood flow across the abnormal valve. Bicuspid valves generally begin to calcify in the 5th and 6th decades of life leading to Aortic Valve stenosis. You should have a cardiologist and get annual echocardiograms and when the gradient across the valve is > 40mmHG and you have symptoms the valve should be replaced. Tx of aneurysm unnecessary at that size. ...Read moreSee 3 more doctor answers
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
Wrong treatment: You need an experienced vascular surgeon. Surgery, hopefully minimal invasive, is always required to correct or repair an aortic aneurism. Fruit & vegetables are excellent foods & should not be omitted as part of your post-operative recovery. Good luck. ...Read moreSee 1 more doctor answer
I am 57. In July 2015 I was diagnosed with a 4.2 ascending aortic aneurysm. I have HTN. I am on 3 meds because it is hard to control. I am having SOB ?
SOB aneurysm: Please go to ER now. Though 4.2 is not a critical diameter( usually > 5), you do have an aneurysm and are 57 years old , hTn so a cardiac etiology is a concern. f/u/ w/ ER now. http://ac.els-cdn.com/S235290671500010X/1-s2.0-S235290671500010X-main.pdf?_tid=8799e99e-36dd-11e6-aedd-00000aacb35d&acdnat=1466423757_385f3a4af8c762e4ebdee9e42e7f57ea ...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 moreSee 1 more doctor answer
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
Operate: If it is truly an ascending aneurysm, it is life threatening and needs an operation. Type b or descending aneurysms in the thorax can many times be managed with blood pressure control but not type a. Type a can cause heart attack and strokes or rupture. ...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
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