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Largest Abdominal Aortic Aneurism On Record
Good Question: The largest abdominal aneurysm I have operated on was 16 CM in diameter. It is unusual these days to find really large diameter aneuryms due to better screening & due to the number found incidentally when exams such as sonograms or ct scans are performed for other reasons. Increasing size correlates with increased rupture rates. ...Read moreSee 1 more doctor answer
Largest AAA repaired: You shouldn't think about it as, " is it too big to repair?" many anatomic details as well as a person's overall medical condition go into the decision as to if an aneurysm can be repaired. Its overall size is not a main consideration (though if its still small, they can usually be watched without repair). ...Read moreSee 1 more doctor answer
Ct/ct angie chest w/o con (pe) shows ascend. Aortic aneurysmal dialation of 4.5 CM in maximal diameter last month. Echocardiogram no aneurysm?
Repeat test: Having an ascending aorta that measures 4.5 cm is considered an aneurysm but it is not large enough that any intervention (i.e. Surgery) would typically be recommended. The echocardiogram may have found the aorta to be slightly less than this size and therefore it wasn't interpreted as an aneurysm. Unless you are having symptoms (chest/upper back pain) then a repeat study in 1 year is adequate. ...Read moreSee 1 more doctor answer
I have abdominal aorta atherosclerosis. Ectasia of infra renal abdm aorta=2.1 cm.What to do? My dr. Says watch
Severely calcified abdominal aorta & common iliac arteries, a 60% ostial stenosis of the coeliac trunk, stomach ache, abd pain and bloating.Treatment?
Impossible to say: It is impossible to know over the internet whether the vascular and GI issues are related. Speak with a gastroenterologist. ...Read more
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
I have Ehlers Danlos. My last thorax CT show ascending aorta of 2.8cm, descending of 1.8cm. Not seen in heart MR from last year. Worrying?
calcified abd aorta and common iliac arteries, 60% ostial stenosis of coeliac trunk, bloating, abd pain, can't gain weight. Intestinal ischemia?
Yes: From the descriptions on the question I strongly believe you have intestinal ischemia and atherosclerotic vascular disease .Need to to be aggressive ib treatment for reversal of atherosclerosis. Check lipids get on a good regime of cholesterol lowering treatment.See a physician specializing in lipid manangement ...Read more
My CTA shows that I have 50% celiac artery stenosis, what can cause this? History of open surgical AAA repair & endo repair of juxtarenal AAA
Artery Disease, aka: atherosclerosis, which by autopsy data going back ~8 decades in US, is present in 50% of population by age 7, yet within walls of arteries, arteries enlarge & openings remain same; thus no symptoms for decades until plaque ruptures induce clots which suddenly narrow opening or the enlargement becomes excessive resulting in aneurysms. Optimize NMR lipoprofile, HbA1c 5.0% & BP; study my answers. ...Read more
My recent chest x Ray said atherosclerotic tortuosity of aortic arch and descending thoracic aorta. Is this of any concern.
FURTHER W/U NEEDED: Usually the thoracic aorta will dilate slowly with age. If it is apparent already you need a determination of the size. A thoracic echo and possible TEE. To evaluate thoracic anatomy. And an abdominal US to evaluate abdominal aorta. Then consult a surgeon a surgeon for further recommendations as needed. You will need to monitor your blood pressure and keep it under tight control . ...Read moreSee 1 more doctor answer
Involve renal artery: A juxtarenal AAA is an aneurysm that involves or is associated with the renal arteries which are vital as they supply the kidneys with blood. The repair of this type of aneurysm is very challenging and so be sure and see a board certified Vascular Surgeon with a great deal of experience for consultation and treatment. ...Read moreSee 3 more doctor answers
What are the differences of getting CT angiography vs. Mra for ascending thoracic aortic aneurysm?
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
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