Doctor insights on:
Size Of Aortic Aneurysm For Surgery
"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
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
Husband has a 4.9 aortic aneurysm and has been hiking @ high elevations. Will this increase the size of the aneurysm and should he not hike?
Take it easy: Hiking will not cause any rapid change in the aneurysm size. Risk of rupture of 4.9cm AAA is around 1% for a male patient, but any extreme high blood pressure can increase tension on the wall and induce rupture, so he can excercise but should take it easy. ...Read moreSee 1 more doctor answer
My mother has ascending aortic aneurysm size of aorta 3.7cm. She is traveling from india to usa next week. What are the risks? Should she not travel?
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Do the mortality rates in Aortic Aneurysm surgery include those that are having emergency surgery for dissections, or how are they broken out?
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
No but its not rare: Abdominal aortic aneurysms are more common than thoracic. An aneurysm is defined as an enlargement of the aorta 1.5 x the normal diameter. The incidence is around 37 per 100, 000 patient yrs. There is a 3% prevalence in those over 50 yrs old. Male to female ratio of 9 to 1. Risk factors hypertension, high cholesterol, smoking, diabetes, family history and age. ...Read moreSee 1 more doctor answer