Doctor insights on:
Symptoms Aaa Stent Leakage
Discharge can be a noun or a verb; it has multiple meanings in physics, chemistry, military, and legal usage. The most common medical meaning is a substance that is being excreted. Examples: pus is the discharge from a pimple; a vaginal discharge can mean infection; an ear discharge can mean an infection of the outer ear tract; a nasal discharge ...Read more
What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?
Angioplasty/stent : Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. ...Read moreSee 1 more doctor answer
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
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
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 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
Usually no symptoms: Most aneurysms do not give any symptoms until they rupture. A 10cm aneurysm has been present for many years. The normal aorta is about 2 cm, and aneurysms tend to grow about .4 cm/year, meaning about 16 years. A 10 cm aneurysm should be treated very urgently, as it is at very high risk of rupturing, and outcomes are worse when treating a ruptured aneurysm than when treating electively. ...Read moreSee 2 more doctor answers
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
Size & location: This really depends on size of the aneurysm , the bigger one especially above 5-5.5 cm will have higher risk of rupture and death. Also location so if aneurysm involves major branches to brain or arteries to kidneys or intestinal arteries all this will make the surgical repair more risky. ...Read moreSee 1 more doctor answer
Why wait to find out: We start to worry about aneurysms when they are larger than 5 cm. Think of it like a latex balloon. Once it is really big, it pops pretty easy. Any symptoms at all are a sign of impending rupture. And rupture has devastating consequences, including sudden death. See a vascular surgeon before there are symptoms. Once it is symptomatic it might be too late. ...Read moreSee 1 more doctor answer
Rupture AAA: Best care is avoid rupture. Prior to rupture there are little to no symptoms. At time of AAA rupture, a life threatening emergency exists, the risk of death elevates. If you know you have a 10cm aaa, get it evaluated and repaired. If you have been evaluated (with a second opinion) and told a repair is not possible, then stay on your medical regimen. Make plan to avoid er if/when rupture occurs. ...Read moreSee 2 more doctor answers
Maybe none: Av prolapse results in aortic regurgitation. Even if it's severe, it may take decades before symtpoms occur, if ever. Symptoms when present may be breathlessness with less than usual activity, anginal type chest pain, or spells of passing out/nearly passing out. ...Read moreSee 1 more doctor answer
Fibromuscular dysplasia secondary BP 160 over 118 today heart was 85 narrowing right renal artery disection stent and angioplasty being done in 3weeks?
No: This is a temporizing measure for those too sick to undergo definitive treatment. In patients who can tolerate definitive therapy, it is unwise. It would be foolish to choose it. While some may be seduced by its less invasive nature, it is no match for the results archived by surgical treatment. Hope this helps. ...Read moreSee 2 more doctor answers