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Doctor insights on: What Can Be Done To Repair An Ascending Aortic Aneurysm

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What can be done to repair an ascending aortic aneurysm?

What can be done to repair an ascending aortic aneurysm?

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 more

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Dr. Mario Matos-Cruz
928 doctors shared insights

Aortic Aneurysm (Definition)

Aortic aneurysm is a medical condition in which there is an balloon like outpouching in the wall of the aorta, which is the largest blood vessel in the body. Most commonly, this aneurysm occurs in the segment of the aorta that runs through the abdomen. Rupture can lead to massive ...Read more


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I have a 4cm ascending aortic aneurysm at what size does it need to be repaired?

I have a 4cm ascending aortic aneurysm at what size does it need to be repaired?

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 more

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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 more

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When are aortic aneurysm repairs performed?

When are aortic aneurysm repairs performed?

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 more

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Can an ascending aortic aneurysm shrink by itself?

Unlikely: This is very unlikely. Aneurysms treated endovascularly (stents / endografts) do often shrink because they are depressurized. ...Read more

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How can you deal with an ascending aortic aneurysm?

How can you deal with an ascending aortic aneurysm?

Echo...: Echocardiogram annually... When > 5 cm or aortic valve regurgitation is severe, then a bentall procedure is the classic repair. Speak with a cardiologist regarding this issue, not a primary care md or np. ...Read more

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How should I deal with an ascending aortic aneurysm?

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 more

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Is it possible for an ascending aortic aneurysm to shrink?

Is it possible for an ascending aortic aneurysm to shrink?

Not usually: But there is some variation in ct, mri, ultrasound so that one may see a report with a few millimeters ambiance: 4. 2. 4.3 4.1 probably no change. Also some after surgical repair or endovascular repair will be shrunk. ...Read more

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How does an ascending aortic aneurysn differ from a descending 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 more

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I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

Depends: Typically an ascending aortic aneurysm is repaired after it becomes between 5.0 to 5.5 cm in size, depending on other factors such as age, how quickly it is expanding, and the presence of other conditions such as marfan's disease. ...Read more

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Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


Dr. Shadi Abu Halimah
1,370 doctors shared insights

Aneurysm (Definition)

An aneurysm is a condition where there is weakness in the wall of a blood vessel. A clot can form in the vessel as the vessel widens or expands. An artery with an aneurysm can ...Read more