Top
20
Doctor insights on: What Can Be Done To Repair An Ascending Aortic Aneurysm

Share
1

1
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

See 1 more doctor answer
Dr. Mario Matos-Cruz
941 doctors shared insights

Aortic Aneurysm (Definition)

"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


2

2
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

See 1 more doctor answer
3

3
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

See 3 more doctor answers
4

4
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

See 1 more doctor answer
5

5
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

See 1 more doctor answer
6

6
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

See 1 more doctor answer
7

7
How should I deal with an ascending aortic aneurysm?

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

See 1 more doctor answer
8

8
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

See 1 more doctor answer
9

9
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

See 1 more doctor answer
10

10
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

See 1 more doctor answer
11

11
I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

At around 5cm: It needs to be followed up with ultrasound every 6 months. When it grows too fast or has reached 5cm then it needs to be considered for repair ...Read more

See 1 more doctor answer
12

12
Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

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 more

See 1 more doctor answer
13

13
Ascending aortic aneurysm growth rate of 6 mm in a year -- now 4.6 is this a growth rate that could be dangerous?

Need to watch: Ascending aortic aneurysms typically need to be repaired somewhere between 5 and 6 cm in diameter. Typical growth rate is between 2-6 mm per year. The important thing is to keep follow up appointments and scans to closely track its growth. Given your age it is likely you will need it repaired at some point. ...Read more

See 1 more doctor answer
14

14
What happens in an aortic aneurysm repair?

What happens in an 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 more

See 1 more doctor answer
15

15
What fruits and vegetables can treat ascending aortic aneurysm?

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 more

See 1 more doctor answer
16

16
How do you deal with an ascending aortic aneurysm? To operate or not to operate?

How do you deal with an ascending aortic aneurysm?  To operate or not to operate?

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 more

See 1 more doctor answer
17

17
What are normal symptoms of an aortic aneurysm repair?

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 more

See 1 more doctor answer
18

18
What is the prognosis after aortic aneurysm repair for ages under 50 yrsold?

Great, but....: The big question is why does such a young person have an aneurysm in the first place? That will likely determine how well you do in the long term. ...Read more

See 1 more doctor answer
19

19
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 ?

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

20

20
My mother was detected with ascending aortic aneurysm of 3.9 CM in april 2013. Will she be able to fly internationally?

Yes: As long as she has no significant aortic valvular heart disease, and no chest pains or other unexplained symptoms, she should be fine. I wouldn't worry about the aneurysm ( again as a sole problem) unless it were at least 4.5 cm. Make sure she gets follow up for it though. ...Read more

See 1 more doctor answer

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
1,395 doctors shared insights

Aneurysm (Definition)

An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of potential ...Read more