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Doctor insights on: What Is The Life Expectancy After Repairing An Aortic Aneurysm

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Dr. Robert Binford Dr. Binford
Surgery - Thoracic
34 years in practice
University of Texas Southwestern Medical School at Dallas
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What is the life expectancy after repairing an aortic aneurysm?

What is the life expectancy after repairing an aortic aneurysm?

It depends: It depends on your overall health. Typically if the aneurysm is larger than 5 cm the risk of rupture is fairly high about 3-15%. Greater than 6cm about 10-20%. If successfully repaired then your life expectancy returns to near normal. Decision to operate depends on the aortic size and the estimated risk of surgery.

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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


Dr. Francis Uricchio Dr. Uricchio
Internal Medicine - Cardiology
34 years in practice
Tufts University School of Medicine
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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.

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Dr. Francis Uricchio Dr. Uricchio
Internal Medicine - Cardiology
34 years in practice
Tufts University School of Medicine
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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.

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Dr. Matt Malkin Dr. Malkin
Anesthesiology
12 years in practice
University of Chicago Pritzker School of Medicine
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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.

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Dr. Jerry Light Dr. Light
Surgery - Vascular
32 years in practice
Tulane University School of Medicine
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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.

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Dr. Louis Grenzer Dr. Grenzer
Internal Medicine - Cardiology
51 years in practice
University of Maryland School of Medicine
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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.

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Dr. Benjamin Lerner Dr. Lerner
Surgery - Vascular
15 years in practice
Medical College of Wisconsin
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What is the prognosis after aortic aneurysm repair for ages under 50 yrsold?

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.

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Dr. Barry Sheppard Dr. Sheppard
Surgery - Thoracic
30 years in practice
University of South Carolina School of Medicine
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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.

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Dr. Richard Sanders Dr. Sanders
Surgery - Vascular
63 years in practice
University of Michigan Medical School
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My dad had an aortic aneurysm and had his aorta repaired. He says he's experiencing a burning sensation in his stomach now. What could it be?

Several possibilitie: Assuming his aneurysm repair was performed by a large abdominal incision, the burning could be related to the incision, the stitches used to close the incision, or adhesions inside the abdomen which occur after this operation. If the repair was through the groin and placing a stent graft, this answer would not apply. Need more information.

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Dr. Norman Bein Dr. Bein
Surgery
47 years in practice
Hahnemann Medical College
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I am 43 and need aortic aneurysm repair if I get endovascular stent and graft how long will it last before needing replacement or repair.?

The results vary: Stent replacement of aneurysms of the abdomen are increasing inuse. The results, barring immediate complications such as leak (endleak) are comparable today with open surgical repair.

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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What kind of life expectatncy would you give a 75 year old who have inoperable aortic aneurysm.?

Why inoperable?: If bad heart, lungs, cancer etc. Those conditions may determine survival. Aneurysms may be in different parts of the aorta. But for abdominal: symptomatic and 6 cm survival about a year less and asymptomatic about 5 years as a good guess. Size, location and symptoms, and other risk factors are relevant to true answer!

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Dr. Rick Koch Dr. Koch
Internal Medicine - Cardiology
18 years in practice
University of Chicago Pritzker School of Medicine
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Dr. Oliver Aalami Dr. Aalami
Surgery - Vascular
19 years in practice
Boston University School of Medicine
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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.

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Dr. Mario Matos-Cruz Dr. Matos-Cruz
Surgery - Thoracic
35 years in practice
University of Puerto Rico School of Medicine
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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.

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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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.

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Dr. Mario Matos-Cruz Dr. Matos-Cruz
Surgery - Thoracic
35 years in practice
University of Puerto Rico School of Medicine
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What to do if I have an aortic aneurysm and need some advice. Please!?

What to do if I have an aortic aneurysm and need some advice. Please!?

Size: What is the size and location. Repair advised if it grows over 0.5cm/6mo and diameter twice size of native aorta or 5+cm in diameter. It is unusual for a person your age to have an aortic aneurysm that needs repair but I have had several patients that I had to do coronary bypass in preparation for aaarepair surgery. R/o collagen disorder. Access arteriosclerosis, quit smoking, obesity, diabetes.

Dr. Michael Zadeh Dr. Zadeh
Surgery
13 years in practice
St. George's University School of Medicine
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Can someone in their 20s have an aortic aneurysm growing in them already?

Can someone in their 20s have an aortic aneurysm growing in them already?

Yes: Though rare, there are certain genetic defects which cause a weakening in the walls of arteries including the aorta which can lead to aneurysms in younger patients.

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Dr. Elden Rand Dr. Rand
Internal Medicine - Cardiology
17 years in practice
Sanford School of Medicine of the University of South Dakota
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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.

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Dr. Chand Rohatgi Dr. Rohatgi
Surgery
33 years in practice
Banaras Hindu University Institute of Medical Sciences
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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

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Dr. George T Tsai Dr. Tsai
Surgery
23 years in practice
Drexel University College of Medicine
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Aortic aneurysm same as dissection?

Aortic aneurysm same as dissection?

No: Aneurysm is the dilation of your artery that can rupture if it gets too big overtime. A dissection is when the layers of your artery separate - generally associated with traumatic injuries (blunt or sharp), it is usually an acute event. Sometimes you can see dissection when the aneurysm starts to leak. Make friend with a vascular surgeon.

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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
1,396 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