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.
Depends on location. Ifrarenal aorta 5cm or increase of 0.5cm or more over 6mo once twice native aorta. 6cm for ascending aorta or >=4.5 cm with bicuspid aortic valve or aortic insufficiency, marfan's, ehrles danlos syndrome. 6cm for descending thoracic aorta, thoracoabdominal aorta. These are for asymptomatic aneurysms. Earlier intervention may be warranted if clinically indicated.

Related Questions

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...
Endograft. Or large stent covered with special fabric is inserted and deployed in the aorta. The aneurysm is sealed. Read more...

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...

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

Excellent. Any part of the aorta can become aneurysmal so some of the prognosis depends on where chest- ascending or descending abdominal it also depends on endovascular or open surgical repair/ or replacement open repair has a long track record of success. The endo technique is in evolution and adds some new complications and a short track record. Read more...
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...

I am 74 old, 73 in. Tall, 4.8cm ascending aortic aneurysm, with bicuspid aortic valve, when should it be repaired?

Need careful. Evaluation and follow up care by your surgeon , 74 is not considered very old , but your functional status , associated systemic diseases will play in decision for surgery , most likely your you are asymptomatic and aneurysm is stable , you are under observation , follow your doctors advise . Read more...
Variable recs. Recommendations continue to evolve. If your aorta grows more than 0.5 cm/yr->operate. If your aorta is over 5.5 cm->operate. If you have other risk factors, maybe operate at 5.0 cm. Control your blood pressure, use beta-blockers. A very important corollary to these recommendations is to choose your surgeon carefully. Some surgeons have much better outcomes than others. Read more...
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...
Expansion. Agree with Dr. Sheppard and would add that you need evaluation to know the rate that the aneurysm is growing as that may also influence timing of intervention. Read more...

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. Read more...
Probably not his AAA. A burning sensation in the stomach is usually due to reflux or heartburn. This is very common and not related to the repair; however, if he is concerned, he should discuss it with his doctor. Read more...