Open or Stent? Major surgery of any kind carries certain risks that vary from one person to another, depending upon the patient's general state of health. The surgical risk for repair of an abdominal aortic aneurysm increases with age and the presence of other health conditions. As examples, people who have other heart or lung diseases, and people who smoke are more likely to develop complications.
Varies. Risk also depends on whether the repair is open or endovascular.
It depends. Depends on other comorbid risk factors like coronary artery disease, peripheral disease and lung disease.
No, should not. Elective (means not as in ruptured one) aortic surgery has excellent result, with very low mortality. Recently more and more cases are being done by endovascular stents with out opening abdomen (similar to coronary stents) observation for small aneurysms, surgery only if size is increasing, may be causing anxiety.
Serious. But manageable. Get follow up ultrasounds each 6-12 months. No smoking. Control high blood pressure. Walk for exercise. Most easily treated with endografts. Hang in there.
Are there warning signs for an aortic aneurysm? Any ways to prevent one? Is there an exam that shows if you are susceptible to one?
Sometimes. Sometimes there are no symptoms and it is picked up by ultrasound or a good physician exam. Get checked out by your doctor to see if you need an ultrasound.
Perhaps. Positive family history, marfans or connective tissue disease, hypertension, smoking, no absolute predictors, but good accurate exams and imaging are available. Aneurysm can affect any part of the aorta - chest, abdomen pelvis and any named vessel! So full history and exams are relevant.
Can an AV Fistula be created by one doctor and closed (this is the only thing he is doing), so that another doctor can treat and aortic aneurysm with a graft?
Yes. Ask your doctors to communicate and to develop a treatment plan. That way everyone knows what to expect.
AAA. By endo vascular non-invasive intervention or by open abdominal surgery to replace that segment of the aorta. Decisions depend of risk factors (age, health situation, risk of post-op complication, comorbidities...).
Surgery. There is no known medical treatment for abdominal aortic aneurysm AAA. If the AAA reach certain diameter 5-5.5 cm then it needs repair : endovascular stent or open surgery.
Yes. Abdominal or thoracic essentially: death bleeding infection stroke renal failure fortunately new techniques have reduced all of these. The patient's personal risks are important: age, blood pressure, acute situation, diabetes, smoking, copd, renal failure etc.
Depends. Depends if it was done open or endovascularly.
Yes. There is open repair and the less invasive endovascular technique. Talk to a vascular surgeon for the pros and cons of each, and to see which one you are a candidate for.
Yes. The approach (open surgery vs. Endovascular) depends on the extent of the aneurysm (anatomy), age and health of the patient. A ct angiogram is usually obtained to evaluate the anatomy and help make a decision.
Level 4?? Are you saying you have a 4 cm aneurysm?
A time bomb. Having aortic aneurysm is like having a time bomb in your body -- you may be ok if it does not explode but you don't know -- so don't let fear stop you from doing what is right for yourself and your life.