I just had this proceedure performed almost 3 weeks ago. I feel like it saved my life. I was at 4.8cm but also have afib. I'm currently recovering and feel great. Im looking forward to returning back to my active lifestyle after another 6-8 weeks. If you have an ascending aortic aneurysm please don't hesitate to get a second opinion if youre not getting the answers that you want! Please go to a highly qualified facility and research you surgeons as well! I feel like I had one of the best surgeons in this country and my proceedure was at one of the top hospitals in the country! Wishing you all a speedy recovery and thank you for putting on a great video and explaining the proceedure so simply!
I am 61, healthy, with a aortic root dia at 3.8cm, but I was told, for me, I am simply on the "outer limits of normal". This was pointed out to me from a CT scan a got to get my calcium score (which is at 0!) At just 3.8cm, was told this is NOT an aneurysm, simply mildly dilated. This was confirmed with a follow up CT scan 1 year later showing it is stable and not growing. Just had a echo last week and after 7 1/2 years, still at 3.8cm. blood pressure is normal (115/76). Was told I should not have any worries long term, but will follow with echo every 3 years or so just to be safe!
I am very impressed with this explanation. His calm demeanor and voice level gave me assurance that - despite his warning of risks - this surgery can be very successful. Than you!
My ascending aorta is at 4.5cm and it was just discovered, so it may stay that way forever but there's a decent chance I'll need this surgery some day. I appreciate that there's info out here that seems trustworthy and thorough. This is probably the most thorough description I've come across.
Hi doc!! Happy holidays!! First! And guess what?! IM ALIVE! Dr. Grimm saved my life, he truly is outstanding. 14 hours and much worse than we could see on the scans. My tricuspid valve poked a hole in my heart and was bleeding he said I would have been dead in 2 days max if I didn't make it to surgery on Nov. 11. He could look into my aortic valve and actually see my tricuspid through it and apparently your not suppose to be able to do that. I'm so grateful, 9 days in the hospital and I'm home recovering now. I put a 1.5 years worth of work into all leading up for surgery to be at the healthiest I could be and it paid off. GOD IS SO GOOD!! just wanted to let you know. And if anyone else going through similar things I'd be happy to listen or share what I went through. Stay brave my friends. Life is magical.
Hi Doctor I discovered my ascending aorta being at 5.4 cm about 10 years ago. I am tall and big about 125kg. My aorta diameter today is 5.5 they say..stable for a long time. My age 73yo, relatively healthy. Should i walk into operation?
My Ascending Aortic Aneurysm was 5.8 when I had graft repair. I was initially told to wait until 6. So glad I had I had 2nd opinion. Don’t be afraid to get 2nd or 3rd opinions. It is your life!
Mine is 5.0 as of yesterday. Will see Next week I have no symptoms on a strong athlete. Did you feel any pain or why did you have it? Thank you for your answer and help.
I find it amazing that you know how to do this type of surgery. You take the heart out, put it in a heart lung machine and do surgery on it and put it back in the patient. Dr. you are an amazing person. I thank God for you. God has given you an amazing talent. Thank you for taking time to explain this. God bless you.
@@cardiacsurgerypatienteduca2445 Yes, these men are doing God's work! I love you Doctor, I love all you guys that do this stuff! I had a 15cm ascending aortic Aneurysm!! Talk about the "Widow Maker" as people have said! I am feeling good, Dr. Sanford Zeigler did my surgery and I thank God for him because he saved my life! I wonder if you have ever talked to him? He is very humble Surgeon and that really eased me when I had mine done. I had it done down at MUSC (Medical University of South Carolina). Well sir this video is excellent and I enjoyed it. Take care and God Bless you sir!
Incredible explanation. My friend just had a pulmonary aneurysm. I’m thanking God for his recovery. When you watch the video, you see he just overcame a lot. 🙏
Thank you so much for the through explanation. My ascending Aorta is at 4.3cm and I worry about a rupture later in life. I am an active 54 year old male in great shape. My half brother had his rupture and he survived it. My doctor is monitoring the anurism annually. So far, it has not grown any larger in the past few years. I am currently on Metoprolol to slow my heart rate. Thanks again.
I have been complaining about feeling unwell, palpations, high heart rate, chest pains. Well something happened to me to where i almost passed out the other day at work. I was taken to the ER and the doctor told me i had mild prominence of ascending aorta. Apparently it has been seen on previous x-rays but i was never told that was what it was. The doctors always say that they have seen something but it is nothing to worry about. So apparently ive been living with this for some years and feeling crappy for a while. So Monday i make an appointment with a cardiologist. I am a 52 year old female and i am scared. Thank you for thoroughly explaining the issue and the solution.
Hi, sorry for the delay. I'm glad they found the aneurysm. I hope the cardiologist explained that the aneurysm is not causing your symptoms. Please make sure your cardiologist refers you to a Cardiac surgeon as well. Good luck
I'm at 5.1 and having my ascending aortic aneurysm repaired in May along with a MV repair and ablation for Afib.. This video helped me understand what I'll be going through. Thanks..
I am 59 yrs old with high blood presssure. I am also under lots of stress, fear and anxiety. Mine was discoverd after admitting for high blood pressure. Its at 4.3cm. the doctors told me, i dont need to worry about it now. But, with high blood pressure, anxiety and every day life in general, how could you not? These are symptoms that can exceed the growth. Everyone in here who has gone through this disease and has revovered! May god continue with his blessings on you. Everyone who is currently facing to deal with it, lets continue to pray and have hope that YOU too, will be ok. Just keep an eye out and try to find the best cardiologist to monitor it. When surgery time comes, pray for your recovery. God does answer prayers🙏
I was born with a bicuspid aortic valve and on 6/16/22 I had my ascending aorta and aortic valve replaced. It was brutal. Good luck to anyone needing surgery, you can do it!
My brother-in-law just had surgery for ascending aortic aneurysm. The doctor said their was complications when they started to attach the aorta to the valve. He said it started to tear like tissue paper causing them to have to replace the valve. I don’t understand how they didn’t know ahead of time that he had such thin tissue. The surgery took longer than expected resulting in his right side of heart not functioning. They put him on an Ecmo machine. It’s been two weeks and he hasn’t woke up yet. The doctors say that it’s because his kidneys failed and his liver function is getting worse, therefore the sedatives may still be in his system. They are giving him a slim chance to recover.
Thank you for explaining this. My dad just had his aortic aneurysm fixed and had to be put on bypass to repair the leaking aneurysm. His was at 5.2 cm. I’m guessing his was part of the descending part of his aorta; as the surgeon stated he fixed the short part of the candy cane. Thank you so much for explaining this more in detail.
@@cardiacsurgerypatienteduca2445 he’s doing very well for the risk and the 50/50 mortality rate he had coming out of it. It’s just dealing with the aFib now. He had surgery Thursday and should be coming home in a day or two.
Thanks Doc.... 63 y.o. ...Just clocked a 4.3 and thank God we like in the 3rd millennium!! June will get more details... Also I have a lot ... A LOT ... Of friend who got heart attacks while bench pressing .. ironically, I couldn't bench lately because of a pinched nerve in right shoulder... Take care and thanks to all for giving me a little comfort for available options .. 😊
Hi Dr. Lemaire: My aneurysm was found by accident in 2018 when I had a cardiac CT done after an episode of chest pain. (I had a chest CT in 2015 for something else and the aneurysm wasn't there.) My Ct was negative, all coronaries wide open, but they found the aneurysm. I've had a couple of echos and cardiac CT's done over the last 3-4 years and it has grown from 3.7cm to 4.5cm (this July). I recently started taking BP medication as bp was elevated. Currently on Losartan 50mg, checking BP every day, going to see my cardiologist on 10/3. I'm 70. My aneurysm is in the area of the sinus of Valsalva. I live in a small mountain town, about 1 hr from a big city. I'm a former cardiac nurse, and as far as I know, there are no surgeons nearby who frequently do these types of aneurysms, esp. in the area I have it. For me to have surgery, I'll probably need to go to Los Angeles. My question is at this point, should I have a consult with a cardiac surgeon? Would it be beneficial to me to start seeing a surgeon now in case it gets larger, or I develop issues? Thank you!
Hi, sorry for the delay in responding. I would advise that you meet with a cardiac surgeon now for several reasons. First, it's always better to establish a relationship with a person who may potentially operate on you. Second, it will allow you time to determine if you trust the surgeon and like him/her. Third, it will give you time to discuss the long-term plan (surgical options). At 4.5cm, an aortic root aneurysm, which is what it sounds like you have, you don't need surgery right now. I suspect if your aortic valve is working fine, you won't need surgery until the aortic root gets over 5cm. Now, if your aortic valve starts to leak (aka aortic valve regurgitation) you may need the surgery sooner. There are very good aortic surgeons in LA. If you need a recommendation, contact me directly at www.cardiacsurgerypatienteducation.com. I suspect your cardiologist knows good cardiac surgeons as well. Good Luck.
Thank you for this very informative video Dr. Lemaire. My G.P just scheduled for the scan. I have to admit I was a little worried at first, but after watching your video I feel much better about it. You have done a great service with this video. Thank you for being so professional, informative, and for speaking on a level that a layman, like me, can understand.
I just had a CT yesterday for a lung cancer screening and they discovered that I have an ascending aortic aneurysm that is 4.8 cm. I'll be receiving a referral for a cardiac specialist but I wanted to do a little googling to find out more and came across this video. Thank you for explaining it so clearly and concisely. You're quite good at this.
Thank you for the nice comments. Keep your blood pressure controlled and get a well experienced cardiac surgeon who specializes in aortic surgery to follow you. Hopefully with good blood pressure control, it doesn't grow. Good luck!
I had the bental procedure 18 months ago , I had a bicuspid valve which was replaced by a mechanical valve and new ascending aorta fitted because of an aneurysm , I have found recovery tough but was so glad to have this done , my symptoms were breathlessness and mild chest pains , I was struggling for air after activities.
Hi Dave, glad that you are recovering well. Im 49 yo, I have bicuspid valve and aortic aneurysm too at 4.9cm. Was your surgery done to rectify both issues at one go or it was done separately? Wishing you best of health.
@@syamharris I had both done in the same procedure ( Bentall procedure) I had severe aortic stenosis and my aneurysm was 5.5 cm. I am now taking warfarin for life because of the mechanical valve and have found no issues with this and I am 62 yrs old. My son had Aortic valve stenosis when he was a child and had open heart surgery at age 7 , fortunately he didn’t need a valve replacement and he’s now a very fit at 33 yrs old. I hope all goes well with you and try to stay positive, take care and if I can help in any way just ask a question 👍
Bravo Dr., Lemaire, you explained this very well, and much more thorough and informative 6 minutes than many others I watched prior to finding your tutorial. Guess I'm in the same boat and awaiting a surgeons consult after a recent CT scan. Thank you for providing this and answering so many questions from the audience. I had hoped this was not a major surgery but obviously it is not. Oh well, damn the torpedo's... after a second opinion of course.
Hi, I'm sure you will do well. I want to be clear if done by a surgeon who does this all the time, the surgical risk are low. Please get a second opinion but also get an experienced surgeon. I'm sure you will do well. Good Luck!
@Cardiac Surgery Patient Education Where are you located? And how much does a ultrasound or CT Scan cost, cash out of pocket, no insurance? For an Abdominal Aortic Aneurysm?
Excellent description, doctor. My ascending aortic aneurysm is at 4.8 cm. It grew from 4.6 to 4.8 cm in one year and I'm 67 years old, in very good athletic shape. I'm going in for a CT scan on 4/3/23. Seven months ago my ascending aorta was at 4.8 cm. I am planning on an Atlantic passage with my sailboat, so this heart issue is definitely a problem. I just want to get the surgery over with as it has grown from 4.4 cm to 4.8 cm in less than two years.
Hi, I completely understand your concerns and the desire to get this taken care of ASAP. I have had patients who requested the surgery before 5.5cm however never before 5cm. I'll defer to you and your doctors. I strongly recommend that you select a cardiac surgeon who does this all the time. Good Luck!
@@cardiacsurgerypatienteduca2445 what is the normal rate of change? Mine went from 4 to 4.5 in 5 years (age 53 and now age 58). Is that slow, normal, or accelerated? This news is less than two old for me, I'm still a bit rocked by it.
Im 42 i need this done and severe aortic valve replacement. Ill find out the game plan from doctors this thursday. Sure ill be fine im a big optimist. Just want it done and over with. Thanks for video good to get a idea of whats happening. update: I got a surgery date im excited nov 12th is gonna be done. These symptoms are so bad. Shortness of breath now coughing. Pain in stomach.
Thankyou for this I have a 5.5 cent aneurysm and currently waiting for an app to discuss when an op will be done. Mine is thoracic Also have an abdonimal one which is 3cm and are goong to monitor. Your explanation was extremely informative and easy to undestand. For that i thankyou so very much.
I appreciate your comments. I would definitely speak with a Cardiothoracic surgeon soon who is very experienced in this surgery. You meet the requirements for surgery right now. The success rate of the surgery electively is very high in comparison to if the aneurysm ruptures. Good Luck!
My primary physician suggested that I get an ultrasound of my heart at age 66. No symptoms but she felt that my continued vigorous workouts could contribute to a dilation as the expanding ascending aorta gets less supple with age and may gradually expand. That saved my life. Dilation was very significant, and, on first annual follow-up, the subsequent ultrasound showed that a dissection of the inner wall had occurred but had clotted. ‘had the repair on an expedited basis a week later. Doing great 3 yrs post-op. So discuss getting an ultrasound, even if asymptomatic, with your primary.
Wow! Great tutorial, I want you for my 4.7cm TAA that was discovered during my knee surgery pre-op. Waiting for the next echocardiogram to see if it's progressing; hopefully not! Enough about me; you have a great speaking talent and articulation!
Thank you for the comments. I hope your aneurysm never grows and you don't require surgery. Keep your blood pressure well controlled. Make sure you have a cardiologist and heart surgeon seeing you at minimum annually. Take care.
@@cardiacsurgerypatienteduca2445 how much will losing weight help to prevent growth from from occurring and/or worsening the situation? I noted that you mentioned lowering HBP as well . I’m starting to take away meat from my diet as well
@@dwillmayne5516 Thanks for the question. Losing weight could contribute to lowering your blood pressure and that will improve the situation. The critical aspect is keeping your blood pressure controlled. Personally anything that will overall improve your health will improve the situation.
My ascending aorta aneurysm is 4.5cm. It was discovered pre-operation for bile duct cancer resection in July 2019. Multiple CT scans for oncology treatment show no increase in size since original diagnosis. I guess I'm lucky to be cancer free for 4.5 years as well as the aneurysm not enlarging! 😊
I'm exactly one month shy of my 9th REbirthday,; 8 years and 11 months ago, I had the triple-A repaired with a metallic device, including a metallic valve. Because of this new hardware, I am on a very high dose of blood thinner medication. The aneurysm was dangerous enough to have caused a thoracoabdominal dissection, going from my heart all the way down to my right femoral artery; luckily, it did not "leak" and the blood stayed in the aorta... but it IS a residual dissection that is still in its altered state. The surgeons said that they did not even attempt to repair the dissection because it would have extended the emergency surgery that took eight-plus hours to repair the aneurysm and would have killed me. So, I live - somewhat precariously and often doubtful - with the residual dissection. By the way, John Ritter and Alan Thicke both died of aortic dissections just hours after experiencing the extremely painful and ultimately final symptoms.
Thank You Dr Lemaire. I found your video fascinating and informative. I've been advised that I have a small leakage in my A valve (not fully closing!) I'm reluctant to have surgery. Some years ago, I attended two bypass operations at different hospitals (on the same day) and actually held a heart in my hand during one procedure. It was the most amazing day of my life - thus far and excluding my wedding.... On both I was suited and booted. I've been wondering if, with today's science and technology, we may be able to effect a repair without surgery. Probably not but a rotary saw opening up my chest seems archaic and invasive. I guess for now I'll live with it. Thank you again. John Carroll (jayceemusic)
Hi John, Thank you for your comments. If you were told, you have a small aortic valve leak, its' possible you may never have to have surgery. If you do require surgery there are multiple less invasive options to address your aortic valve issue. First, there are minimally invasive surgery (thoracotomy and not sternotomy). The incisions are smaller. Second, there are percutaneous options in development for the repair of the aortic valve or replacement but this will not be available for a few years. Finally, I understand why you are concerned about traditional surgery with your chest being opened, however the outcomes of these procedures are very good. Patients have been having open heart surgery for decades and the results in the correct hands are excellent. Good Luck!
My cardiologist never explained to me what this Dr. is doing in this video. There should be a law for all cardiologist to explain to their patients what is Ascending Aorta Aneurysm and its consequences because life or death matters.
Mine was found incidentally when CT done for pulmonary embolism- that was 7 years ago at age 47. I have no family history and never had high blood pressure. Each year CT is done and it has remained stable at 4.3. Hopefully never need surgery!
Best explanation I’ve heard. Clear anatomical description and function of the heart & aorta. Easy to visualize and understand. Realistic. Thank you Dr so much! What is your name?
70 yr old, I've been diagnosed with an Aortic Aneurysm. Had a CT Scan a week ago and will get my results in two days. I have also have Permanent AFIB and Heart Failure, so this new diagnosis is quite concerning for me. I can't go thru a day, that this "bubble" isn't on my mind.
Our daughter has Turner’s syndrome and has a bicuspid aortic valve. Her aorta was perfect until we put her on Norditropin (growth hormone) and it was discovered after a year that she had a mild aneurysm. It was written off that it had anything to do with the GH. We continued using them. At her echocardiogram a year later they said it went from mild to moderate. Still rejected the idea that Norditropin had anything to do with it and they highly recommended continuing using it. Finally, due to a global shortage we opted to quit using it and at her last echo it was recommended that she have a sedated cardiac MRI because her aorta looked different. I am confident there is a correlation, as now her Z-score is 5.29 and the aneurysm is classified as “severe”, per the radiologist’s analysis. Our cardiologist has yet to return our calls or schedule anything, even to review the results. To go from mild to severe in a pediatric patient with normal BP seems frightening and that surgical repair is imminent. How would you recommend we proceed?
Fantastic and easy to follow presentation for the average patient such as myself. I am not a Marfan patient. My genetic connective issue is ehlers danlos. Thanks .
I have one, it was found 2 years ago when I had a massive heart attack, they had to put a stent in my RCA and found it then, it was 3.9, have not had it checked since, but I do have an upcoming appt to do just that.. Never have any pain... My mom had one too, almost the same size and hers never grew past 3.9 and she lived to be 83 years old and died from sepsis..
Hi, sorry for the delay in responding. I'm glad that your mom's aneurysm never grew more than 3.9cm. I would strongly recommend that you keep your blood pressure controlled, follow with a Cardiothoracic surgeon, and a cardiologist. Good Luck!
Very good explanation I actually have aortic ascending aneurism very big ! But I was told that it would be risky to be operated I could be paralyse ! So I decided to reject any operation and see what will happen ! So far I am ok but not perfect ! I believe that only GOD can save me !
Dr Anthony, thank you for a very clear explanation for us laypersons. I’m 63, had CAC done in March of 2023 with a score of 4.76, however an asc aortic aneurysm was found that was 4.2cm. My cardiologist did not say anything to me! And I happen to be going through my report from 2023 a couple of weeks ago when I found the AAA result!!! I have been on keto diet for about one year and I decided to get another CAC which I had two weeks ago. My CAC score is now 15 but the AAA is 4.1cm. 0.1cm smaller that last year. I don’t have insurance and tight on finances, so I want to ask you if I should worry about my AAA at 4.1cm? I’d really appreciate your feedback!!!!! Thank you very much!!!
I appreciate the question. I would state that an ascending aortic aneurysm of 4.1 or 4.2cm will most likely not grow to the 5.5cm however, it still needs to be monitored. By the way, aneurysms don't get smaller so the 4.1cm that was just pointed out is most likely a variable based on the person reading the CT scan. Radiologists can measure the same CT scan differently. Either way continue to monitor. Keep your blood pressure controlled.
Sorry for the delay in responding. Yes, this surgery can be done minimally invasively. Please look into doctors in your area that can do that. You may have to go to a center that is a little farther from where you live. Take care.
Hi Dr! I want to congratulate you for the clear and helpful explanation for this condition. I my mom just had this surgery at some hours ago and there is some blood leakage coming out, it could be coming from the chest pressure from the process of wake up. She is still out. Is this abnormal?
This week I was diagnosed with an ascending aorta aneurysm, 4.2. I am curious if anyone has had this type of aneurysm repaired using a minimally invasive procedure?
Hi, I apologize for the delay in responding. There are certain surgeons that can perform this operation through a minimally invasive approach. Hopefully you will never need the operation. At 4.2 cm that is a small aneurysm . I would strongly recommend keeping your blood pressure controlled, and get a referral to a cardiac surgeon. Good Luck!
Hi thank you for a great explanation. I am a male 59 , lifting weights for 27 years. Had 2 Stan's.my aorta is 4.5 c"m , can I lift any weights, o I have to stop? I am 6.2 at 220 lb
Hi, sorry for the delay in responding. I will refer you to your cardiologist, however, I will say that if your aneurysm is not growing and you are lifting weights but not Power lifting, you should be able to do it. I would state that there is always a potential for aortic rupture with high intensity work outs though. This is a controversial topic that I would review with your cardiologist and cardiac surgeon. I apologize for deferring to your doctors but this is a controversial topic.
Great information! I’m a watch and wait patient that my GP sends me once a year for Ct scan. It has remained at 4.1 for 5 consecutive years. I’m 59. Should surgery be an option now still? Man it does cause a little anxiety knowing it’s there. My A1c is 5.9 so type 2 is controlled with metformin and good diet. Anything else I can do??
Sorry for the delay in responding. I don't think the aneurysm will grow much. The fact that it hasn't grow in 5 years is a good sign. The best you could do is keep your blood pressure controlled. Also, continue to follow the aneurysm with annual CT scans. Btw, 4.1cm is considered small.
@@cardiacsurgerypatienteduca2445 Thank you so much for your answer I really appreciate it. The way you explain things is very helpful and informative 👍🏼I have another quick question for you if you’re ok with another one :-) I’ve read that CIPRO should not be taken with aneurysm is that true?? I was a little concerned because my GP gave me CIPRO for a UTI a couple months ago 😳
Thank for this well informative video. I am at 4.4x 4.5 and I cough all the time. The cough is so bad it wears me out. I have seen every doctor ENT, Lung, allergist. Will Ascending Aortic Aneurysm cause a cough?
I'm sorry your dealing with the cough. Its unusual for an aneurysm to cause a cough unless it was extremely large and perhaps irritating surrounding structures. The size of your aneurysm doesn't seem that big. If you really believe its the aneurysm then get a CT scan chest with contrast and have the radiologist determine if the aneurysm is compressing any structures. Good luck!
My brother had a 5.1cm aortic aneurysm at the root area that dissected and he died. Since there is some family history of this, I had been found to have a 4.6cm aneurysm at the root area and they suggested I get it fixed. Always wondered if we jumped the gun there, but it is done. Being an active person, ever since operation I get an uneasy pain or pressure in the chest and back when my heart rate peaks during exercise, this always happens. Stress tests, etc, have been ok. Ever hear of this effect? When hiking with friends I seem to be last one up hill, am 62. I always wonder if this is just some residual pain due to clamshell effect of having chest opened.
Sorry for the delay in responding. I personally think that operating at 4.6cm is a little early however since your brother died, I can understand why it was recommended that you have surgery earlier than the actual size indication (5.5cm). Regarding the chest pain you're having a lot depends on how long ago was your operation. If its been many years since your surgery, I would be more concerned. Although you had a stress test, sometimes those are wrong (false negative). A cardiac catherization to look at your coronary arteries is the best test. I would speak to your cardiologist about this. I would also go back to your cardiac surgeon to discuss. Good Luck.
@@jamesreeves9740 I had the operation in May of 2013 and by October of that year I was hiking in Yellowstone. Took some time though to get back up to speed on activities.
Thank you Dr. Lemire. I just found out that I have a 4.5cm ascending Aortic Aneurysm. My brother and sister (in Asia ) also have ascending and descending. I believed this is part our family's gift. Now , I am wondering what kind of Dr. I should look for to monitor my aneurysm in New York. I am 74, live in Nassau Long Island NY. I try not to have surgery, just like my brother he still hanging around there. I need to know how to avoid make it worse, so I can live longer. I appreciate that anyone can share this kind of experience.
Im 70 years old, had a life of sport (bicycle racing, with at some point a vo2max of 73), nor mal blood pressure now, 79 kgs and 1.82, no cholesterol problems. But chest pain and shortness of breath while cycling and walking at a brisk pace. A lung ct scan revealed and ascending aorta of 4.7 cms. What to do. I feel im too young to just give up on all sport activities, especially the bicycle. Id be grateful for any advice!
Hi, sorry for the delay in responding. An aneurysm of 4.7cm is most likely NOT causing you to have chest pain and SOB. Aneurysms classically only cause symptoms AFTER they rupture. At 4.7cm, you do NOT meet criteria for surgical intervention. I would STRONGLY recommend talking to your cardiologist to work up the TRUE cause of your symptoms. I would find the true cause of your symptoms before aggressive exercise. Once again, without more information, I see no reason for surgery.
@@cardiacsurgerypatienteduca2445 thanks very much, don't worry about delay. I don't expect instant response! 😏 I've been to the cardiologist a few days ago, he suggested going to better specialist in Bangkok (I'm in Hua Hin, a smaller town). I don't know about that. Might do that later. In the meantime I'll take up cycling again, see if that will improve the condition. And I'm doing it gently. I'm not going to it like I did in the early 80s. All those years of training and racing have taught me to recognize how my body reacts. Heart and lungs are not the same as legs ... I record my modest activity on Strava: Freek Faro.
So my 75 yr diabetic father went for CABG + ascending aorta graft so that CABG for triple vessel could get blood but they had to abort ascending aorta graft operation in between as the aorta was highly calcified and they did not risk clamping it. They somehow got the cabg done but now there is some differential of pressure between upper half and lower half of approx 50. What are the risk factors
I'm sorry for the delay in responding. What are the risks or risk factors of what? I apologize but I'm not understanding your question. The risks of the aneurysm is possible rupture, I WOULD STRONGLY RECOMMEND you find a heart surgeon very experienced in aortic surgery just in case your father needs that surgery one day. Good Luck!
Hola Dr !!! Im 41 years old, 6feet, 195 pounds and for like 10 years i do a lot of lifting weights, ok my asc aorta was 4cm like 4 years ago, the last echo was a year ago 1.9 cm/m2 he said is the same in size,was a different cardiologist, I ask him and he said is fine,I like to hear your thoughts and maybe helping me in that new measurement. Many thanks in advance. New subscriber here !!!
Hi, sorry for the delay in responding. I hope I understand your question correctly. It sounds like your cardiologist thinks that your aorta has not changed in size. I STRONGLY recommend that you ask for and get a CT scan of the chest to look at the size of your ascending aorta. Its a better test than an echo. I would get that test to see the true size of your aorta. Good luck.
I am 70 years old female, I have ascending aorta aneurysm 4.5 decrease to 4.2 in the result of angiogram. I know there is a risk because of my age. I learned from your vlog the procedure and now I am afraid. With my age do you recommend surgery in my case? Thank you for your reply doctor. Your page is very informative.
I apologize for the delay in responding. Aneurysms rarely decrease in size. If your aorta is 4.5cm then there is a very good chance that you will not get to 5.5cm so you should not require surgery. I strongly recommend that you keep your blood pressure controlled and see a CT surgeon. The surgeon will follow the aneurysm will CT scans of the chest yearly. Good Luck!
@@cardiacsurgerypatienteduca2445 Dear doctor, thank you for the reply. I have a cardio vascular doctor. He examined my angiogram and found out that my aneurysm is not even 4.5. It 4 only. I am so happy doctor. You are a good doctor. You responded at once, you are the kind of a doctor who inspire his patient to strive to live and see the lighter side of life. God bless you and more power.
Sorry for the delay in responding. There is no medical cure for an aneurysm. You can treat these medically with blood pressure control but the ultimate treatment is surgical if it gets to the target size. You can always decide to not operate which has its own consequences but this would require a long discussion with the heart surgeon.
Im so scared. Mine has just been recently discovered in 2019 at 4.2cm and they said not to worry we will monitor it, i carried on as normal with the gym etc, each year it remained the same but then this year its gone upto 4.5 im terrified, been reffered to a specialist in that area for a chat and gene testing. I dont want to die and im so scared of this surgery i may need. Im only 42 years old.
Sorry for the delay in responding. I recognize and understand your concerns. First, the increase in size doesn't necessarily mean it will continue. It could stop growing. Second, an elective surgical repair of an aneurysm has a 98% success in a well experienced surgeon. There is no reason you have to die. Research good surgeons. Good luck.
Hi. I'm 51 years old and 6'3" tall with a root of 4.8 cm. I know you don't have a crystal ball, but Is there a possibility I may never have to have surgery, or do all patients eventually reach the 5.5 cm limit given enough time (assuming I live to my 70's-80's)? Thanks for your video by the way. Very informative.
Thank you for the nice comments. As you stated it's difficult to predict but I would say that it's possible that you may not require surgery. There are patients that have no growth in aortic root aneurysms but it will depend on (1) blood pressure control, (2) genetics, and (3) luck. You need aggressive blood pressure management, strict surveillance with CT scans of the chest and echocardiograms, and a consult with a cardiac surgeon who specializes in aortic root surgery. I wish you the best!
Hello doctor. My mother just had surgery for her aortic aneurysm and they put her on life support however a woman put a rod in her arm before she was put to sleep with anesthesia and my mother said it hurt horribly. I do believe this was supposed to be done after she was put to sleep under anesthesia as putting a rod in someone’s arm while not numbing or not asleep would hurt very much. Was this wrong? Also she wasn’t written any preventative antibiotics which now she is running a fever and is to see her doctor in a couple days. I don’t think proper protocol was followed and I would like you to please explain if this is the right way for things to go??
Sorry for the delay in responding. I'm not sure what rod you are referring to. I suspect you mean an IV line? Either way, please review this with your surgeon so that you can get clarification. Good Luck!
Thank you Doctor you explained everything well! My brother has an enlarged aorta and may have to have surgery! I'm scared for him! He has Central sleep Apnea really bad and sleep paralysis also. He has Diabetes which is severe and he's considered a High Risk patient! I'm scared for him.
Hi, please make sure your brother sees an experienced surgeon. Those are important risk factors but an experienced surgeon should get him through it. Good Luck!
My mother got diagnosed with an aortic aneurysm at 43-44 mm! It is stable from the day she discovered it about 4 years ago!im so frightened! She also survived a celebral aneurysm about 10 years ago!her heart is nevertheless healthy!what should we do?
Actually, she doesn't need surgery. Find a cardiologist who will manage her blood pressure and get a cardiac surgeon that is well respected. She doesn't need surgery but should be followed by a surgeon just to be safe. It's VERY IMPORTANT that your mother keep her blood pressure controlled. Good luck!
@@cardiacsurgerypatienteduca2445 oh thank you doxtor for your reply!She has her blood pressure under control! I mean she is on the pill and if it’s reaches above 13,5 and 9 she takes an extra one ! So for the moment she is ok but is this thing a ticking bomb in chest?
Im 70 years old, had a life of sport (bicycle racing, with at some point a vo2max of 73), nor mal blood pressure now, 79 kgs and 1.82, no cholesterol problems. But chest pain and shortness of breath while cycling and walking at a brisk pace. ECG shows a slight abnormality in the left ventricle. Angiogram shows a minor obstruction (20%) of some artery, otherwise it looked very healthy according to the doctor. A lung ct scan revealed an ascending aorta of 4.7 cms. Could that be the cause of the chest pain and shortness of breath. What to do. I feel im too young to just give up on all sport activities, especially the bicycle.
What if the patient has a moderately dilated AR And a severly dilated left atrium...in general would surgery be suggested. 60 yo male with some genetic history
I appreciate the question. There are many more details that I would need answered before making a final recommendations but a moderately dilated AR (aortic root) and severely dilated left atrium would most likely force surgical intervention. Please see a cardiothoracic surgeon for advice.
Hello dr. I was diagnosed with 3.5 ascending aneurysm this week. Very scared. NL BP slight elevated cholesterol and stopped drinking twice a week and smoking a pack a month. 52 yo. Since I’ve changed my lifestyle and watch saturated fats and exercise daily , could this prevent growth of this monster ? I think the alcohol and smokes is what caused it . Thank you for your time
Hi, Sorry for the delay in responding. Isolated Aortic arch aneurysms are relatively rare however in the proper surgical hands, there are very good surgical outcomes. Please do your research or ask your medical professionals. Good luck.
Greetings I am 42 and have BAV and ascending Aortic Aneurysm. My Aneurysm is at 46mm. What are the recommended size for a repair operation for my situation. What about my life style, I have two small kids, can I carry them and play with them? Thank you
Sorry for the delay in responding. First, the recommended size for repair is still 5.5cm unless you are having open heart surgery for some other reason and then I would repair it then. Second, I would strongly recommend aggressive blood pressure control. Third, get a well experienced heart surgeon who specializes in aortic surgery to follow along. Fourth, I hope you never need the surgery however you are so young if you live another 40 years, the aneurysm could get bigger. Finally, you can lift and play with your kids. I would stay away from power weight lifting. Don't live as though you have to greatly alter your lifestyle. Most importantly, keep your blood pressure controlled. Good luck!
I have LBBB for nearly 6 years, I always have high blood pressure for last 30-40 years and diabetes for last 17 years. Last months got noted that o have a mild ascending aorta aneurysm of 3.8cm . Recently lost 35 lb and diabetes nearly gone , high blood pressure drop as well…. How risky I am ?
Hi, I appreciate your question. You are at very low risk given your ascending aorta is very small at 3.8cm. Please keep your blood pressure well controlled and have your aneurysm followed by a medical professional.
Please can you tell me if my husband who has a 5cm asending aneurysm just found out, moderate aortic stenosis and bicuspid valve can be operated on? History of submarachroid hemorage small TIA and severe c.o.p d , its not looking hopeful 😢
Hi, I appreciate the question. First, as of right now, your husband does not have an indication to have surgery now. His 5cm aneurysm doesn't meet the 5.5cm aneurysm. His moderate aortic stenosis does not meet criteria for surgery. Now, his bicuspid aortic valve does put him at a higher risk of the aneurysm growing and potentially an aortic dissection. I would STRONGLY recommend that your husband gets seen by a very experienced cardiac surgeon. The subarachnoid hemorrhage puts him at a higher risk for intracranial bleed but if there is enough time between the diagnosis and surgery, the risks goes down. The severe COPD is another concern for possibly not extubating after surgery. Your husband needs several consultants (Neurologists, Pulmonologist, cardiac surgeon) to optimize his condition and make him a better candidate for surgery. I would not give up on your husband. Finally, I would ask your husband to please speak to his doctor and get the consults that you need. Please contact me directly through my website for referrals for experienced cardiac surgeons in your area.
Last year I was found to have an ascending aorta aneurysm of 4.5 cm and bicuspid aortic valve. Cardiologist did not seem concerned. Yet by what you are saying I am at high risk for rupture ~ I will be seeing a new cardiologist in July and get a second opinion. Thank you for your informational video. One question: " Is there a risk to fly long distance with this condition?"
I sincerely apologize for the delay in responding. First, there is no issue or risk with flying with an aneurysm. Second, to address your question. As long as your bicuspid valve is functioning well, I would not electively replace your aortic valve or aneurysm. If your aortic valve however was not working well, which most likely would be aortic valve stenosis, then if you had surgery, the treatment would be an aortic valve replacement and aneurysm repair. I apologize for not being more clear but you wouldn't replace the bicuspid valve if its working. I also wouldn't just fix the aneurysm at 4.5cm. If the aneurysm does starting increasing in size, especially greater than 5cm, I would at a minimum see a heart surgeon. I would make sure that your aortic valve and aneurysm are being checked yearly with an echocardiogram and CT scan of the chest.
Hi, you have some very good questions. I personally don't know the exact numbers but in my personal experience aneurysms are more common in men than women. At 4.1cm, your aneurysm is very small. At that size you would only need monitoring and no surgery. Regarding your question, most aneurysms can be formed by a (1) genetic cause, (2) high blood pressure, or possibly bad luck. These are the reasons that all patients get aneurysms not just women.
I just had this proceedure performed almost 3 weeks ago. I feel like it saved my life. I was at 4.8cm but also have afib. I'm currently recovering and feel great. Im looking forward to returning back to my active lifestyle after another 6-8 weeks. If you have an ascending aortic aneurysm please don't hesitate to get a second opinion if youre not getting the answers that you want! Please go to a highly qualified facility and research you surgeons as well! I feel like I had one of the best surgeons in this country and my proceedure was at one of the top hospitals in the country! Wishing you all a speedy recovery and thank you for putting on a great video and explaining the proceedure so simply!
Thanks for the comments and I'm glad that you've done well.
I had it and the arch done in Apr of 2021 at MUSC. My aneurysm was 14.99cm when it was taken out!!
@@clemsonbloke 14.99cm??? Did I read that right?
@@dwightkeen5160 Yes Sir!
@@clemsonbloke Sounds like everything went well. I'm happy for you. Good Luck with the rest of your recovery.
I would love a Cardiologist like him. He is amazing @ explaining all of this.
@@nickawilliams5175 I know! Me too!
I am 61, healthy, with a aortic root dia at 3.8cm, but I was told, for me, I am simply on the "outer limits of normal". This was pointed out to me from a CT scan a got to get my calcium score (which is at 0!) At just 3.8cm, was told this is NOT an aneurysm, simply mildly dilated. This was confirmed with a follow up CT scan 1 year later showing it is stable and not growing. Just had a echo last week and after 7 1/2 years, still at 3.8cm. blood pressure is normal (115/76). Was told I should not have any worries long term, but will follow with echo every 3 years or so just to be safe!
I think you got good advice and I'm glad that the aneurysm is not growing.
I am very impressed with this explanation. His calm demeanor and voice level gave me assurance that - despite his warning of risks - this surgery can be very successful. Than you!
My ascending aorta is at 4.5cm and it was just discovered, so it may stay that way forever but there's a decent chance I'll need this surgery some day. I appreciate that there's info out here that seems trustworthy and thorough. This is probably the most thorough description I've come across.
Thank you very much. Please make sure you keep your blood pressure controlled. Good luck.
They sometimes stay at the same number for a few years, little here little there. Be well
Hi doc!! Happy holidays!! First! And guess what?! IM ALIVE! Dr. Grimm saved my life, he truly is outstanding. 14 hours and much worse than we could see on the scans. My tricuspid valve poked a hole in my heart and was bleeding he said I would have been dead in 2 days max if I didn't make it to surgery on Nov. 11. He could look into my aortic valve and actually see my tricuspid through it and apparently your not suppose to be able to do that. I'm so grateful, 9 days in the hospital and I'm home recovering now. I put a 1.5 years worth of work into all leading up for surgery to be at the healthiest I could be and it paid off. GOD IS SO GOOD!! just wanted to let you know. And if anyone else going through similar things I'd be happy to listen or share what I went through. Stay brave my friends. Life is magical.
Great news!. Very happy for you.
Hi Doctor
I discovered my ascending aorta being at 5.4 cm about 10 years ago. I am tall and big about 125kg.
My aorta diameter today is 5.5 they say..stable for a long time. My age 73yo, relatively healthy. Should i walk into operation?
My Ascending Aortic Aneurysm was 5.8 when I had graft repair. I was initially told to wait until 6. So glad I had I had 2nd opinion. Don’t be afraid to get 2nd or 3rd opinions. It is your life!
Mine is 5.0 as of yesterday. Will see
Next week I have no symptoms on a strong athlete. Did you feel any pain or why did you have it? Thank you for your answer and help.
@@azrak555 I had no pain at all. My aneurysm was found by accident while getting a CT on a completely unrelated health issue. Best of luck!
I forgot to ask you, was it an open heart surgery or EVAR? Thanks again.
@@azrak555 open heart. did a valve repair as well.
Thank you Doctor Anthony Lemaire for a thorough explanation on how to repair an ascending aortic aneurysm.
Thank you for the nice comments. My pleasure.
I find it amazing that you know how to do this type of surgery. You take the heart out, put it in a heart lung machine and do surgery on it and put it back in the patient. Dr. you are an amazing person. I thank God for you. God has given you an amazing talent. Thank you for taking time to explain this. God bless you.
I appreciate the comments.
@@cardiacsurgerypatienteduca2445 Yes, these men are doing God's work! I love you Doctor, I love all you guys that do this stuff! I had a 15cm ascending aortic Aneurysm!! Talk about the "Widow Maker" as people have said! I am feeling good, Dr. Sanford Zeigler did my surgery and I thank God for him because he saved my life! I wonder if you have ever talked to him? He is very humble Surgeon and that really eased me when I had mine done. I had it done down at MUSC (Medical University of South Carolina). Well sir this video is excellent and I enjoyed it. Take care and God Bless you sir!
Incredible explanation. My friend just had a pulmonary aneurysm. I’m thanking God for his recovery. When you watch the video, you see he just overcame a lot. 🙏
Outstanding explanation, thank you very much for taking the time to make this video for the public viewing.
Thank you so much for the through explanation. My ascending Aorta is at 4.3cm and I worry about a rupture later in life. I am an active 54 year old male in great shape. My half brother had his rupture and he survived it. My doctor is monitoring the anurism annually. So far, it has not grown any larger in the past few years. I am currently on Metoprolol to slow my heart rate. Thanks again.
Glad to hear you are doing well. Keep your blood pressure controlled. Good Luck!
Are beta blockers the drug of choice or ARBs? I come through a lot of mixed literature
I have been complaining about feeling unwell, palpations, high heart rate, chest pains. Well something happened to me to where i almost passed out the other day at work. I was taken to the ER and the doctor told me i had mild prominence of ascending aorta. Apparently it has been seen on previous x-rays but i was never told that was what it was. The doctors always say that they have seen something but it is nothing to worry about. So apparently ive been living with this for some years and feeling crappy for a while. So Monday i make an appointment with a cardiologist. I am a 52 year old female and i am scared.
Thank you for thoroughly explaining the issue and the solution.
Hi, sorry for the delay. I'm glad they found the aneurysm. I hope the cardiologist explained that the aneurysm is not causing your symptoms. Please make sure your cardiologist refers you to a Cardiac surgeon as well. Good luck
I'm at 5.1 and having my ascending aortic aneurysm repaired in May along with a MV repair and ablation for Afib.. This video helped me understand what I'll be going through. Thanks..
I am 59 yrs old with high blood presssure. I am also under lots of stress, fear and anxiety. Mine was discoverd after admitting for high blood pressure. Its at 4.3cm. the doctors told me, i dont need to worry about it now. But, with high blood pressure, anxiety and every day life in general, how could you not? These are symptoms that can exceed the growth. Everyone in here who has gone through this disease and has revovered! May god continue with his blessings on you. Everyone who is currently facing to deal with it, lets continue to pray and have hope that YOU too, will be ok.
Just keep an eye out and try to find the best cardiologist to monitor it. When surgery time comes, pray for your recovery. God does answer prayers🙏
Thank you for the great comments.
I was born with a bicuspid aortic valve and on 6/16/22 I had my ascending aorta and aortic valve replaced. It was brutal. Good luck to anyone needing surgery, you can do it!
My brother-in-law just had surgery for ascending aortic aneurysm. The doctor said their was complications when they started to attach the aorta to the valve. He said it started to tear like tissue paper causing them to have to replace the valve. I don’t understand how they didn’t know ahead of time that he had such thin tissue. The surgery took longer than expected resulting in his right side of heart not functioning. They put him on an Ecmo machine. It’s been two weeks and he hasn’t woke up yet. The doctors say that it’s because his kidneys failed and his liver function is getting worse, therefore the sedatives may still be in his system. They are giving him a slim chance to recover.
Thank you! It’s been depressing stressing crying my eyeballs kind of thing. Thanks for the encouragement really helps god bless.
God will give new heart
I'm going to get this next week, I'm 19 😢
My husband had to have this surgery soon . This really explains it well.
Great video ! Well done ! Thanks 🎉
Best explanation to date thank you 🙏🏽
Thank you for explaining this. My dad just had his aortic aneurysm fixed and had to be put on bypass to repair the leaking aneurysm. His was at 5.2 cm. I’m guessing his was part of the descending part of his aorta; as the surgeon stated he fixed the short part of the candy cane. Thank you so much for explaining this more in detail.
Sounds like he is doing well. Great to Hear!
@@cardiacsurgerypatienteduca2445 he’s doing very well for the risk and the 50/50 mortality rate he had coming out of it. It’s just dealing with the aFib now. He had surgery Thursday and should be coming home in a day or two.
Thanks Doc.... 63 y.o. ...Just clocked a 4.3 and thank God we like in the 3rd millennium!! June will get more details... Also I have a lot ... A LOT ... Of friend who got heart attacks while bench pressing .. ironically, I couldn't bench lately because of a pinched nerve in right shoulder...
Take care and thanks to all for giving me a little comfort for available options .. 😊
Hi Dr. Lemaire: My aneurysm was found by accident in 2018 when I had a cardiac CT done after an episode of chest pain. (I had a chest CT in 2015 for something else and the aneurysm wasn't there.) My Ct was negative, all coronaries wide open, but they found the aneurysm. I've had a couple of echos and cardiac CT's done over the last 3-4 years and it has grown from 3.7cm to 4.5cm (this July). I recently started taking BP medication as bp was elevated. Currently on Losartan 50mg, checking BP every day, going to see my cardiologist on 10/3. I'm 70.
My aneurysm is in the area of the sinus of Valsalva. I live in a small mountain town, about 1 hr from a big city. I'm a former cardiac nurse, and as far as I know, there are no surgeons nearby who frequently do these types of aneurysms, esp. in the area I have it. For me to have surgery, I'll probably need to go to Los Angeles. My question is at this point, should I have a consult with a cardiac surgeon? Would it be beneficial to me to start seeing a surgeon now in case it gets larger, or I develop issues?
Thank you!
Hi, sorry for the delay in responding. I would advise that you meet with a cardiac surgeon now for several reasons. First, it's always better to establish a relationship with a person who may potentially operate on you. Second, it will allow you time to determine if you trust the surgeon and like him/her. Third, it will give you time to discuss the long-term plan (surgical options). At 4.5cm, an aortic root aneurysm, which is what it sounds like you have, you don't need surgery right now. I suspect if your aortic valve is working fine, you won't need surgery until the aortic root gets over 5cm. Now, if your aortic valve starts to leak (aka aortic valve regurgitation) you may need the surgery sooner. There are very good aortic surgeons in LA. If you need a recommendation, contact me directly at www.cardiacsurgerypatienteducation.com. I suspect your cardiologist knows good cardiac surgeons as well. Good Luck.
Well described. Thank you. One year + since my unforseen dissection requiring emergency surgery. Life is short. Life is good.
Glad you are doing well. Please make sure your family members update their personal doctors. Aortic issues run in the family.
Thank you for this very informative video Dr. Lemaire. My G.P just scheduled for the scan. I have to admit I was a little worried at first, but after watching your video I feel much better about it. You have done a great service with this video. Thank you for being so professional, informative, and for speaking on a level that a layman, like me, can understand.
I appreciate the comments. Good luck with everything.
Very interesting program, with great explanations, thanks Doc.
I just had a CT yesterday for a lung cancer screening and they discovered that I have an ascending aortic aneurysm that is 4.8 cm. I'll be receiving a referral for a cardiac specialist but I wanted to do a little googling to find out more and came across this video. Thank you for explaining it so clearly and concisely. You're quite good at this.
Thank you for the nice comments. Keep your blood pressure controlled and get a well experienced cardiac surgeon who specializes in aortic surgery to follow you. Hopefully with good blood pressure control, it doesn't grow. Good luck!
I had the bental procedure 18 months ago , I had a bicuspid valve which was replaced by a mechanical valve and new ascending aorta fitted because of an aneurysm , I have found recovery tough but was so glad to have this done , my symptoms were breathlessness and mild chest pains , I was struggling for air after activities.
Congratulations on your recovery and I'm glad that surgery went well.
@@cardiacsurgerypatienteduca2445 Many thanks and Happy New year to you.
Hi Dave, glad that you are recovering well. Im 49 yo, I have bicuspid valve and aortic aneurysm too at 4.9cm. Was your surgery done to rectify both issues at one go or it was done separately? Wishing you best of health.
@@syamharris I had both done in the same procedure ( Bentall procedure) I had severe aortic stenosis and my aneurysm was 5.5 cm. I am now taking warfarin for life because of the mechanical valve and have found no issues with this and I am 62 yrs old. My son had Aortic valve stenosis when he was a child and had open heart surgery at age 7 , fortunately he didn’t need a valve replacement and he’s now a very fit at 33 yrs old. I hope all goes well with you and try to stay positive, take care and if I can help in any way just ask a question 👍
Very informative lecture and easy to understand . I wish he were here where we are!
Thank you for explaining this so well.
Very Clear and understandable. My Wife is going to have this done.Thank You!
I am a premed shadowing, I am studying so I can impress the docs and be informed for this procedure. Thanks for the info and great explanations!
Bravo Dr., Lemaire, you explained this very well, and much more thorough and informative 6 minutes than many others I watched prior to finding your tutorial. Guess I'm in the same boat and awaiting a surgeons consult after a recent CT scan. Thank you for providing this and answering so many questions from the audience. I had hoped this was not a major surgery but obviously it is not. Oh well, damn the torpedo's... after a second opinion of course.
Hi, I'm sure you will do well. I want to be clear if done by a surgeon who does this all the time, the surgical risk are low. Please get a second opinion but also get an experienced surgeon. I'm sure you will do well. Good Luck!
@Cardiac Surgery Patient Education Where are you located? And how much does a ultrasound or CT Scan cost, cash out of pocket, no insurance? For an Abdominal Aortic Aneurysm?
Read ALL your comments Dr.
Very informative, reassuring.
You are so caring & compassionate to answer all these questions!
Thank You for the heads up!!
Brilliantly explained. Sharp doctor. 🧠
Thank you for the kind comments.
Excellent description, doctor. My ascending aortic aneurysm is at 4.8 cm. It grew from 4.6 to 4.8 cm in one year and I'm 67 years old, in very good athletic shape. I'm going in for a CT scan on 4/3/23. Seven months ago my ascending aorta was at 4.8 cm. I am planning on an Atlantic passage with my sailboat, so this heart issue is definitely a problem. I just want to get the surgery over with as it has grown from 4.4 cm to 4.8 cm in less than two years.
Hi, I completely understand your concerns and the desire to get this taken care of ASAP. I have had patients who requested the surgery before 5.5cm however never before 5cm. I'll defer to you and your doctors. I strongly recommend that you select a cardiac surgeon who does this all the time. Good Luck!
@@cardiacsurgerypatienteduca2445 what is the normal rate of change? Mine went from 4 to 4.5 in 5 years (age 53 and now age 58). Is that slow, normal, or accelerated? This news is less than two old for me, I'm still a bit rocked by it.
Thank you Doctor! Very informative!
Excellent - thank you for explaining the basics so well.
Great video. Succinct and easy to follow. Thank you!
Im 42 i need this done and severe aortic valve replacement. Ill find out the game plan from doctors this thursday. Sure ill be fine im a big optimist. Just want it done and over with. Thanks for video good to get a idea of whats happening. update: I got a surgery date im excited nov 12th is gonna be done. These symptoms are so bad. Shortness of breath now coughing. Pain in stomach.
Good Luck! I'm sure you will do fine. In experience hands, the risk are relatively low.
Thankyou for this
I have a 5.5 cent aneurysm and currently waiting for an app to discuss when an op will be done.
Mine is thoracic
Also have an abdonimal one which is 3cm and are goong to monitor.
Your explanation was extremely informative and easy to undestand.
For that i thankyou so very much.
I appreciate your comments. I would definitely speak with a Cardiothoracic surgeon soon who is very experienced in this surgery. You meet the requirements for surgery right now. The success rate of the surgery electively is very high in comparison to if the aneurysm ruptures. Good Luck!
Thank you for such a clear explanation.
Thank you Doc for awesome, informative video🙏🏽🙏🏽
My primary physician suggested that I get an ultrasound of my heart at age 66. No symptoms but she felt that my continued vigorous workouts could contribute to a dilation as the expanding ascending aorta gets less supple with age and may gradually expand.
That saved my life. Dilation was very significant, and, on first annual follow-up, the subsequent ultrasound showed that a dissection of the inner wall had occurred but had clotted. ‘had the repair on an expedited basis a week later. Doing great 3 yrs post-op.
So discuss getting an ultrasound, even if asymptomatic, with your primary.
I'm glad that everything worked out for you!
Wow! Great tutorial, I want you for my 4.7cm TAA that was discovered during my knee surgery pre-op. Waiting for the next echocardiogram to see if it's progressing; hopefully not! Enough about me; you have a great speaking talent and articulation!
Thank you for the comments. I hope your aneurysm never grows and you don't require surgery. Keep your blood pressure well controlled. Make sure you have a cardiologist and heart surgeon seeing you at minimum annually. Take care.
THANKYOU!
@@cardiacsurgerypatienteduca2445
how much will losing weight help to prevent growth from from occurring and/or worsening the situation? I noted that you mentioned lowering HBP as well . I’m starting to take away meat from my diet as well
@@dwillmayne5516 Thanks for the question. Losing weight could contribute to lowering your blood pressure and that will improve the situation. The critical aspect is keeping your blood pressure controlled. Personally anything that will overall improve your health will improve the situation.
What an excellent video and lecture. I have one of these AAA and it’s being regularly checked. Thank you Doc for the explanation, I’ve learned a lot.
Thank you for this very informative video.🙏🏼❤️
My ascending aorta aneurysm is 4.5cm. It was discovered pre-operation for bile duct cancer resection in July 2019.
Multiple CT scans for oncology treatment show no increase in size since original diagnosis.
I guess I'm lucky to be cancer free for 4.5 years as well as the aneurysm not enlarging! 😊
You definitely are fortunate. Congratulations on both. Take care!
I'm exactly one month shy of my 9th REbirthday,; 8 years and 11 months ago, I had the triple-A repaired with a metallic device, including a metallic valve. Because of this new hardware, I am on a very high dose of blood thinner medication. The aneurysm was dangerous enough to have caused a thoracoabdominal dissection, going from my heart all the way down to my right femoral artery; luckily, it did not "leak" and the blood stayed in the aorta... but it IS a residual dissection that is still in its altered state. The surgeons said that they did not even attempt to repair the dissection because it would have extended the emergency surgery that took eight-plus hours to repair the aneurysm and would have killed me. So, I live - somewhat precariously and often doubtful - with the residual dissection. By the way, John Ritter and Alan Thicke both died of aortic dissections just hours after experiencing the extremely painful and ultimately final symptoms.
I’m having a procedure soon . Thank you
Good Luck!
Thank you for the super clear explanations!
Huh. My father in law just had a AAA repair yesterday, and this video is in my feed.
Thank You Dr Lemaire. I found your video fascinating and informative.
I've been advised that I have a small leakage in my A valve (not fully closing!) I'm reluctant to have surgery. Some years ago, I attended two bypass operations at different hospitals (on the same day) and actually held a heart in my hand during one procedure. It was the most amazing day of my life - thus far and excluding my wedding.... On both I was suited and booted.
I've been wondering if, with today's science and technology, we may be able to effect a repair without surgery. Probably not but a rotary saw opening up my chest seems archaic and invasive.
I guess for now I'll live with it.
Thank you again.
John Carroll (jayceemusic)
Hi John,
Thank you for your comments. If you were told, you have a small aortic valve leak, its' possible you may never have to have surgery. If you do require surgery there are multiple less invasive options to address your aortic valve issue. First, there are minimally invasive surgery (thoracotomy and not sternotomy). The incisions are smaller. Second, there are percutaneous options in development for the repair of the aortic valve or replacement but this will not be available for a few years. Finally, I understand why you are concerned about traditional surgery with your chest being opened, however the outcomes of these procedures are very good. Patients have been having open heart surgery for decades and the results in the correct hands are excellent. Good Luck!
My cardiologist never explained to me what this Dr. is doing in this video. There should be a law for all cardiologist to explain to their patients what is Ascending Aorta Aneurysm and its consequences because life or death matters.
I wish you the best.
Very good at explaining everthing
I had this done at Yale in 2020. Aortic valve was repaired too.
Mine was found incidentally when CT done for pulmonary embolism- that was 7 years ago at age 47. I have no family history and never had high blood pressure. Each year CT is done and it has remained stable at 4.3. Hopefully never need surgery!
thank you for your inforantion this procedure.
Great explanation
Best explanation I’ve heard. Clear anatomical description and function of the heart & aorta. Easy to visualize and understand. Realistic. Thank you Dr so much! What is your name?
Thank you for the kind words.
70 yr old, I've been diagnosed with an Aortic Aneurysm. Had a CT Scan a week ago and will get my results in two days. I have also have Permanent AFIB and Heart Failure, so this new diagnosis is quite concerning for me. I can't go thru a day, that this "bubble" isn't on my mind.
I appreciate your concern and I understand it. Please see a cardiac surgeon and maintain your blood pressure control.
thankyou you were so easy to understand
Our daughter has Turner’s syndrome and has a bicuspid aortic valve. Her aorta was perfect until we put her on Norditropin (growth hormone) and it was discovered after a year that she had a mild aneurysm. It was written off that it had anything to do with the GH. We continued using them. At her echocardiogram a year later they said it went from mild to moderate. Still rejected the idea that Norditropin had anything to do with it and they highly recommended continuing using it. Finally, due to a global shortage we opted to quit using it and at her last echo it was recommended that she have a sedated cardiac MRI because her aorta looked different. I am confident there is a correlation, as now her Z-score is 5.29 and the aneurysm is classified as “severe”, per the radiologist’s analysis. Our cardiologist has yet to return our calls or schedule anything, even to review the results. To go from mild to severe in a pediatric patient with normal BP seems frightening and that surgical repair is imminent. How would you recommend we proceed?
I should add that she is just 8.5 years old.
Fantastic and easy to follow presentation for the average patient such as myself. I am not a Marfan patient. My genetic connective issue is ehlers danlos. Thanks .
Thanks for the comments.
@@cardiacsurgerypatienteduca2445 Can a Stent Graft be installed into the ascending aorta instead of the above surgical repair?
Great explanation. Thank you!
I am at 4.7 cm. I have got zero good advice besides this video. If you are ready to rock this surgery I feel ready!
I appreciate the comments. Unless you have a special situation, you don't need the surgery at this time. Good Luck!
I had surgery in March to repair my aorta type a dissection.
Thank you for your explanation. My brother is going to have op in November. His AAA is in his tummy.😢
Hi, the surgery for a AAA in the abdomen is significantly less risky especially if it can be done with an endovascular stent. Good Luck
I have one, it was found 2 years ago when I had a massive heart attack, they had to put a stent in my RCA and found it then, it was 3.9, have not had it checked since, but I do have an upcoming appt to do just that.. Never have any pain... My mom had one too, almost the same size and hers never grew past 3.9 and she lived to be 83 years old and died from sepsis..
Hi, sorry for the delay in responding. I'm glad that your mom's aneurysm never grew more than 3.9cm. I would strongly recommend that you keep your blood pressure controlled, follow with a Cardiothoracic surgeon, and a cardiologist. Good Luck!
Very good explanation I actually have aortic ascending aneurism very big ! But I was told that it would be risky to be operated I could be paralyse ! So I decided to reject any operation and see what will happen ! So far I am ok but not perfect ! I believe that only GOD can save me !
Dr Anthony, thank you for a very clear explanation for us laypersons. I’m 63, had CAC done in March of 2023 with a score of 4.76, however an asc aortic aneurysm was found that was 4.2cm. My cardiologist did not say anything to me! And I happen to be going through my report from 2023 a couple of weeks ago when I found the AAA result!!!
I have been on keto diet for about one year and I decided to get another CAC which I had two weeks ago. My CAC score is now 15 but the AAA is 4.1cm. 0.1cm smaller that last year.
I don’t have insurance and tight on finances, so I want to ask you if I should worry about my AAA at 4.1cm?
I’d really appreciate your feedback!!!!!
Thank you very much!!!
I appreciate the question. I would state that an ascending aortic aneurysm of 4.1 or 4.2cm will most likely not grow to the 5.5cm however, it still needs to be monitored. By the way, aneurysms don't get smaller so the 4.1cm that was just pointed out is most likely a variable based on the person reading the CT scan. Radiologists can measure the same CT scan differently. Either way continue to monitor. Keep your blood pressure controlled.
Hi. Thanks for the video. İ have a bicuspid aortic valve and 4.85 aorta. Can it be by minimal invasiv procedure?
Sorry for the delay in responding. Yes, this surgery can be done minimally invasively. Please look into doctors in your area that can do that. You may have to go to a center that is a little farther from where you live. Take care.
Hi Dr!
I want to congratulate you for the clear and helpful explanation for this condition. I my mom just had this surgery at some hours ago and there is some blood leakage coming out, it could be coming from the chest pressure from the process of wake up. She is still out. Is this abnormal?
This week I was diagnosed with an ascending aorta aneurysm, 4.2. I am curious if anyone has had this type of aneurysm repaired using a minimally invasive procedure?
Hi, I apologize for the delay in responding. There are certain surgeons that can perform this operation through a minimally invasive approach. Hopefully you will never need the operation. At 4.2 cm that is a small aneurysm . I would strongly recommend keeping your blood pressure controlled, and get a referral to a cardiac surgeon. Good Luck!
Me too🎱
Hi thank you for a great explanation.
I am a male 59 , lifting weights for 27 years.
Had 2 Stan's.my aorta is 4.5 c"m , can I lift any weights, o I have to stop? I am 6.2 at 220 lb
Hi, sorry for the delay in responding. I will refer you to your cardiologist, however, I will say that if your aneurysm is not growing and you are lifting weights but not Power lifting, you should be able to do it. I would state that there is always a potential for aortic rupture with high intensity work outs though. This is a controversial topic that I would review with your cardiologist and cardiac surgeon. I apologize for deferring to your doctors but this is a controversial topic.
Great information! I’m a watch and wait patient that my GP sends me once a year for Ct scan. It has remained at 4.1 for 5 consecutive years. I’m 59. Should surgery be an option now still? Man it does cause a little anxiety knowing it’s there. My A1c is 5.9 so type 2 is controlled with metformin and good diet. Anything else I can do??
Sorry for the delay in responding. I don't think the aneurysm will grow much. The fact that it hasn't grow in 5 years is a good sign. The best you could do is keep your blood pressure controlled. Also, continue to follow the aneurysm with annual CT scans. Btw, 4.1cm is considered small.
@@cardiacsurgerypatienteduca2445
Thank you so much for your answer I really appreciate it. The way you explain things is very helpful and informative 👍🏼I have another quick question for you if you’re ok with another one :-)
I’ve read that CIPRO should not be taken with aneurysm is that true?? I was a little concerned because my GP gave me CIPRO for a UTI a couple months ago 😳
Thank for this well informative video. I am at 4.4x 4.5 and I cough all the time. The cough is so bad it wears me out. I have seen every doctor ENT, Lung, allergist. Will Ascending Aortic Aneurysm cause a cough?
I'm sorry your dealing with the cough. Its unusual for an aneurysm to cause a cough unless it was extremely large and perhaps irritating surrounding structures. The size of your aneurysm doesn't seem that big. If you really believe its the aneurysm then get a CT scan chest with contrast and have the radiologist determine if the aneurysm is compressing any structures. Good luck!
My brother had a 5.1cm aortic aneurysm at the root area that dissected and he died. Since there is some family history of this, I had been found to have a 4.6cm aneurysm at the root area and they suggested I get it fixed. Always wondered if we jumped the gun there, but it is done. Being an active person, ever since operation I get an uneasy pain or pressure in the chest and back when my heart rate peaks during exercise, this always happens. Stress tests, etc, have been ok. Ever hear of this effect? When hiking with friends I seem to be last one up hill, am 62. I always wonder if this is just some residual pain due to clamshell effect of having chest opened.
Sorry for the delay in responding. I personally think that operating at 4.6cm is a little early however since your brother died, I can understand why it was recommended that you have surgery earlier than the actual size indication (5.5cm). Regarding the chest pain you're having a lot depends on how long ago was your operation. If its been many years since your surgery, I would be more concerned. Although you had a stress test, sometimes those are wrong (false negative). A cardiac catherization to look at your coronary arteries is the best test. I would speak to your cardiologist about this. I would also go back to your cardiac surgeon to discuss. Good Luck.
How long was your recovery?
@@jamesreeves9740 I had the operation in May of 2013 and by October of that year I was hiking in Yellowstone. Took some time though to get back up to speed on activities.
Are all surgeries for an ascending aorta "open chest' ops or can the same be achieved through entering a vein in the groin?
Great question. There are some ascending aorta surgery can be done percutaneous through the femoral artery NOT VEIN.
Thank you Dr. Lemire. I just found out that I have a 4.5cm ascending Aortic Aneurysm. My brother and sister (in Asia ) also have ascending and descending. I believed this is part our family's gift. Now , I am wondering what kind of Dr. I should look for to monitor my aneurysm in New York. I am 74, live in Nassau Long Island NY. I try not to have surgery, just like my brother he still hanging around there. I need to know how to avoid make it worse, so I can live longer. I appreciate that anyone can share this kind of experience.
Good luck. Keep your blood pressure well controlled and hopefully you could avoid surgery.
I'm 19, next week I'm having an aneurysm + valve replacement surgery😢please wish me luck 🙏
Good Luck!
Im 70 years old, had a life of sport (bicycle racing, with at some point a vo2max of 73), nor mal blood pressure now, 79 kgs and 1.82, no cholesterol problems. But chest pain and shortness of breath while cycling and walking at a brisk pace.
A lung ct scan revealed and ascending aorta of 4.7 cms.
What to do. I feel im too young to just give up on all sport activities, especially the bicycle.
Id be grateful for any advice!
Hi, sorry for the delay in responding. An aneurysm of 4.7cm is most likely NOT causing you to have chest pain and SOB. Aneurysms classically only cause symptoms AFTER they rupture. At 4.7cm, you do NOT meet criteria for surgical intervention. I would STRONGLY recommend talking to your cardiologist to work up the TRUE cause of your symptoms. I would find the true cause of your symptoms before aggressive exercise. Once again, without more information, I see no reason for surgery.
@@cardiacsurgerypatienteduca2445 thanks very much, don't worry about delay. I don't expect instant response! 😏 I've been to the cardiologist a few days ago, he suggested going to better specialist in Bangkok (I'm in Hua Hin, a smaller town).
I don't know about that. Might do that later. In the meantime I'll take up cycling again, see if that will improve the condition. And I'm doing it gently. I'm not going to it like I did in the early 80s. All those years of training and racing have taught me to recognize how my body reacts. Heart and lungs are not the same as legs ...
I record my modest activity on Strava: Freek Faro.
So my 75 yr diabetic father went for CABG + ascending aorta graft so that CABG for triple vessel could get blood but they had to abort ascending aorta graft operation in between as the aorta was highly calcified and they did not risk clamping it. They somehow got the cabg done but now there is some differential of pressure between upper half and lower half of approx 50. What are the risk factors
I'm sorry for the delay in responding. What are the risks or risk factors of what? I apologize but I'm not understanding your question. The risks of the aneurysm is possible rupture, I WOULD STRONGLY RECOMMEND you find a heart surgeon very experienced in aortic surgery just in case your father needs that surgery one day. Good Luck!
yes i like what you said.....
Hola Dr !!!
Im 41 years old, 6feet, 195 pounds and for like 10 years i do a lot of lifting weights, ok my asc aorta was 4cm like 4 years ago, the last echo was a year ago
1.9 cm/m2 he said is the same in size,was a different cardiologist, I ask him and he said is fine,I like to hear your thoughts and maybe helping me in that new measurement.
Many thanks in advance.
New subscriber here !!!
Hi, sorry for the delay in responding. I hope I understand your question correctly. It sounds like your cardiologist thinks that your aorta has not changed in size. I STRONGLY recommend that you ask for and get a CT scan of the chest to look at the size of your ascending aorta. Its a better test than an echo. I would get that test to see the true size of your aorta. Good luck.
@@cardiacsurgerypatienteduca2445 many thanks for your help and attention!!!
Blessings!
I am 70 years old female, I have ascending aorta aneurysm 4.5 decrease to 4.2 in the result of angiogram. I know there is a risk because of my age. I learned from your vlog the procedure and now I am afraid. With my age do you recommend surgery in my case? Thank you for your reply doctor. Your page is very informative.
I apologize for the delay in responding. Aneurysms rarely decrease in size. If your aorta is 4.5cm then there is a very good chance that you will not get to 5.5cm so you should not require surgery. I strongly recommend that you keep your blood pressure controlled and see a CT surgeon. The surgeon will follow the aneurysm will CT scans of the chest yearly. Good Luck!
@@cardiacsurgerypatienteduca2445 Dear doctor, thank you for the reply. I have a cardio vascular doctor. He examined my angiogram and found out that my aneurysm is not even 4.5. It 4 only. I am so happy doctor. You are a good doctor. You responded at once, you are the kind of a doctor who inspire his patient to strive to live and see the lighter side of life. God bless you and more power.
Does it have any cure without surgery?
What vitamin or mineral is good to strenght the aort vessel?
Sorry for the delay in responding. There is no medical cure for an aneurysm. You can treat these medically with blood pressure control but the ultimate treatment is surgical if it gets to the target size. You can always decide to not operate which has its own consequences but this would require a long discussion with the heart surgeon.
Im so scared. Mine has just been recently discovered in 2019 at 4.2cm and they said not to worry we will monitor it, i carried on as normal with the gym etc, each year it remained the same but then this year its gone upto 4.5 im terrified, been reffered to a specialist in that area for a chat and gene testing. I dont want to die and im so scared of this surgery i may need. Im only 42 years old.
Sorry for the delay in responding. I recognize and understand your concerns. First, the increase in size doesn't necessarily mean it will continue. It could stop growing. Second, an elective surgical repair of an aneurysm has a 98% success in a well experienced surgeon. There is no reason you have to die. Research good surgeons. Good luck.
Hi. I'm 51 years old and 6'3" tall with a root of 4.8 cm. I know you don't have a crystal ball, but Is there a possibility I may never have to have surgery, or do all patients eventually reach the 5.5 cm limit given enough time (assuming I live to my 70's-80's)? Thanks for your video by the way. Very informative.
Thank you for the nice comments. As you stated it's difficult to predict but I would say that it's possible that you may not require surgery. There are patients that have no growth in aortic root aneurysms but it will depend on (1) blood pressure control, (2) genetics, and (3) luck. You need aggressive blood pressure management, strict surveillance with CT scans of the chest and echocardiograms, and a consult with a cardiac surgeon who specializes in aortic root surgery. I wish you the best!
Hello doctor. My mother just had surgery for her aortic aneurysm and they put her on life support however a woman put a rod in her arm before she was put to sleep with anesthesia and my mother said it hurt horribly. I do believe this was supposed to be done after she was put to sleep under anesthesia as putting a rod in someone’s arm while not numbing or not asleep would hurt very much. Was this wrong? Also she wasn’t written any preventative antibiotics which now she is running a fever and is to see her doctor in a couple days. I don’t think proper protocol was followed and I would like you to please explain if this is the right way for things to go??
Sorry for the delay in responding. I'm not sure what rod you are referring to. I suspect you mean an IV line? Either way, please review this with your surgeon so that you can get clarification. Good Luck!
Thank you Doctor you explained everything well! My brother has an enlarged aorta and may have to have surgery! I'm scared for him! He has Central sleep Apnea really bad and sleep paralysis also. He has Diabetes which is severe and he's considered a High Risk patient! I'm scared for him.
Hi, please make sure your brother sees an experienced surgeon. Those are important risk factors but an experienced surgeon should get him through it. Good Luck!
My mother got diagnosed with an aortic aneurysm at 43-44 mm! It is stable from the day she discovered it about 4 years ago!im so frightened! She also survived a celebral aneurysm about 10 years ago!her heart is nevertheless healthy!what should we do?
Actually, she doesn't need surgery. Find a cardiologist who will manage her blood pressure and get a cardiac surgeon that is well respected. She doesn't need surgery but should be followed by a surgeon just to be safe. It's VERY IMPORTANT that your mother keep her blood pressure controlled. Good luck!
@@cardiacsurgerypatienteduca2445 oh thank you doxtor for your reply!She has her blood pressure under control! I mean she is on the pill and if it’s reaches above 13,5 and 9 she takes an extra one ! So for the moment she is ok but is this thing a ticking bomb in chest?
Im 70 years old, had a life of sport (bicycle racing, with at some point a vo2max of 73), nor mal blood pressure now, 79 kgs and 1.82, no cholesterol problems. But chest pain and shortness of breath while cycling and walking at a brisk pace.
ECG shows a slight abnormality in the left ventricle. Angiogram shows a minor obstruction (20%) of some artery, otherwise it looked very healthy according to the doctor.
A lung ct scan revealed an ascending aorta of 4.7 cms. Could that be the cause of the chest pain and shortness of breath.
What to do. I feel im too young to just give up on all sport activities, especially the bicycle.
See above
@@cardiacsurgerypatienteduca2445 sorry about the double post. Some error on my part!
What if the patient has a moderately dilated AR And a severly dilated left atrium...in general would surgery be suggested.
60 yo male with some genetic history
I appreciate the question. There are many more details that I would need answered before making a final recommendations but a moderately dilated AR (aortic root) and severely dilated left atrium would most likely force surgical intervention. Please see a cardiothoracic surgeon for advice.
Hello dr. I was diagnosed with 3.5 ascending aneurysm this week. Very scared. NL BP slight elevated cholesterol and stopped drinking twice a week and smoking a pack a month. 52 yo. Since I’ve changed my lifestyle and watch saturated fats and exercise daily , could this prevent growth of this monster ? I think the alcohol and smokes is what caused it . Thank you for your time
A 3.5cm aneurysm is very small. I do not think you will require surgery but continue to have it followed and monitor your blood pressure. Good Luck.
Doctor are aortic arch aneurysm surgeries able to be done and if so is survival rate low ? I hardly see any information on them please help 🙏🏼
Hi, Sorry for the delay in responding. Isolated Aortic arch aneurysms are relatively rare however in the proper surgical hands, there are very good surgical outcomes. Please do your research or ask your medical professionals. Good luck.
Greetings
I am 42 and have BAV and ascending Aortic Aneurysm. My Aneurysm is at 46mm. What are the recommended size for a repair operation for my situation.
What about my life style, I have two small kids, can I carry them and play with them?
Thank you
Sorry for the delay in responding. First, the recommended size for repair is still 5.5cm unless you are having open heart surgery for some other reason and then I would repair it then. Second, I would strongly recommend aggressive blood pressure control. Third, get a well experienced heart surgeon who specializes in aortic surgery to follow along. Fourth, I hope you never need the surgery however you are so young if you live another 40 years, the aneurysm could get bigger. Finally, you can lift and play with your kids. I would stay away from power weight lifting. Don't live as though you have to greatly alter your lifestyle. Most importantly, keep your blood pressure controlled. Good luck!
@@cardiacsurgerypatienteduca2445
Thank You very much
I have LBBB for nearly 6 years, I always have high blood pressure for last 30-40 years and diabetes for last 17 years. Last months got noted that o have a mild ascending aorta aneurysm of 3.8cm . Recently lost 35 lb and diabetes nearly gone , high blood pressure drop as well…. How risky I am ?
Hi, I appreciate your question. You are at very low risk given your ascending aorta is very small at 3.8cm. Please keep your blood pressure well controlled and have your aneurysm followed by a medical professional.
Please can you tell me if my husband who has a 5cm asending aneurysm just found out, moderate aortic stenosis and bicuspid valve can be operated on? History of submarachroid hemorage small TIA and severe c.o.p d , its not looking hopeful 😢
Hi, I appreciate the question. First, as of right now, your husband does not have an indication to have surgery now. His 5cm aneurysm doesn't meet the 5.5cm aneurysm. His moderate aortic stenosis does not meet criteria for surgery. Now, his bicuspid aortic valve does put him at a higher risk of the aneurysm growing and potentially an aortic dissection. I would STRONGLY recommend that your husband gets seen by a very experienced cardiac surgeon. The subarachnoid hemorrhage puts him at a higher risk for intracranial bleed but if there is enough time between the diagnosis and surgery, the risks goes down. The severe COPD is another concern for possibly not extubating after surgery. Your husband needs several consultants (Neurologists, Pulmonologist, cardiac surgeon) to optimize his condition and make him a better candidate for surgery. I would not give up on your husband. Finally, I would ask your husband to please speak to his doctor and get the consults that you need. Please contact me directly through my website for referrals for experienced cardiac surgeons in your area.
Last year I was found to have an ascending aorta aneurysm of 4.5 cm and bicuspid aortic valve. Cardiologist did not seem concerned. Yet by what you are saying I am at high risk for rupture ~ I will be seeing a new cardiologist in July and get a second opinion. Thank you for your informational video. One question: " Is there a risk to fly long distance with this condition?"
I sincerely apologize for the delay in responding. First, there is no issue or risk with flying with an aneurysm. Second, to address your question. As long as your bicuspid valve is functioning well, I would not electively replace your aortic valve or aneurysm. If your aortic valve however was not working well, which most likely would be aortic valve stenosis, then if you had surgery, the treatment would be an aortic valve replacement and aneurysm repair. I apologize for not being more clear but you wouldn't replace the bicuspid valve if its working. I also wouldn't just fix the aneurysm at 4.5cm. If the aneurysm does starting increasing in size, especially greater than 5cm, I would at a minimum see a heart surgeon. I would make sure that your aortic valve and aneurysm are being checked yearly with an echocardiogram and CT scan of the chest.
Hi there, how did it went
How common is it for a woman to have this issue. My aorta is at 4.1 cm. Why does this happen?
Hi, you have some very good questions. I personally don't know the exact numbers but in my personal experience aneurysms are more common in men than women. At 4.1cm, your aneurysm is very small. At that size you would only need monitoring and no surgery. Regarding your question, most aneurysms can be formed by a (1) genetic cause, (2) high blood pressure, or possibly bad luck. These are the reasons that all patients get aneurysms not just women.