Ascending Aortic Aneurysm Surgery: When To Have Surgery

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  • เผยแพร่เมื่อ 10 มี.ค. 2013
  • There's no simple answer to the question: When can we begin ascending aortic aneurysm surgery? Every person is different. But the simplest way to think about it is, we operate when the risk of surgery is less than the risk of having a rupture or dissection from the aneurysm. In this whiteboard session, Cleveland Clinic's Eric E. Roselli, MD, surgeon in the Department of Thoracic, discusses how they make the decision on when to operate.
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ความคิดเห็น • 196

  • @sheetalpriya82
    @sheetalpriya82 2 ปีที่แล้ว +59

    I had thoracic aortic aneurysm from ascending aorta till proximal descending aorta of size 6.7 cm at very high risk. I developed hoarseness in voice and severe back pain as symptom. I did undergo successful hybrid surgery ( open heart + endovascular) for approx 12 hours . My brain branch arteries of aorta were also partially clogged and they were also bypassed. I had this surgery one month ago and now recovering well🙂.

    • @inversionesconjuan6653
      @inversionesconjuan6653 2 ปีที่แล้ว +5

      I hope you are recovering well, God bless you

    • @sagarkatariya249
      @sagarkatariya249 2 ปีที่แล้ว +3

      Can you share your email contact, my dad has same ascending aortic aneurysm and want some more opinion from you.

    • @cheenapasricha5314
      @cheenapasricha5314 2 ปีที่แล้ว

      R u from India give me your phone no I want to talk about u

    • @sm.663
      @sm.663 2 ปีที่แล้ว +2

      Your age?

    • @krishanaclay7828
      @krishanaclay7828 2 ปีที่แล้ว +3

      Wow you are such a blessing I myself have the same symptoms from my aorta root swelling I am only 35

  • @boledle
    @boledle 4 ปีที่แล้ว +81

    I have an ascending aorta aneurysm that's 5.9 cm. Surgery is early next month. Good luck to me . . .

    • @vladimirmarinov6730
      @vladimirmarinov6730 4 ปีที่แล้ว +6

      Good luck! God bless you!

    • @boledle
      @boledle 4 ปีที่แล้ว +30

      @racketyjack TY. I survived surgery. It was rough at first - op caused a partially collapsed lung. But been on the quick mend since. I am now part Michelin Man (replaced anyerism) and part cyborg (mechanical aortic valve) but still alive.

    • @drvictorious1387
      @drvictorious1387 4 ปีที่แล้ว +2

      Wish you good health dear👍

    • @boledle
      @boledle 4 ปีที่แล้ว +6

      @Crazy Ep I know how you feel; I hated anticipating the surgery. But I'm going on the 6th week now since the bone saw and I"m doing fine. The aneurysm will be replaced by a graft made from a dacron material. I was told it will last 30 - 40 years which, I"m guessing, like you, extends beyond your normal checkout time on earth. Bear in mind this isn't the 1950's when all this was experimental. They've done this tens of thousands of times now. You'll be fine.

    • @Dr_No
      @Dr_No 4 ปีที่แล้ว

      @Crazy Ep Look up personalized external aortic root support (PEARS) procedure.

  • @kathiebrown5186
    @kathiebrown5186 4 ปีที่แล้ว +15

    I also have a 5.8 ascending aortic aneurysm...surgery very soon...good luck to all of us!

    • @amritsubedi5019
      @amritsubedi5019 3 ปีที่แล้ว

      How are you now?

    • @streb6
      @streb6 3 ปีที่แล้ว

      Wish you all the very best sis💪💪❤

    • @inversionesconjuan6653
      @inversionesconjuan6653 2 ปีที่แล้ว

      How are you kathie?

    • @nickjones392
      @nickjones392 ปีที่แล้ว

      Hello, how are you post surgery 2 years later?

  • @yogabrent2138
    @yogabrent2138 6 หลายเดือนก่อน +1

    I’m glad he made this video, it answered all my questions hence saved me a trip from going out there.

  • @MultiMusik4
    @MultiMusik4 9 ปีที่แล้ว +2

    helpful, thanks!

  • @MrGODINTHEMAKING
    @MrGODINTHEMAKING 11 หลายเดือนก่อน +4

    Well mine is a 6.2 cm arising aneurysm and severe aortic stenosis... waiting to speak to surgeon end of the month.... im 42 i want this surgery now like today. But in great spirit now the less 😊.

  • @MN-pu6qx
    @MN-pu6qx ปีที่แล้ว +6

    Exellent video that explains the risks well. However, I was surprised he didn't use a new whiteboard marker for the presentation!!! 😄

    • @davidlo168888
      @davidlo168888 7 หลายเดือนก่อน

      Anerysm can be cleared away by God's mercy nano-medication that's based on
      God created man out of an extract of clay from ground
      If hypertension patient whose systolic pressure can be down from 250 mm Hg to
      120 mm Hg as treated by nano-medication for 2 years, is there any problem to clear away
      aneurysm from aorta?
      Western medication forever can't effectively treat clogged blood vessels because it
      can't deal with oxidized LDL (low density lipoprotein), AGEs (advanced glycation endproducts),
      ALEs (advanced lipoxidation endproducts), oxidative stress, excessive calcium ions,
      etc.
      All glory belongs to God !

  • @crimsonpearl4686
    @crimsonpearl4686 หลายเดือนก่อน

    I am a healthy 61 year old male, with a mildly dilated aortic root of just 3.8cm. However, after adjusting for sex, age, height, weight and body mass, I am told I am simply at the "outer limits of normal". This was 7 1/2 years ago and a CT scan last week is showing all stable and no growth for 7 1/2 years! I was told I should NOT have any worries.

  • @outspoken5808
    @outspoken5808 2 ปีที่แล้ว +7

    I am in my early-mid 20s, when I was 19, I found out that I had an Aortic Root aneurysm. I was born with congenital heart defects and valve insufficiency, but we had no idea about the Aneurysm until my doctor found it during an echo after I was having chest pain (unrelated to the aneurysm, the chest pain was likely from severe stress, but I wanted to be sure, so at least I wouldn't be stressed about the chest pain lol). This doctor, who had performed open-heart surgery on me once before, told me nothing apart from "So you have an aneurysm, it's not a problem right now, and you can still have kids" (I was single, 19, and a college student, so I have no idea where kids came from.) Went a couple of years without having it looked at because I didn't realize how serious it could be and my doctor never said anything else. Got a new doctor who actually cares enough to give me information and is keeping me to regular CTs. I am so thankful that I went in for that echo. No family history, no life-style causes, no diseases, nothing would have made me think twice about my Aorta.

    • @inversionesconjuan6653
      @inversionesconjuan6653 2 ปีที่แล้ว +2

      Hope you are doing well! Do you the measurement?

    • @outspoken5808
      @outspoken5808 2 ปีที่แล้ว +3

      @@inversionesconjuan6653 actually going for a CT this week to see, last measurement was before COVID (couldn't get into the hospital for the CT) but I can't remember what it was then

    • @JS-kz9xl
      @JS-kz9xl ปีที่แล้ว +1

      outspoken, god bless , 2nd have they done any genetics testing for you? I was blindsided 13 years ago AT 1 am Tommorrow am in fact suffered a rupture of the ascending aorta between the heart and the arch. I've learned so much in these years the genetics is important to know what potential problems you may have in the future some issues like Marfans as one example of one of about 35 maybe 40 genetic "markers" depending on where you are located some countries are not really following the same guidelines other want you to believe its so but are questionable at best ... I have MY aorta checked biannually and I have secondary anuerysms behind both knees which were being checked annually until 3 years ago so secondary anuerysms can be a factor in some of us as well purhaps if not now then later down the road (so the check the original and usually look for others early on I had an MRI when i was recovering CT chests and echos for the legs which are less troublesome and simple... if you happen to be so inclined a facebook user search Disection life ..... and also Aorta should bring up numerous groups and even some regional Like UK DOwn under etc Dissection life is most likely the best all around with a number of folks with genetic issues as well good place for answers and peace of mind

    • @vij5951
      @vij5951 2 หลายเดือนก่อน

      Healthy life style can size decrease bro or stop to growth ​@@outspoken5808

  • @Dr_No
    @Dr_No 4 ปีที่แล้ว +10

    Why not offer surgery that keeps the aneurysm from getting any bigger and restricts its growth altogether? The PEARS procedure which is offered in the UK and Australia does just that. It doesn't require a heart-lung machine and there are no incisions to the heart at all. I hope more people learn about PEARS and the FDA finally approves this procedure so US patients can have this done. It's a matter of time when the US finally wakes up and recognises the brilliance, beauty and simplicity of the personalized external aortic root support (PEARS).

    • @hammohamma1444
      @hammohamma1444 3 ปีที่แล้ว

      +21624362939 please private me am very interested to know it

    • @columbusohio72
      @columbusohio72 2 ปีที่แล้ว

      Interesting

    • @Dr_No
      @Dr_No 2 ปีที่แล้ว +1

      @@columbusohio72 The PEARS procedure is not 'open-heart', is relatively short (2h) and does not require lifelong blood-thinners (Warfarin). This procedure is a game -changer when it comes to aneurysms of the ascending aorta.

    • @cliffg4437
      @cliffg4437 8 หลายเดือนก่อน +2

      PEARS is a great advance, and currently treats the aortic root and ascending. There is work being done on extending the support to the arch as well, but yet available, I think. You would need to have an aortic valve with a good prognosis of not needing replacement for other reasons. PEARS won't stop deterioration of the aorta elsewhere, such as the descending, so it's not a panacea, but would help to limit the overall burden of surgery in extensive aortic disease. In my case, as I dissected beneath the left subclavian artery, it wouldn't have saved me, though it could have allowed me to keep my own valve. Horses for courses.

  • @columbusohio72
    @columbusohio72 2 ปีที่แล้ว +2

    Dr Roselli. Funny how we met in the operating room because my surgeon had an emergency the previous night. Lol

  • @ciasarah376
    @ciasarah376 7 ปีที่แล้ว +7

    Thank you for the info I feel better now I have a AAA and it is 5 cm they are doing another ct scan in 6 months but I was scared when they told me it was 5 cm because 2 years ago it was only 2 cm.

  • @bettybartosik7962
    @bettybartosik7962 2 ปีที่แล้ว

    I have a distal aortic aneurysm trying find out more about it

  • @katerinakaterinaki9143
    @katerinakaterinaki9143 4 ปีที่แล้ว +1

    I am female 34 years old with Marfan syndrome .
    I am having mitral valve repair and my aorta root is 3.8cm and aortic valve 1 degree prolapse twenty years now!
    I asked my surgeon to fix both of the problems but he told me is not the right time to fix the aorta before reaches 4.8-5.5 cm !
    I just have to monitor the aneurysm quite often.

    • @osamasarhan6151
      @osamasarhan6151 2 ปีที่แล้ว

      Hello
      How are you doing now adays?
      Any updates

  • @asociatiaademed7417
    @asociatiaademed7417 หลายเดือนก่อน

    All true providing nothing changes in the lifestyle. If exercising, healthy diet, good sleeping - then aneurysm growing is slow.
    Bear in mind that the normal diameter is also a statistic value, that is a median (or average?) value, so evaluation of the growth rate is a better tool to evaluate the risk than the diameter alone.

  • @elbaron51
    @elbaron51 4 ปีที่แล้ว +1

    Hi i have a Aneurysm in my brain it is. Small the doctor said it was to small to do surgery.can I do exercise or do heavy lifting please answer thanks

    • @philyard2221
      @philyard2221 3 ปีที่แล้ว +2

      I have.7.0 cm. Aortic aneurism.to be repaired on the 28th of this month. I'm confident my surgeon is highly gualified to do endovascular repair.that's a stent procedure.takes two to four hours for repair.thanks.for your prayers.and God bless those of us with this problem. Love Phillip.

  • @waynebarrett9681
    @waynebarrett9681 หลายเดือนก่อน

    I have a AAA at 5.4 and are about to have surgery

  • @usmcmsgt5487
    @usmcmsgt5487 6 ปีที่แล้ว +10

    I am told I have this also. I am 49 y/o 5-5" 170lbs currently in the military. I was discovered at 4.6 cm in 2006 and was monitored every 6 months. Recently 2017 Oct it has grown to 5.2 cm. I was told that I should have open heart surgery. Going to see a cardiologist Nov 14th to see what they say. Just by my brief description does it look like I may have this procedure done?

    • @skasztan
      @skasztan 5 ปีที่แล้ว +1

      I know it's been a year since you've posted, but I was wondering how things have gone for you? My aneurysm was discovered by accident in April during an emergency room visit for an unrelated event. I followed up with the Mayo Clinic. Glad I did. I discovered that not all blood pressure meds are the same. Losartan was prescribed because of it's properties which help with the elasticity of the walls of the aorta. Just wanted to pass that along. . . Hope everything is going well for you.

    • @inversionesconjuan6653
      @inversionesconjuan6653 2 ปีที่แล้ว

      How did it go? 🙏🏽

  • @michaelkruz2563
    @michaelkruz2563 2 ปีที่แล้ว +1

    Went to the emergency November 2020 due to falling off a roof and they found a 4.9 aneurysm. The dr who found it said he was checking me in Bc I needed surgery but I left. Came back n the other dr said see a cardiologist. Saw him and wanted to see if it grows. Now that I was supposed to see him 2 weeks ago I’m having issues Bc my insurance. Last week I been having jaw pain and double/blur vision. Is this related?

    • @JS-kz9xl
      @JS-kz9xl ปีที่แล้ว +2

      The fall off the roof was a trauma Your body stopped when it hit the ground However your heart is suspended BY the Aorta and vena cava which is the biggest artery and biggest Vein Causing a tear between the layers of the aorta (an anuerysm) IF this tears through or "RUPTURES" outside the arteries you will bleed to death in minutes to hours MOST likely Minutes The jaw and double vision more then likely are related so , YOU Might be gone already BUT dont mess around go to the ER and ask/Tell them to do an ECHO or CT of the chest and get a good look at the problem survive and sue the insurance company if you die They win and (dont really care either sadly

  • @bartman49
    @bartman49 ปีที่แล้ว +1

    I think the Dr. got his ratio inverted. I've been told my root is almost 6 cm, so an R of 3. Pi x r*2= 3.14 x 9/188= .15 The inverse of that, however, is 6.65, which is in the order of magnitude of the 10 in his example.

    • @chuckhaisley5805
      @chuckhaisley5805 ปีที่แล้ว

      I've seen another video that corrects his mistake...divide by the patient height in meters not centimeters and this is valid. Without complicating factors the ratio may be extended to 10 to 12.

  • @lairthehair
    @lairthehair 11 ปีที่แล้ว +7

    Im at 5.5cm with a bicuspid valve I have to wait for surgery I wonder how long I can last?
    the risk factor being so high Im set up for angiogram so Im in line for the surgery but information on people living with high risk is almost zero Im hoping that the aorta has some tolerance to give me the time i need

    • @donneary7104
      @donneary7104 7 ปีที่แล้ว

      Hey thanks for you comments "Hippy(Bboomer)" I've been dealing with the fear factor myself recently and your words of logic struck home. I just got the result of an Echo done last week. I've got moderate AR of Aortic valve plus mild dilatation of the ascending aorta( 3.9 CM). Also another complication of a moderate dilatation of the aortic root (4.9 CM). Now scheduled for first cardiologist visit next week. In the mean time I've been researching the web. Thanks for giving your personal stats as it gave me a good frame of reference as I am close to your age and size at 70 years old, 6ft, 195 LBs.
      Good luck to you.

    • @Fuccboii69
      @Fuccboii69 5 ปีที่แล้ว

      have you undergone already the surgery?

  • @darylwinn7507
    @darylwinn7507 8 ปีที่แล้ว +3

    I have been diagnosed with an aortic root aneurysm. I receive my medical care from the VA. They check me every 6 months. I am currently at 4.8 cm. There has been no change in the size of the aneurysm for at least 6 months. I am due for another check in December of 2015. I have been told not to worry about surgery because the odds are that I will never have to face surgery. I am a little nervous about this surgery. I was told it is a 6 hour surgery and that kind of worries me. I am also concerned about pain when I wake up and that endotracheal tube in my throat. I know you don't know me and haven't examined me but what is your honest opinion about what I have been told so far. I am a 66 year old male and a 100% DAV. I also have Multiple Myeloma from Agent Orange and Arterioscloratic heart disease. If I have to have this life saving surgery I want to have it done at Cleveland Clinic in Missouri West of St. Louis. Please Reply.

    • @Toyversestore
      @Toyversestore 2 ปีที่แล้ว

      Any update now?

    • @osamasarhan6151
      @osamasarhan6151 2 ปีที่แล้ว

      How are you doing ?

    • @cheenapasricha5314
      @cheenapasricha5314 2 ปีที่แล้ว

      What happened to you next?

    • @davidlo168888
      @davidlo168888 7 หลายเดือนก่อน

      Anerysm can be cleared away by God's mercy nano-medication that's based on
      God created man out of an extract of clay from ground
      If hypertension patient whose systolic pressure can be down from 250 mm Hg to
      120 mm Hg as treated by nano-medication for 2 years, is there any problem to clear away
      aneurysm from aorta?
      Western medication forever can't effectively treat clogged blood vessels because it
      can't deal with oxidized LDL (low density lipoprotein), AGEs (advanced glycation endproducts),
      ALEs (advanced lipoxidation endproducts), oxidative stress, excessive calcium ions,
      etc.
      All glory belongs to God !

  • @maxinedriscoll8059
    @maxinedriscoll8059 11 ปีที่แล้ว +3

    I am an 83 year old female with a Thoracic Ascending Aneurysm of 5.5 or 5.9 cm. (due to difference of opinion). Thoracic surgeons are discouraging me from surgery because of my age. They list complications such as death, kidney failure, stroke, etc. They say chance of rupture is only 20%. Do you agree?

    • @amadeuswolfe7180
      @amadeuswolfe7180 4 ปีที่แล้ว

      are you in pain all? do you feel severe pressure in your chest?

    • @jc1531997
      @jc1531997 4 ปีที่แล้ว +2

      @@amadeuswolfe7180 sadly maxine passed away on may 9, 2014
      RIP maxine

    • @cheenapasricha5314
      @cheenapasricha5314 2 ปีที่แล้ว +1

      @@jc1531997 what was the reason?

    • @jc1531997
      @jc1531997 2 ปีที่แล้ว +2

      @@cheenapasricha5314 I don't know, i googled "Maxine Driscoll obituary" and it said that she died on may 9th 2014 aged 84 at Altru Hospital surrounded by her loving family. Considering she said in her comment that she was 83, it made chronological sense so i concluded that it was her.

    • @cheenapasricha5314
      @cheenapasricha5314 2 ปีที่แล้ว

      @@jc1531997 oh so sad

  • @Gigi-yo1ot
    @Gigi-yo1ot 6 ปีที่แล้ว +1

    I have aneurysmal dilatation measuring 4.2 cm on the right pulmonary and I'm so scare they say for woman is considered to have surgical to be down is that true ? Thank you

    • @reneeb5392
      @reneeb5392 6 ปีที่แล้ว +1

      Gigi my moms is the same way she read her cat scan online she goes in to the doctors on Friday my mom goes to an oncologist because she was diagnosed with lymphoma in 2014 she had developed 2 more on her arm and 1 more on her neck so they did a cat scan with contrast they said if it spread they will do chemo or immunology she read her results it says prominent mid ascending aorta 4.2cm 4 6mm irregular nodules of left lateral base lung and 1 4mm on right upper lung and something about emphysematous. We are both freaking out what has the doc said they are going to do with u? Sry for the long comment i just saw u had a 4.2 cm like my mom and was wondering how you are doing and what treatment they recommended for u? Hope ur doing well.

    • @Gigi-yo1ot
      @Gigi-yo1ot 6 ปีที่แล้ว +3

      Like this doctor say I'm ok at 4.2 ,and I just did a scanner on Friday no change actually this one was 4.0 ,you have to check every years to make sure you're ok,not too panic in any way you can live like that and nothing going to change for very long time so just check it out and if is more than for 5.0 you have to go see a specialist and make the choice if you have to do the surgery,surgery is a big risk but depends so many factors good luck let me know how your mother doing ,I'm 63 years old and is a normal for in general for the aorta to dilatation with age so please don't worry to much

    • @Gigi-yo1ot
      @Gigi-yo1ot 6 ปีที่แล้ว +1

      Renee B I make a appointment whit a specialist vascular surgery and see what he going to say good luck again for your mother

    • @reneeb5392
      @reneeb5392 6 ปีที่แล้ว +1

      Gigi my mom is 65 so u guys are close in age she goes in tomorrow I'll keep u posted.

    • @Gigi-yo1ot
      @Gigi-yo1ot 6 ปีที่แล้ว +1

      Everything going to be ok don't worry ok I would like to give you my email address but not sure if that's is safe here

  • @chikabolita
    @chikabolita 11 ปีที่แล้ว

    @lairthehair what happened?

  • @kimbercraven2674
    @kimbercraven2674 10 ปีที่แล้ว

    I have been diagnosed with thoratic ascending aorta aneurism with aortic regurgitation. My root measures 6cm's wondering if I will b able to work or if filing for disability most effective?

    • @humbleone6405
      @humbleone6405 6 ปีที่แล้ว

      Hippy(Bboomer) same thing in America getting disability is next to impossible here for a thoriac aortic aneurysm, if anyone has had a positive outcome please let's talk. Not having an income because your sick... and waiting for the red tape..might as well be dead

  • @greersaxon1262
    @greersaxon1262 8 ปีที่แล้ว +1

    hello. my mum is 81 and has a abdominal aortic aneurysm. she wants to stop getting checked every 6mths, and let nature take its course. it's her decision right, but is it safe?

  • @d.f.4174
    @d.f.4174 4 ปีที่แล้ว

    My husband died feom an aortic decesion he was in hospital foe 12 hrs and had seen the same cardiologist 30 days prior. Could he have had a chance to live if proper steps were taking in the right time?

    • @darlenespatafore1743
      @darlenespatafore1743 4 ปีที่แล้ว +1

      I am so very sorry for your loss. I was diagnosed with an ascending aortic aneurysm it is 4cm. Are you saying that your late husband was diagnosed with an aortic aneurysm 30 days before it dissected? Because once you are diagnosed with an aortic aneurysm, depending on it's size. You have to get it monitored every year or 6 months depending on it's size.

    • @d.f.4174
      @d.f.4174 4 ปีที่แล้ว +1

      @@darlenespatafore1743 hi thanks so muxh for replying. But No when we went to hospital 30 days prior to his passing the cardiologist said he saw NOTHING

    • @darlenespatafore1743
      @darlenespatafore1743 4 ปีที่แล้ว +1

      @dominque fleming
      I am so very sorry for your loss. My prayers are with you and your family. May I ask what size was the aortic aneurysm?

    • @darlenespatafore1743
      @darlenespatafore1743 4 ปีที่แล้ว +3

      I think you should speak with an attorney. A cat scan would of showed the aneurysm to be at the size of dissection and emergency surgery would of been performed.

    • @philyard2221
      @philyard2221 3 ปีที่แล้ว +1

      That's.probably pretty much true.sorry for your lose. These aneurisms are nothing to take mighty.they are.life threatining

  • @schoolboitoy
    @schoolboitoy 5 ปีที่แล้ว +2

    I am 30 im 5"7 I have a leaky valve and have been told I have Loeys-Dietz and im at about 5.7 cm I know I should have surgery but is this size really that bad please answer I need to know how long I can go without it or should I have it done right away

    • @jc1531997
      @jc1531997 4 ปีที่แล้ว

      Did you have surgery?

    • @schoolboitoy
      @schoolboitoy 4 ปีที่แล้ว +1

      @@jc1531997 yea last year around july I think

    • @jc1531997
      @jc1531997 4 ปีที่แล้ว

      @@schoolboitoy so how did it go? How are you feeling now?

    • @sid.yadavv
      @sid.yadavv 3 ปีที่แล้ว

      @@schoolboitoy ho are u now

    • @klomo13
      @klomo13 3 ปีที่แล้ว

      @@sid.yadavv i want to know too :) how are you doing today, im 30 and have an aortic ascending aneurysm with 48mm, i need surgery soon

  • @4shys2
    @4shys2 3 ปีที่แล้ว +2

    I have ascending and desending . Was told my ascending is 4.8 will have another CTScan in 6months. And a stress testwithin next couple of weeks?? My desending is between. 3.8 and 4. My chest is tender and has pulling pains in between breasts area on my chest ! A bit worried. With Covid -19 a bit more scary !

    • @philyard2221
      @philyard2221 3 ปีที่แล้ว +1

      I well keep.you in.prayer until.they find out what's going with you.god is o.mighty powerfull and well give you.perfect peace.through this ordeal.its his promise.

    • @romeovaldueza1935
      @romeovaldueza1935 2 ปีที่แล้ว

      i was diagnosed of having a dilated descending aorta. Haven't check with my cardiologist yet on how large it is. Is there any medications naturally?

  • @davidhoff4622
    @davidhoff4622 6 ปีที่แล้ว +1

    I don't understand the math using his formula for the ratio (Ao area/height). Note I was a BAV patient and did not have an enlarged aortic root, only 4.3-4.5 enlarged ascending aorta.
    E.g. for a 4.5 cm aorta the area is 15.9 cm. Being 5'10" my height is 177.8 cm. The ratio is 15.9 / 177.8 = .0894 .. you can never get to 10? Or is the formula (height/area)?
    I've posted my actual heart sounds whacking against my heart cavity. Why am I feeling this? I suspect the graft was not sized correctly and is flopping with each beat. My surgery was in April 2016 so more than enough time has passed. This is like Chinese Water Torture living with this as it even wakes me up from my sleep. I have no confidence in any of this and don't know what to do. My cardiologist in Marshall in Placerville can't even put the correct description in the record and they are even rude to me. They say I'm complaining of palpitations. My heart beats fine so they brush it off and ignore my appeals to them. I cannot live this way... I'm an educated UC Bio major with a second degree in computer science and was a senior DBA consultant for years. I don't make things up. This is in some ways destroying my life and would have rather taken my chances with the BAV and aneurysm.
    What's worst is I've posted the recording of the knocking sounds and have only got 14 views. 14 views! No responses! In the age of the internet. Maybe I should say I was abducted and Aliens did the surgery LOL.

    • @sdeparis1
      @sdeparis1 6 ปีที่แล้ว

      use mm for the aortic dilation

    • @davidhoff4622
      @davidhoff4622 6 ปีที่แล้ว

      Isn't the ration the same in metric? Should calc the same ratio cm or mm. Right?

    • @sdeparis1
      @sdeparis1 6 ปีที่แล้ว +1

      use mm for the radius and then cm for the height. He should have stated that in the video its confusing. For you it would be ((45/2)^2 x 3.1415)/177.8

    • @davidhoff4622
      @davidhoff4622 6 ปีที่แล้ว

      sdeparis1 or just my calc * 100

    • @sdeparis1
      @sdeparis1 6 ปีที่แล้ว +2

      didnt check your math

  • @nsas955
    @nsas955 5 หลายเดือนก่อน

    The calculation is wrong. Can you clarify?

  • @johnnyspacer953
    @johnnyspacer953 7 ปีที่แล้ว +8

    I've been at 5.2 cm for the past five years and my docs clear me each year, yet I have a bicuspid valve. SMH

    • @darlenespatafore1743
      @darlenespatafore1743 4 ปีที่แล้ว

      Mine is at 4.cm ascending aortic aneurysm. My thoracic surgeon told me that he wouldn't consider operating surgery until it reached 5.5 cm, because the risk of dying from surgery is greater than the aortic aneurysm dissecting.

    • @indrajitsinhsodha5837
      @indrajitsinhsodha5837 3 ปีที่แล้ว

      Are it is still at 5.2 cm.how rapidly it grows?

    • @markbilsborough4150
      @markbilsborough4150 8 หลายเดือนก่อน

      Average growth rate is .07cm a year. I have one myself. Found at 4.3 cm in Dec. 2020. This year is >4.3,

  • @brucelee2876
    @brucelee2876 6 ปีที่แล้ว +2

    I have one on my ascending and descending aorta im scared to death and my dr isn't making it any better

  • @Pinkkermit17
    @Pinkkermit17 5 ปีที่แล้ว +2

    I was just told this past week via voicemail that I have an aortic aneurysm . Most videos, searches have scared me because there is so much focus on pretty much calling in a "death trap" . I liked how you explained it. I don't even know the size as the doctor never even told me, and the only info he gave me was "its mild " come back in a year. Ticked me off, so I am asking for my medical records. I did understand though about the risk of surgery vs risk of rupturing.. damned if you do,, damned if you don't.

    • @charlotteginger8411
      @charlotteginger8411 5 ปีที่แล้ว

      That’s what I don’t understand, my mom has 4.3 say it’s relly bad if it gets to 5 so why can’t we make the surgery I don’t understand?

    • @skasztan
      @skasztan 5 ปีที่แล้ว +1

      I don't know where you are located, but Mayo Clinic has two cardiology specialists who travel from location to location to treat patients. Most important thing to know about the dilation is that it can be controlled to some extent, but not reversed. Immediate attention is necessary. Dr. Hagard from Mayo put me on Losartan as a blood pressure medication because it also helps protect and improve the elasticity of the walls of the aorta. I'm not in the nail biting range yet and hope not to be there, but it's a diagnosis that knocks you off your feet. Stay healthy. . .

    • @darlenespatafore1743
      @darlenespatafore1743 4 ปีที่แล้ว +3

      @@charlotteginger8411 I have a 4.cm ascending aortic aneurysm. The reason why is as this Doctor explained. The chances of dying of surgery is greater than the aortic aneurysm dissecting. So they have to monitor it until it reached 5 to 5.5 cm. Which it may never reach that size at all.

    • @darlenespatafore1743
      @darlenespatafore1743 4 ปีที่แล้ว

      @@skasztan what size is your aneurysm? I'm on Coreg and my ascending aortic aneurysm is at 4cm.

    • @moniquemacaulay8270
      @moniquemacaulay8270 3 ปีที่แล้ว

      I think you are being a jerk to your doctor.

  • @davidhoff4622
    @davidhoff4622 7 ปีที่แล้ว +6

    This pretty much infuriates me. I have been suffering with an intense knocking with each heartbeat since my BAV valve and dacron aorta graft replacement surgery in April 2016. I have tried several times to plead with the doctors that I have an issue and they deny I'm feeling anything other than a normal heartbeat (because they can't feel what I'm feeling).
    Now I see with this video that they did not even need to replace the aorta with a dacron graft as my aorta was only 4.3-4.5 cm (less that the size to replace). And possibly there's an alternative to wrap the aorta with support?
    Yesterday I discovered I could actually record my pounding/knocking heart sounds with my cell phone and will be doing a separate post. I need people to confirm they too can hear the ridiculous knocking with each beat on the recording as I believe the dacron graft is slamming against my breastbone with each beat. The nurse refuses to see me saying I am a difficult patient saying I think I'm smarter than her because I said she cannot feel what I'm feeling and does not want to listen to me (she actually shook her finger in my face). It's hard to believe the battles I've been fighting and trying to be strong. Real life training and pray no one has to go through this, but I know it's the dacron aorta flopping against my body because there's too much slop in there. I have not been able to get a single full nights sleep since the surgery a year ago as it's like a shutter slamming in the wind all night long but is inside my body. I don't know what to do. Murphy's Law is real..

    • @kylesmith6482
      @kylesmith6482 6 ปีที่แล้ว

      David Hoff
      Area you still experiencing the issue?

    • @columbusohio72
      @columbusohio72 2 ปีที่แล้ว

      Sounds like an aorta valve replacement

    • @spetteruti
      @spetteruti 2 ปีที่แล้ว

      Just reading this..I hope your doing well

    • @inversionesconjuan6653
      @inversionesconjuan6653 2 ปีที่แล้ว

      Hi David, how is it going?

  • @bhanudhakal2758
    @bhanudhakal2758 5 ปีที่แล้ว

    Accending 4.65

  • @yasserghattas7223
    @yasserghattas7223 3 ปีที่แล้ว

    We can't have stent for ascending aorta? I have my ascending aorta 5cm

    • @chuckhaisley5805
      @chuckhaisley5805 ปีที่แล้ว +1

      I understand the Stent is difficult because of other arteries that branch off from this area.

  • @sharkkiller1
    @sharkkiller1 10 ปีที่แล้ว +1

    i have a bicuspid valve and mine was 10.7 cm

    • @jayebirdjb7143
      @jayebirdjb7143 6 ปีที่แล้ว

      Hippy(Bboomer) a whale maybe? lol

    • @BionicCyborg
      @BionicCyborg 4 ปีที่แล้ว +1

      I had a 14 cm in 1993 . I have a psuedoaneurysm whatever that is I have no idea how big it is I just know I am having another surgery in 3-4 weeks

  • @deionamuhammad4102
    @deionamuhammad4102 ปีที่แล้ว +1

    I was told I have a 4.0 cm thoracic aortic aneurysm June 2021. I thought that I had until 4.8-5.0 cm. I also have chest pressure right now when I walk and when sleeping so I assumed it is time for surgery. I also broke my ankle last year and I feel out of breath walking or standing for hours at a time.
    Reading the comments say "5.8 cm then survey.." gives me hope😏 I have a little more time, huh? 🤣

    • @vangoghh2340
      @vangoghh2340 ปีที่แล้ว +1

      4cm is not huge. I would not consider any surgery.

    • @ElijahForPrez
      @ElijahForPrez 11 หลายเดือนก่อน +2

      I'm at 4.8cm root dilation and my cardiologist has me on beta blockers and potassium to control my PB. Considering I'm healthy, exercise regularly, and don't smoke and drink I wasn't sure how I got this. Well, I'm being monitored every 6-12 months until it reaches 5.5-6cm then will have to get surgery. That first year of 2021 after finding out was mentally brutal. But I managed to live with it and give thanks every day to God that I'm still here ☺️.. Good luck to you and wish you good health

    • @mattthomas2281
      @mattthomas2281 9 หลายเดือนก่อน

      ​@@ElijahForPrezGod bless you. Glad you're doing well. Do you still incorporate weights into your exercise regimen? Or does your doctor advise against that?

    • @ElijahForPrez
      @ElijahForPrez 9 หลายเดือนก่อน

      @@mattthomas2281 Hey man! She said I can lift but nothing too heavy especially no max lifting. Cardio is recommended but walking 30 minutes a day is ideal. I feel great and my PB is a lot better. Though there are days that blow. But I always remember 2 Timothy that fear doesn't come from God. I get my next follow up and CT scan in November. God willing he will heal me so I can give this testimony but of course at his will. 💪🏻

    • @mattthomas2281
      @mattthomas2281 9 หลายเดือนก่อน +1

      @@ElijahForPrez thanks for the quick reply. It's been hard for me to accept this as I've always been an avid lifter for the past 10 years. 2 Timothy is a great verse that I have to continually remind myself of. Hope all goes well for you man. Take care.

  • @laurajurek4065
    @laurajurek4065 6 หลายเดือนก่อน

    Anything under 4 mm they dont want to rush into surgery, they wanna watch it

  • @lindaandersson681
    @lindaandersson681 8 ปีที่แล้ว

    Hello, I really hope i would get an answer to my question. I live in
    Sweden and my mother has been preskribted medicin pradaxa 150ml 2x a
    day, and Metropolol orion 50ml 1 x a day. My question is, does my mother
    really need these two pills?? She has always been very healthy
    nonsmoking person, untill she one time fainted at work and had the
    report that it was an epidermoid zyst in her brain. She was operated and
    during the operation she had ia mini stroke or it looked like it as the
    doctors said. After 2 years everything was fine except her disiness
    that she always had sense then.
    Now she has been diagnosed with a heart-problem bisqupid aorta (from birth). She has a aorta descendens 46mm ubove heart. High blood pressure sometimes (rises without any warning) and irregular heartbeat sometimes. The doctors said she also have fibrillation.
    When my mother eats the Metropolol she gets dizzier and are very tired. Would it help to reduce the dosis to 25ml? Or should she stop with the pradaxa. My mother is 54 years old.
    Please help me. We feel that the Doctors doesnt give their best in her situation, she was alot better without these drugs. The pradaxa just give me chills. Is there any way she could only take betablocker (metropolol) and leave the pradaxa out?

    • @moniquemacaulay8270
      @moniquemacaulay8270 3 ปีที่แล้ว +1

      asking on You tube really makes no sense. Talk to her doctor!

  • @user-np9ih6og4x
    @user-np9ih6og4x 2 หลายเดือนก่อน

    I have one at 4.6 cm