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Ascending Aortic Aneurism

  • 1.  Ascending Aortic Aneurism

    Posted 24 days ago
    I'm 47, petite and recently learned my Ascending Aortic Aneurysm increased from 4.0 cm in Sept 2018 to 4.4cm in Oct 2019 per echocardiograms.  I also have a BAV with very mild regurgitation.  I learned of my echo results online & I'm not able to get in to see my cardiologist until nov 29th.  Dr note online indicates stable & did not indicate any restrictions.  In the meantime my BP has been high so I got in with their nurse practitioner who prescribed BP Rx.  I don't consider this increase in size to be stable.  I have not felt myself in about 2months which I believe is due to my BP, these results & this waiting are not helping.  Would it be premature to make an appointment with a surgeon?  Mayo & Cleveland are too far & not in my insurance network.  So I'm considering NY Presbyterian.  Any feedback and recommendations of a surgeon would be greatly appreciated.  Thank you.

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    Nicole
    Allentown, PA
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  • 2.  RE: Ascending Aortic Aneurism

    Posted 5 days ago

    Nicole
    in May 2019 a 4.3 cm aneurysm of the aortic arch was found during a routine chest X-ray. Saw cardiologist the next day as we were leaving on a cruise 2 days later. He did an e h and it measured slightly smaller and he said to go on my vacation and enjoy. I have no symptoms, no family history, no hypertension,diabetes or high cholesterol. He said ad o see him every six months for echos. I spent their 10 day cruise researching this aneurysm and doctors to see and decided I was goin* to be proactive and make an appt with a thoracic surgeon at NYU.  Their aneurysm program is all encompassing and you are assigned to a team of specialists; surgeon, pain management, nutrition, psychologist, social work, rehab, etc.  The dr I saw is Dr Deane Smith. He will see me in April and do a CT scan with contrast to look at the inside of aneurysm for tears, holes or shredding
    So no, I don't think it's premature for you to seek out a surgeon. He also told me I had a tricuspid valve which is a blessing. 

    my cardiologist has recommended Lenox Hill/Mt Sinai as they do closed chest procedure using fenestrated stents and your home in 3-4 days and back to work in 2-3 weeks. He suggested I get a consult there because if and when I need surgery, why have an open chest if it can be done as a minimally invasive procedure
    Btw, I am 69. 

    hope this helps



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    Laura Calamuci
    Teacher
    retired
    Staten Island NY
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  • 3.  RE: Ascending Aortic Aneurism

    Posted 5 days ago

    Nicole
    i re read my response and saw many errors so this is the correct one. That's what happens when I type without glasses.
    in May 2019 a 4.3 cm aneurysm of the aortic arch was found during a routine chest X-ray. Saw cardiologist the next day as we were leaving on a cruise 2 days later. He did an echo and it measured slightly smaller and he said to go on my vacation and enjoy. I have no symptoms, no family history, no hypertension,diabetes or high cholesterol. He said I had to see him every six months for echos. I spent the entire 10 day cruise researching this aneurysm and doctors to see and decided I was going to be proactive and make an appt with a thoracic surgeon at NYU.  Their aneurysm program is all encompassing and you are assigned to a team of specialists; surgeon, pain management, nutrition, psychologist, social work, rehab, etc.  The dr I saw is Dr Deane Smith. He will see me in April and do a CT scan with contrast to look at the inside of aneurysm for tears, holes or shredding
    So no, I don't think it's premature for you to seek out a surgeon. He also told me I had a tricuspid valve which is a blessing. 

    my cardiologist has recommended Lenox Hill/Mt Sinai as they do closed chest procedure using fenestrated stents and you're  home in 3-4 days and back to work in 2-3 weeks. He suggested I get a consult there because if and when I need surgery, why have an open chest if it can be done as a minimally invasive procedure
    Btw, I am 69. 

    hope this helps



    ------------------------------
    Laura Calamuci
    Teacher
    retired
    Staten Island NY
    ------------------------------



  • 4.  RE: Ascending Aortic Aneurism

    Posted 4 days ago
    Nicole,

    Does your cardiologist have you on a beta blocker to lower your blood pressure? I have an ascending aortic aneurism which I will be having surgery
    to fix on January 3rd. I discovered mine back in March of 2018 on a chest x ray. It was 5.1 cm at the time, and went down a bit to 5.0. I have been
    on a beta blocker since then which helped keep it stable. Is your cardiologist going to do a watch and wait until it reaches the point of having surgery?
    Looks like they recommend surgery when it gets to the size mine is currently at. ​

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    Scott Woodward
    QA Assistant
    Northrop Grumman
    San Ramon CA
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