Abdominal Aortic Aneurysm repair by EVAR

Posted by luckybear @luckybear, Dec 4, 2022

I am scheduled to have endovascular repair of my 5.1 cm abdominal aortic aneurysm was wondering if anyone here has had this procedure and how they fared , not sure if I will do it due to the complication possibilities afterwards , but would like to hear of others experience, I’m 64 , male in otherwise fairly healthy, moderate high blood pressure and cholesterol, thanks

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Profile picture for dianecostella @dianecostella

Are you having it via a catheter done through your legs. I know now it’s minimally evasive. You should be fine. My dad had it done conventionally and he he was fine. It just a rough recovery because it’s abdominal surgery and they cut through the muscle as is standard for abdominal surgery. Don’t worry either was you will be fine and that’s what matters

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Diane:
Glad to hear your dad is doing ok. I too had my aneurysm/dissection repaired conventionally this last December. I was wondering how long was his recovery and did experience any type of “episodes “ during the recovery period?
Thanks,
Dan

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How many had Endovascular Aneurysm Repair (EVAR) or
What procedure did you have
To Repair your aneurysm?-Did you discuss an alternative way to repair before surgery?

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Profile picture for hearthealth @hearthealth00

How many had Endovascular Aneurysm Repair (EVAR) or
What procedure did you have
To Repair your aneurysm?-Did you discuss an alternative way to repair before surgery?

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I am also interested in hearing success stories. I have a saccular brain aneurysm, unruptured and want to know my chances overall of successful surgery so I don't have to worry as much.

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Profile picture for hearthealth @hearthealth00

How many had Endovascular Aneurysm Repair (EVAR) or
What procedure did you have
To Repair your aneurysm?-Did you discuss an alternative way to repair before surgery?

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@hearthealth00 and @shamb52 - I moved the discussion on which aortic aneurysm surgery method people opted for and combined it with an existing discussion titled, "Abdominal Aortic Aneurysm repair by EVAR" - https://connect.mayoclinic.org/discussion/abdominal-aortic-aneurysm-repair-by-evar/.

Members @luckybear, @dan1230, @andytheman and @expat69 shared their experiences with what treatments they underwent and the ongoing decisions with their providers and management.

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Profile picture for expat69 @expat69

Doctors look at the patient as a faulty machine, not a human. They must put all feeling aside, else they would become suicidal.
For us, the patient, this give us reason to worry even more, when it's obvious that some doctors downplay our current serious concern, while other doctor want 'emergency surgery'.

I strongly trust my own gut feeling and intuition, and when a doctor don't actually listen - I find another hospital immediately.
I don't ask for a second appoinment with the same doctor, when I feel he ignore me, don't listen.

All aneurysm grow in size, but how fast vary from 0,5 cm to 2 cm, yearly.

If any surgery is paid by your insurance and not yourself, this Might be the problem. Maybe aneurysm Must Be 5 cm (classified as large and dangerous) in size before insurance company will pre authorize surgery??

If I was in your shoes, I would Not show any previous tests to a new hospital, (to avoid doctor label one as a hypochonder patient).

I would start fresh and not say 1 word about what you done already the last months, doctor, test etc.

Mention any family history of aneurysm, discomfort, pain and changes to your body. Then ask if a CT-Scan with contrast, or any other test can be done asap.
In my case my pulse was visible on my stomach when lay down.

Talk with family and friends, get their opinion as well. Sometimes bringing a friend to consultation can be a big help, doctor seems to listen more.

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He’s dead. He passed away. I don’t know from what but next week I will go to my new cardiovascular surgeon.

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Profile picture for shamb52 @shamb52

I am also interested in hearing success stories. I have a saccular brain aneurysm, unruptured and want to know my chances overall of successful surgery so I don't have to worry as much.

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Have u tried contacting Dr Rabin Tawk? He’s the neurosurgeon at Mayo Clinic that did my surgery highly recommended reaching out to him if u can

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Profile picture for expat69 @expat69

Quote: not sure if I will do it due to the complication possibilities afterwards"

What's your alternative?
Live without any surgery until your aneurysm burst, and you vomit blood or internal bleeding.
Both result in death. Very few reach hospital In Time, remember that.
And to live in Fear, 'will my aneurysm burst today or not'?

I'm still alive and happy for every day I get, even with my new limitations.
😃

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EVAR is the best course my Vascular surgeon has told me when and IF the time comes for my AAA. As of today I feel blessed. Two illeac stents each leg and two bilateral renal to get blood to my kidneys fully for the 1st time in likely two decades. GOD is great.

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I have a little guy(1.8) in The SMA. The aortic branch above it is completely blocked which probably caused it by sending the blood south. Currently monitoring it but very worried. The dread is no joke!

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My husband, 70 years old had an EVAR abdominal aortic aneurysm repaired yesterday at Froedtert Hospital in Milwaukee, Wisconsin. His measured about 5.2 and has been being monitored every 6months for the past 3 years. Of course we were very nervous and scared of the procedure. I am happy to report that his procedure went perfectly and he had 2 stents placed. The surgery itself took a little over 2 hours not including recovery room time. No pain whatsoever and zero complications as of this morning. He most likely will be released today at some point or tomorrow latest. I wanted to post because we know how anxiety producing this procedure and having a AAA can be. We went to three different vascular surgeons until we decided on Froedtert who have surgeons that do this procedure on a regular basis and we’re glad we ended up going with Froedtert. The new guidelines per our surgeon is to do repair at 5.0 cm as opposed to the 5.5 cm previous recommended size. I hope his experience helps anyone who is facing this same surgery. Good luck to all who may be facing this surgery at some point. He will have a scan in 6 months and then yearly to monitor for new growth.

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