Ascending Aorta Size vs Descending Aorta Size Cause for Surgery

Posted by dougloj @dougloj, Mar 18 11:30pm

I am a 63 year old male. My AAA measures at 5 cm. I’ve been told by my surgeon that because my ascending aorta is twice the size of my descending aorta, I should have surgery now or I will be at 10% risk of a rupture. Does anyone know about the risk associated with the relationship between the ascending aorta and descending aorta sizes?

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@dianelynn

I also have a TAA 5.4 I’m wondering if you would explain what kind of stress caused your emergency?
How are you feeling now about it?
Ty
Diane

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It just happened. No pain. I WAS lifting and going up stairs in our barn. after the second trip up I kind of thought geez I need to get in better shape I'm a little winded. Then my eyes felt funny and I was sweaty around my neck and in my hair. I think it was the funny feeling in my eyes and seeing flashers that made me want to find my husband (who normally would have been gone that morning, but we stopped and chatted a little. I went down the steps and called his name. When he got to me I was outside and sitting on a grappling bucket. I Began to vomit shortly later and he took me to the ER. I was transferred to Mayo.

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@charlanepj

It just happened. No pain. I WAS lifting and going up stairs in our barn. after the second trip up I kind of thought geez I need to get in better shape I'm a little winded. Then my eyes felt funny and I was sweaty around my neck and in my hair. I think it was the funny feeling in my eyes and seeing flashers that made me want to find my husband (who normally would have been gone that morning, but we stopped and chatted a little. I went down the steps and called his name. When he got to me I was outside and sitting on a grappling bucket. I Began to vomit shortly later and he took me to the ER. I was transferred to Mayo.

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So sorry 😞
Thank god your husband was home !!
Ty so much for sharing !
I need to decide if I should have surgery now or wait.
I do a lot of lifting and work too,
that I guess I shouldn’t be now.
This info really helps me.
I really appreciate you sharing Ty 😊

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@charlanepj

I did not know I had anything this serious. I was told I had an aneurysm just a year earlier. At the time of my accidental discovery, they told me you don't do anything for them, just watch and if it starts getting larger, they would consider surgery. The morning of my dissection my husband and I had coffee outside. I went to the barn. I lifted a bookcase that was in two pieces up the stairs in my barn. Shortly afterwards, when I reached the top of the stairs, I felt short winded, sweaty at the base of my neck, and my eyes felt funny. They tingled and I had flashers. So I walked down the steps and got my husband. He said I didn't look good and took me to the ER. They spent the day doing tests and ruling out a heart attack and stroke. I didn't have many signs that anything that serious was going on. They decided not to release me. Eventually one doctor came in that had seen something like this previously. I Wass sent to Rochester for surgery.
I hope this helps.

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Who did your surgery at Rochester if you don’t mind me asking?

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@charlanepj

I would listen to your surgeon. While in there they can do any repairs that are needed. I had a dissection at 4.5 in an emergency situation. I was repaired in 3 places. Places we had no idea that were bad. At that time I was 68 (female). I am 71 now.

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This is what upsets me. I had a brain aneurysm that they told me was a 2. Then I went to Johns Hopkins and they found it was a 4.7. Golden rule was to do an angiogram. I had to have surgery and by the time I got to the surgery a few months later they found the aneurysm to be very sick they called and flat.
I now have an aneurism in my ascending aortic area. 4.1. It’s been that easy for a year. I am worried sick. This can go the same way but the dr is very satisfied to wait this out. They never know what is really going on with these aneurysms until they get in. So it scares me.

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I would listen to the Mayo Clinic. These aneurysms are testy critters. I had a brain aneurysm and the surgery could not have been sooner. The outcome was good but not without problems for two years and then three. I now have a 4.1 in my aortic ascending which I am worried about due to the fact that the other one at 4.7 was very bad. They called it very sick. We just don’t know. I want to go to the Mayo Clinic to follow this aneurysm. I would trust what they say.

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@rphiller

Who did your surgery at Rochester if you don’t mind me asking?

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Dr. Baggamari

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@suzannedee

This is what upsets me. I had a brain aneurysm that they told me was a 2. Then I went to Johns Hopkins and they found it was a 4.7. Golden rule was to do an angiogram. I had to have surgery and by the time I got to the surgery a few months later they found the aneurysm to be very sick they called and flat.
I now have an aneurism in my ascending aortic area. 4.1. It’s been that easy for a year. I am worried sick. This can go the same way but the dr is very satisfied to wait this out. They never know what is really going on with these aneurysms until they get in. So it scares me.

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Yes it is hard. Have you considered a second or third opinion. Or possible the consult with a different doctor. You have a lot going on. I would certainly want to feel confident in who I am consulting with. It is worth your sanity. These are very dangerous surgeries. They can't alway just go right in and do what we want them to do. I wish you the best.

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@dianelynn

So sorry 😞
Thank god your husband was home !!
Ty so much for sharing !
I need to decide if I should have surgery now or wait.
I do a lot of lifting and work too,
that I guess I shouldn’t be now.
This info really helps me.
I really appreciate you sharing Ty 😊

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I am happy to help. It is much better than scaring. I was not told my lifting instructions (do not hold breath, push or lift if you moan, groan, grunt) and exercise gradually builds your heart rate and BP which is ok. You do not want your blood flow pounding against your veins suddenly until AFTER my Surgery. I did not get to my one year follow up before my dissection happened. I was very LUCKY and had a lot of FAITH. To be honest we were limited in our education to even know what was happening. I just used up life number 7 if I were a cat. Keep your sense of humor. I wouldn't wait for an emergency as long as a surgeon thinks it is necessary and you are in good health. It is all the same surgery whether it is emergency or not. Insurance companies and hospitals consider this elective surgery. Go figure!

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@charlanepj

I did not know I had anything this serious. I was told I had an aneurysm just a year earlier. At the time of my accidental discovery, they told me you don't do anything for them, just watch and if it starts getting larger, they would consider surgery. The morning of my dissection my husband and I had coffee outside. I went to the barn. I lifted a bookcase that was in two pieces up the stairs in my barn. Shortly afterwards, when I reached the top of the stairs, I felt short winded, sweaty at the base of my neck, and my eyes felt funny. They tingled and I had flashers. So I walked down the steps and got my husband. He said I didn't look good and took me to the ER. They spent the day doing tests and ruling out a heart attack and stroke. I didn't have many signs that anything that serious was going on. They decided not to release me. Eventually one doctor came in that had seen something like this previously. I Wass sent to Rochester for surgery.
I hope this helps.

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Thanks for your experience. Glad you’re here

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@charlanepj

Yes it is hard. Have you considered a second or third opinion. Or possible the consult with a different doctor. You have a lot going on. I would certainly want to feel confident in who I am consulting with. It is worth your sanity. These are very dangerous surgeries. They can't alway just go right in and do what we want them to do. I wish you the best.

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Exactly. I do know that. I am going to get different opinions. But I will wait this out until I can’t anymore I guess.

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