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Does risk of rupture of ascending AA vary by etiology,?

Aortic Aneurysms | Last Active: Apr 29 9:46am | Replies (8)
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@gdog

Plan is to confirm Echo findings with CT then refer to surgeon. The standard cut off for surgery is 5.5 with some evidence that the inflection point for greater risk of rupture is lower. Would be nice to know if this varied by cause of the AA.

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Replies to "Plan is to confirm Echo findings with CT then refer to surgeon. The standard cut off..."
rlhix | @rlhix | Apr 28 8:04am

I ended up with a Bentall procedure at 4.7 on the ascending aorta to 4.8 on the aortic root. The root ruptured following 3 other major procedures done during surgery. Those numbers are guidelines and not magical because other factors that may be directly or indirectly related can come into play. The number of dissections, tears and ruptures have been estimated at ~50% between 5.0 and 5.5 in several medical journals. I am not trying to scare you.

This is a bit of a read but worth it.
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001106

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hsminc | @hsminc | Apr 29 6:31am

There are numerous factors that determine risk of rupture including wall vasculitis, connective tissue issues, and, of course, life style factors such as blood pressure? Etc.. Please see a vascular specialist and an aortic aneurysm surgeon specialist also.

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