Stents, Bypass and Aortic Surgery
I recently had a CT angiogram which showed significant blockage in four arteries. I am scheduled for an angiogram in ten days, where my preventive cardiologist thinks that I will receive stents. She mentioned there was a slight possibility that I would need bypass surgery. (I currently have no symptoms.)
I also have two aortic aneurysms (at the root and ascending). Based on what I've been told, I assume that in 7 to 8 years, I likely will need aortic surgery. Has anyone had stents put in place and later had aortic surgery? Did the stents complicate the surgery? Also, has anyone ever had bypass surgery and then, sometime later, had aortic surgery? Did the bypass surgery complicate the aortic surgery? I am trying to understand what I might be facing long-term.
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My ascending aorta was at 4.7cm and root at 4.8cm when I had open heart surgery 8 months ago for 3 major procedures and in addition had a Bentall procedure to replace the root, valve and most of the ascending aorta. There is more details in my post above.
I guess stents are not doing the job or are theses different blockages? Logically I can only think that the cumulative recovery of all your surgeries will be long and difficult even though your eight out from the last, it takes a long time for the body and mind to heal . Don’t know your age but older will add time to any recovery Short story ..
I fractured C1 and Moved C2 falling down a flight of stairs ,had spinal fusion 0 thru C 4 also broke both wrist. That was July last summer surgery was Oct ,10 weeks out . I’m 73 and still don’t feel 100 % The surgery went great …no pain lack of motion in my neck but overall a good outcome considering most with similar injuries either don’t live or are crippled. I wish you well
They have tried stents but ascending aortic aneurysm are located in a very difficult to reach area and have several very important arteries arising from that area which is the reason they need to visualize what they are doing and maybe replace some of them (coronaries). That is the reason for the need of open heart surgery.
Again best wishes
I would also be interested in any replies to the question.
My situation may not be quite the same, but still interested in any response.
I’m scheduled for a triple bypass surgery on June 6.
Due to new blockages discovered a year later after stents were put in.
I have a small aneurysm on the dissected, lower abdominal aorta, and also critical stenosis of the iliac artery..
I was told that surgery will be required in the future.
New to this site and trying to learn as much as possible
I’m also blind
I have since had an invasive angiogram, and I have been recommended for quadruple bypass surgery by the preventative cardiologist and interventional cardiologist. I meet with the surgeon next week. During the bypass surgery, the surgeon would also repair the aortic dilations. I am getting a second opinion, but from what I've read, this is the normal protocol. Since your dilation is abdominal, a different protocol may be required. Good luck.
Can someone please answer this question. I went to a new cardiologist today. I explained my situation with ascending my aorta. He also had all the tests that showed my ascending aorta was 4.5 cm. He said that there was nothing to worry about at this point. He wants me to do a echocardiogram and nuclear stress test. Has anyone
ever heard of this. Do you think it would be safe for me to do this. Not sure what do. It's either do or find another cardiologist.
I think that's pretty standard. I had a CAC scan that showed a very high CAC score and a 4.5 cm aneurysm. I saw a couple of good cardiologists (long story) and they both gave me a stress test knowing about the aneurysm.
I would find a second opinion from a cardiologist that specializes in aortic aneurysms etc. Most cardiologists are generalists. The echo will be good non invasive test with no radiation to measure the aneurysm. They are best if the same tech etc. does them each time. Keep in mind that they aren't going to show any issues with the LAD or RCA. The stress test can be helpful, but not the end all. The fact that he said not to worry about it concerns me. I had a cardiologist like that nearly get me killed last year.
Anytime you have concerns that haven't been addressed or question that haven't been answered satisfactorily, you should get a second opinion. You should probably get one anyway. A doctor who balks at that isn't to be trusted. IMHO No doctor should be threatened by a patient getting a second opinion. You'd think doctors would welcome it.