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What is the correct cm in thoracic aorta ansersym to have surgery
Aortic Aneurysms | Last Active: Jun 2 3:21pm | Replies (65)Comment receiving replies
Hello, where have you seen this newer consensus for surgery at 5.0cm? I have one Dr. telling me he would not recommend surgery until 5.5cm and another Dr. telling me it’s go time. I am at 5.0cm and my AAA grew 0.4cm the past year. The second Dr. has said the consensus is more nuanced today and he did refer to a study he was a part of that was published in October last year. Thanks
Replies to "Hello, where have you seen this newer consensus for surgery at 5.0cm? I have one Dr...."
2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease
Circulation vol 146 nbr 24
Originally published Nov 2 2022 by ACC/AHA
If it is at 5cm, it is time to do something. There's a good chance it can dissect or rupture between 5 and 5.5. You need to consult with a surgeon that is experienced with this and works at a center that does lots of these. By AAA, do you mean abdominal? If so, at 5.0, EVAR may be an option.
https://my.clevelandclinic.org/health/diseases/7153-abdominal-aortic-aneurysm
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A consensus document was published in September (or November) of 2022. It was published by the aortic group. It was a very extensive document. I will find you the reference. It was meaningful to us because my husband’s ascending aortic aneurysm was at 4.9 cm. We saw two CV surgeons in tbe same practice. One was “hot” to do surgery and the other (older and wiser?) said that the risks of surgery outweighed watchful waiting. This year (my husband was at 5 cm and he said surveillance at 2 or 3 yrs would be fine. We elected one year even though it means traveling almost 3000 miles round trip. My husband has no vasculitis and this aneurysm has been stable since 2021 - maybe since 2007 when it was 4.3 cm.
The first surgeon, who was eager to do surgery , did not do antegrade perfusion to keep the brain from being without oxygen. The second surgeon does do it.