Newly Diagnosed: 4.9 cm ascending aortic looking for support

Posted by lmcfarland @lmcfarland, Dec 13 1:59pm

I am so thankful to have found this forum! Four days ago, I had a heart scan to see if there was any plaque. Everything was good that way, but my doc called to share the news that I have a 4.9 cm ascending aortic aneurysm. I’m seeing a Cardiothoracic surgeon on Tuesday.
I have a list of questions for him, but would welcome any suggestions from this group.

I am very uncomfortable with a wait and see approach.

I’ve never been a smoker, no history of high blood pressure, cholesterol has been well managed, and no family history. I guess I'm just stunned.

Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.

Profile picture for mikeneverwired @mikeneverwired

I was in your position about 2 years ago.. was diagnosed with a 5.2cm ascending aneurysm and was immediately referred to a surgeon. I also had no history, low BP, low cholesterol and exercised all the time... I was a little apprehensive but got it done. The recovery is tough so plan to take a few months to recover and DO NOT overdo it in the recovery phase.... and walk as much as you can! Fast forward to today... 22 months post surgery and I am fully recovered, doing anything I want to do including hiking, biking, snowshoeing, etc. So find a good surgeon who geeks out on this kind of stuff, get it done and you will come out of this just fine.

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@mikeneverwired hi Mike I hope my experience works out like yours I’m struggling with this mine is at 3.8 so they are watching it but that just adds added stress on top of already having anxiety and panic disorder I wake up with the feeling of doom it is consuming my life I do not sleep well at all always worrying about if it ruptures will I make it to the ER in time I live in the country which is 30 miles to town everyday is like a nightmare with this that’s why I came here I have great family support but it’s not the same as connecting with someone who is going through the same thing. I want to get rid of this black cloud over my head. Any advise I would love ❤️ I also wish you the best of luck 🤞 Ann

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Profile picture for midnightwolf @midnightwolf

@mikeneverwired hi Mike I hope my experience works out like yours I’m struggling with this mine is at 3.8 so they are watching it but that just adds added stress on top of already having anxiety and panic disorder I wake up with the feeling of doom it is consuming my life I do not sleep well at all always worrying about if it ruptures will I make it to the ER in time I live in the country which is 30 miles to town everyday is like a nightmare with this that’s why I came here I have great family support but it’s not the same as connecting with someone who is going through the same thing. I want to get rid of this black cloud over my head. Any advise I would love ❤️ I also wish you the best of luck 🤞 Ann

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@midnightwolf Hi Ann, I'd look at it this way...when my aneurysm was at 3,8cm like yours is, I was blissfully ignorant.. out running, climbing mountains, doing crossfit and working a stressful job. The docs have enough experience with these aneurysms that they don't worry until it exceeds 5cm. What you need to do is see how fast the aneurysm is growing... get another echo in 6 months and see how it changed (if at all). That will help you estimate when it is time for surgery which is likely a long way off! Meanwhile, stay in shape and do not fret this.

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Profile picture for richdecjr @richdecjr

People mentioned cleveland clinic for high volume, but which location are they talking about?

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@richdecjr

The one in Cleveland. It was #1 on my list if I had gone out of state.

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Profile picture for midnightwolf @midnightwolf

@lmcfarland my heart and prayers are with you I’m going through one myself I have a 3.8 ascending thoracic abdominal aortic aneurysm it was found in 2019 and my life has not been the same I anxiety and panic disorder after finding this diagnosis out I feel like I’m spiraling out of control all I think about is what if it ruptures and living out here in the country would there be enough time to make it to the hospital? I wake up sweating and having that feeling of doom it is on my mind day and night and affects my sleep and they say try to keep stress down which is hard when you have anxiety and panic disorder. They will not touch mine till it is over 5 cm waiting that long makes it worse I’m scared to death I hope you get the answers I’m still looking for answers also. I came here for support I have a lot with family but they have no idea what we are going through and how it effects us each day the constant fear of rupture and trying to not do anything that would help,it to grow faster but that is very hard I wish you the best of luck and if you would like to talk I’m here always up to meeting new friends that are going through the same thing. Ann

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@midnightwolf hi we understand the anxiety that those news can create, we have all gone through something similar.

At 3.8 your aneurysm is small, the chances of it dissecting are close to 0, the best advice I can give you is to fill your life with activities that bring you joy and keep your mind and attention occupied, whatever makes you happy. In my case spending time with family and friends, yoga, exercise intensely, biking, do the trick. Also consider professional help, a good counselor can help you manage the anxiety.

You’re far away from maybe needing surgery, and it may never grow to that (I imagine your Drs are monitoring growth rate which is important in your case), stay active, treat your body and mind well, overall watch your BP, high BP is the main enemy of aneurysms.

BTW you mention ascending thoracic and abdominal, those are two different things, depending on where it is it can be ascending (which are always thoracic) or descending which can be either thoracic or abdominal, that’s important as the surgeries to repair are different.

All the best to you!!!

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Thank you! Sending you healing thoughts!

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Profile picture for midnightwolf @midnightwolf

@lmcfarland my heart and prayers are with you I’m going through one myself I have a 3.8 ascending thoracic abdominal aortic aneurysm it was found in 2019 and my life has not been the same I anxiety and panic disorder after finding this diagnosis out I feel like I’m spiraling out of control all I think about is what if it ruptures and living out here in the country would there be enough time to make it to the hospital? I wake up sweating and having that feeling of doom it is on my mind day and night and affects my sleep and they say try to keep stress down which is hard when you have anxiety and panic disorder. They will not touch mine till it is over 5 cm waiting that long makes it worse I’m scared to death I hope you get the answers I’m still looking for answers also. I came here for support I have a lot with family but they have no idea what we are going through and how it effects us each day the constant fear of rupture and trying to not do anything that would help,it to grow faster but that is very hard I wish you the best of luck and if you would like to talk I’m here always up to meeting new friends that are going through the same thing. Ann

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@midnightwolf
I used to have more anxiety and was afraid to travel after I found out. I have since calmed down. I haven't got the answers regarding how my Sjogrens enters in since it can cause inflammation to blood vessels. I see a different thoracic surgeon in January at University of Washington. There isn't any Mayo clinic in my state. I also live in a rural community a few hours from Seattle. I have my faith and have to trust God with my health and my life.

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Profile picture for sherrylou51b @sherrylou51b

@midnightwolf
I used to have more anxiety and was afraid to travel after I found out. I have since calmed down. I haven't got the answers regarding how my Sjogrens enters in since it can cause inflammation to blood vessels. I see a different thoracic surgeon in January at University of Washington. There isn't any Mayo clinic in my state. I also live in a rural community a few hours from Seattle. I have my faith and have to trust God with my health and my life.

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@sherrylou51b Hi I remembered that some time ago someone mentioned they had had their surgery in Seattle and highly recommended the surgeon , I went back and found the post:
https://connect.mayoclinic.org/comment/1110046/
Hope it helps!!!

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Profile picture for sherrylou51b @sherrylou51b

@midnightwolf
I used to have more anxiety and was afraid to travel after I found out. I have since calmed down. I haven't got the answers regarding how my Sjogrens enters in since it can cause inflammation to blood vessels. I see a different thoracic surgeon in January at University of Washington. There isn't any Mayo clinic in my state. I also live in a rural community a few hours from Seattle. I have my faith and have to trust God with my health and my life.

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@sherrylou51b
I agree I put my life in Gods hands but it is still scared when you are suffering from anxiety and panic disorder I do see a mental health doctor and tried meditation and listening to music when I go to sleep it’s always in my head. That’s why I joined here for support and meet new friends. I’m thinking about checking out the Cleveland clinic which would be the closest to me but not close enough we are even thinking of moving back to the city I live 30 minutes from the city and being out here has me worried the medical personnel would not get to me in time especially in the winter 🥶. I’m from Erie Pa where are you from? My name is Ann

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Profile picture for mikeneverwired @mikeneverwired

@midnightwolf Hi Ann, I'd look at it this way...when my aneurysm was at 3,8cm like yours is, I was blissfully ignorant.. out running, climbing mountains, doing crossfit and working a stressful job. The docs have enough experience with these aneurysms that they don't worry until it exceeds 5cm. What you need to do is see how fast the aneurysm is growing... get another echo in 6 months and see how it changed (if at all). That will help you estimate when it is time for surgery which is likely a long way off! Meanwhile, stay in shape and do not fret this.

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@mikeneverwired
Thanks Mike I appreciate your advice it very hard for me with anxiety and panic disorder I do see a doctor for that but it seems like some do not have time to hear about it or say you will be fine do not worry. So I’m going to get a second opinion I’m thinking about going to the Cleveland clinic were I live is way out in the country and it is 30 minutes from the city my biggest fear is something happening and no one can get to me in time especially in the winter I’m also thinking about moving back to the city to be closer to medical and family I still can not wrap my head around this sometimes I feel like a ticking time bomb especially when my anxiety is high which causes my blood pressure to go up. And where mine is located the Dr said is a hard place to get to mine aneurysm is the entire visceral segment of the thoracic and upper abdominal aorta 🫀 so that makes me even more worried do not want open heart. I need all the support I can get that’s why I came here besides family that are not living with one. I also like to make new friends dealing with this at times makes me feel really lonely. I try to exercise but due to my back pain I can not do it to much and I do need to loose about 10 pounds. So trying to find some exercises that will not cause more back pain is a challenge if you have any suggestions I’ll take it. Thanks for listening my name is Ann

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Profile picture for houston13 @houston13

@midnightwolf hi we understand the anxiety that those news can create, we have all gone through something similar.

At 3.8 your aneurysm is small, the chances of it dissecting are close to 0, the best advice I can give you is to fill your life with activities that bring you joy and keep your mind and attention occupied, whatever makes you happy. In my case spending time with family and friends, yoga, exercise intensely, biking, do the trick. Also consider professional help, a good counselor can help you manage the anxiety.

You’re far away from maybe needing surgery, and it may never grow to that (I imagine your Drs are monitoring growth rate which is important in your case), stay active, treat your body and mind well, overall watch your BP, high BP is the main enemy of aneurysms.

BTW you mention ascending thoracic and abdominal, those are two different things, depending on where it is it can be ascending (which are always thoracic) or descending which can be either thoracic or abdominal, that’s important as the surgeries to repair are different.

All the best to you!!!

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@houston13
Thank you for your support I do have a mental health Dr I have been seeing for years and I love her but I do not think the understand how much this can affect a person mind and life I have panic and anxiety disorder so it is challenging for me. I’m being monitored every year so that is good as far as exercise I have severe back issues so it makes it hard for me to exercise like I want to. The only time my blood pressure is high is when I’m over exerting or have an anxiety attack not sure if I need to be on something . My aneurysm involves the entire visceral segment of the thoracic and upper abdominal aorta. So the Dr said the surgery is harder to do to the fact of where it is located. Just trying to get through this and I really appreciate your input thank you 🙏 my name is Ann

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