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@patti1416 I have been on Coumadin for years and my aortic artery aneurysm is at 3.9 until I have it checked in 2 months. Yes it has a
“Tear “ in it. My cardiovascular surgeon doesn’t seem to be too concerned about it.
I don’t like being on Coumadin due to my mechanical aortic heart valve with a torn aortic artery aneurysm. My last INR was 3.0 last week borderline high end. Thin blood with a torn aneurysm bothers me more than it does my cardiovascular surgeon apparently. He must know when it’s time to correct it? I don’t know. A few years ago they found a 3.7 cm with a tear in it during an unrelated CT scan and they were like “ oh my God we need this repaired now “. They dressed me back up and threw me into an ambulance for a quick ride to a higher rated trauma hospital and when I got there they took an immediate CAT scan and confirmed the torn aneurysm but the cardiologist for that hospital said “ well, yes you have one but it’s not bleeding and doesn’t need to be treated today” “ but you will need to come back later under a non emergency appointment “.
That was it. I was like “ look, it’s torn, and I’m Coumadin with an NRI that is always variable in thinness “ and he went on to another patient. I have great insurance so it wasn’t that! First thing I know I was being given my discharge paperwork and waiting for an ambulance to take me home. All because it wasn’t bleeding at the time.
One hospital took a fit and the second one was like “ well, it’s not bleeding!”
Are they waiting for an all out rupture that can be fatal quickly?
It looks like if you have a torn aneurysm but you’re not fatality bleeding because it’s less than 5.0 cm
(The golden number) you can be ignored other than a once in a year quick sonogram? Granted, it’s far from a 5.0 cm but why wait for a rupture??
These doctors aren’t so bright. My original cardiologist said “I don’t see anything!!!” The second cardiologist treated it like “ oh wow, we need to operate” the third cardiologist says yup it’s 3.7 cm and said “ see you next year “ my current cardiologist says “ it’s at 3.9” “see you in 6 months “.
It’s not like I had a poor insurance plan. My insurance covers everything 100% so why wait? Is it because I’m on Coumadin and they are afraid to go in?
That’s not an excuse. I’ve had surgery that required a 5 day hold on Coumadin and bridging with Levonox . So what’s the big deal?
Are they afraid that I may bleed to death and my family will sue him and the hospital for “ killing “ me?

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Replies to "@patti1416 I have been on Coumadin for years and my aortic artery aneurysm is at 3.9..."

Oh my gosh, it sounds like what I' ve gone through many times since getting the mach.valve in 2003.
Luckily I'm a very pro-active patient! So I go into every situation loaded with questions, after I've read up on whatever is going on, First!
But obviously when its a sudden decision or an emergency, that doesn't help!
Coumadin RULES my life, as I'm sure it does your's too!
I will never understand why nothing has been done in regards to research, for finding a better way to control blood thickness or thinners, for Mech. Valve patients.
Mine RARELY stays in range, because everything we eat or take, can affect it! Even after 23 years, I'm never suprised when I test, and its too high or low!

And I aree with you abt. diff.reactions to the size of our aneurysm's, from diff.members of our cardiology teams! And that's maddening because we, as the patient's, are clearly anxious about having an enlargement in the 1st place, and they throw numbers around like its no big deal!🤷‍♀️😡

@andytheman You mentioned having good insurance. Could you go for yet another opinion at a different facility? Maybe that would be too confusing, but might be helpful...Three times the charm?? Wishing you peace about this. I have an aortic aneurysm too, but do not have the tear and the Coumadin issue that you have that complicate things.