What to do with dilated aaa over age of 83?

Posted by alymat @alymat, Mar 1 11:26am

I keep hearing that aaa surgery is limited to those under a certain age implying that elective repair over the age of 70 is not done, unsafe. I am 83, quit active with only an occasional paroxysmal AFIB episode. Understanding that open heart bypass surgery is necessary for repair, what should I look to if my 5.0 cm aorta keeps expanding? There is an ongoing study of aaa stints at multiple sites. Does anyone have any updates or comments?

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Profile picture for jamiemj @jamiemj

80's are Not like they were even 10 years ago. You are really in your 60's.
You just have to wait for the medical community to finally get updated on this...and by then their operating techniques will be Safer.
You are in a better position then you think 🙂 (I'm 79 and have plenty of problems too)

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@jamiemj Thank you I need to begin to be hopeful instead of depressed as I imagine others are at time too..

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I had AAA repair 4 years ago mine ruptured during the very start of surgery..7 hrs later 16 units of blood 31 days in hospital..I recovered 100% ...now I'm 80 and diagnosed with 3 AAA..2 in aortic arch and an abdominal one just above the last repair. I've been tested for the new replacement parts made on site but did not qualify due to limited "landing" space..and low lung function results. Soooo i will not be repaired and just live my life as best I can and wait for it to rupture..it's a daunting task, but I have loving family I live with...I told my Dr after the discussion that I 'm ok with the situation. I am not afraid of dying, I've had a wonderful life and looking forward to seeing all my family and friends when I pass the Pearly gates ♥️ I do have another scan in 3 months to check things out it was at 5.5 3 months ago, he said some patients don't want to know how much it has grown and others do want to know so they have an idea of time frame possibly of rupture..my Dr said if it blows I'll have about 1 minutes of pain before I lose consciousness. If a leak happens I can go on Hospice at home or hospital could be up to 2 days if a very slow leak. My question to all of you past and present with a AAA, what would you choose? To know or not to know results? God Bless you all..MM

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Profile picture for maggie1946 @maggie1946

I had AAA repair 4 years ago mine ruptured during the very start of surgery..7 hrs later 16 units of blood 31 days in hospital..I recovered 100% ...now I'm 80 and diagnosed with 3 AAA..2 in aortic arch and an abdominal one just above the last repair. I've been tested for the new replacement parts made on site but did not qualify due to limited "landing" space..and low lung function results. Soooo i will not be repaired and just live my life as best I can and wait for it to rupture..it's a daunting task, but I have loving family I live with...I told my Dr after the discussion that I 'm ok with the situation. I am not afraid of dying, I've had a wonderful life and looking forward to seeing all my family and friends when I pass the Pearly gates ♥️ I do have another scan in 3 months to check things out it was at 5.5 3 months ago, he said some patients don't want to know how much it has grown and others do want to know so they have an idea of time frame possibly of rupture..my Dr said if it blows I'll have about 1 minutes of pain before I lose consciousness. If a leak happens I can go on Hospice at home or hospital could be up to 2 days if a very slow leak. My question to all of you past and present with a AAA, what would you choose? To know or not to know results? God Bless you all..MM

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@maggie1946 I would pray about it and ask God for guidance.

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Thank you, God and I talk alot more now..lol I know somehow ,someway I will find the answer when it's time..Praise God who has all the answers and the grace to look over us...mm

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Profile picture for maggie1946 @maggie1946

I had AAA repair 4 years ago mine ruptured during the very start of surgery..7 hrs later 16 units of blood 31 days in hospital..I recovered 100% ...now I'm 80 and diagnosed with 3 AAA..2 in aortic arch and an abdominal one just above the last repair. I've been tested for the new replacement parts made on site but did not qualify due to limited "landing" space..and low lung function results. Soooo i will not be repaired and just live my life as best I can and wait for it to rupture..it's a daunting task, but I have loving family I live with...I told my Dr after the discussion that I 'm ok with the situation. I am not afraid of dying, I've had a wonderful life and looking forward to seeing all my family and friends when I pass the Pearly gates ♥️ I do have another scan in 3 months to check things out it was at 5.5 3 months ago, he said some patients don't want to know how much it has grown and others do want to know so they have an idea of time frame possibly of rupture..my Dr said if it blows I'll have about 1 minutes of pain before I lose consciousness. If a leak happens I can go on Hospice at home or hospital could be up to 2 days if a very slow leak. My question to all of you past and present with a AAA, what would you choose? To know or not to know results? God Bless you all..MM

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@maggie1946
Hello......while you seem to be at peace with your present condition, and your discussions with your Dr, wouldn't it be beneficial to have a "second opinion" regarding the viability of surgery in your case? As you didn't mention your current Dr's level of expertise, as well as any others you've discussed this with, I would think a re-evaluation of your case would be needed. I would recommend that you consider the "Virtual Second Opinion " offered on-line by Cleveland Clinic, to have your case reviewed by top-flight experts in the field of aortic aneurysms and their surgeries. Best wishes for your decision. As far as "wanting to know" or not, while knowledge is power, if you're convinced you're not having surgery or are a candidate for it, then "knowing" may be a moot point now. I imagine your current level of knowledge already has great influence on your activities and mindset.

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Profile picture for ctflyr @ctflyr

@maggie1946
Hello......while you seem to be at peace with your present condition, and your discussions with your Dr, wouldn't it be beneficial to have a "second opinion" regarding the viability of surgery in your case? As you didn't mention your current Dr's level of expertise, as well as any others you've discussed this with, I would think a re-evaluation of your case would be needed. I would recommend that you consider the "Virtual Second Opinion " offered on-line by Cleveland Clinic, to have your case reviewed by top-flight experts in the field of aortic aneurysms and their surgeries. Best wishes for your decision. As far as "wanting to know" or not, while knowledge is power, if you're convinced you're not having surgery or are a candidate for it, then "knowing" may be a moot point now. I imagine your current level of knowledge already has great influence on your activities and mindset.

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Thank you, I totally agree with your ideas, unfortunately I had the head of thoracic surgery who is the top doc here. He is an expert in the area, head of the entire heart surgery, he does heart transplants and is highly rated among his colleagues. I am aware of the reasons I'm not a good candidate, it still is a heavy burden to carry. I will hope and pray the outcome is easier with the Lord's grace and blessings..mm

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