1. < Aortic Aneurysms
Profile picture for catwoman07

Stenting an Ascending Aortic Aneurysm under 5

Posted by catwoman07 @catwoman07, May 9 12:52pm

My name is Sue. I am a 67 year old who was just diagnosed with a 4.0. I get all of my specialty care at Mayo. I learned there are Cardiologists who specialize in a noninvasive method to stent the aneurysm. I'm an RN and I know they don't do any major surgeries below 5, but I live in Michigan and I don't want to wait. Major surgeries are emergency and involve a cardiac bypass.

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

Profile picture for jcsc
jcsc | @jcsc | 5 days ago
In reply to @lsrchevy68 "@jcsc I have a Juxtarenal and Pararenal abdominal aortic aneurysm This surgery(going thru groin on both..." + (show)
Profile picture for lsrchevy68 @lsrchevy68

@jcsc I have a Juxtarenal and Pararenal abdominal aortic aneurysm This surgery(going thru groin on both sides and your neck and your wrist wasnt as bad as having to stop the blood flow and opening you up which can cause kidneys to fail or you could be paralyzed from them going in the front to your back with all those different nerves that could be compromized. I am sending 2 pictures of before and after.

Jump to this post

@lsrchevy68 Thank you for this encouraging information! May I ask where you had your surgery?

REPLY
Profile picture for alymat
alymat | @alymat | 4 days ago

There is a study, the Arise II study, at multiple institutions across the country utilizing a Gore internal stent. So far, I have seen no results and it is extended to past 2030. The patients studied are generally older, and a higher surgical risk for open cardiac bypass surgery.

REPLY
Profile picture for rlhix
rlhix | @rlhix | 4 days ago
In reply to @lsrchevy68 "The EVAR is less invasive" + (show)
Profile picture for lsrchevy68 @lsrchevy68

The EVAR is less invasive

Jump to this post

@lsrchevy68

That's not an option on an ascending aorta or aortic root due to the force and movement of the ascending aorta. The heart is a muscle with a lot of movement. I know there are some experimental procedures, but people have to get on trials for those, and it wouldn't have worked for me anyway given my root ruptured.

REPLY
Profile picture for dew88
dew88 | @dew88 | 3 days ago

Moonboy, Thanks for that very authoritative explanation. With all of the reading I have done I have not read what exactly is the reason that entry at the groin and threading up through the aorta cannot go to (or get to) the ascending aortic aneurysm? Is it the arch, the heart itself or the need for the surgical graft procedure? Or something else? Dan

REPLY
1 reply
Profile picture for rlhix
rlhix | @rlhix | 2 days ago
In reply to @dew88 "Moonboy, Thanks for that very authoritative explanation. With all of the reading I have done I..." + (show)
Profile picture for dew88 @dew88

Moonboy, Thanks for that very authoritative explanation. With all of the reading I have done I have not read what exactly is the reason that entry at the groin and threading up through the aorta cannot go to (or get to) the ascending aortic aneurysm? Is it the arch, the heart itself or the need for the surgical graft procedure? Or something else? Dan

Jump to this post

@dew88
It isn't that they can't get to it. It has to do with the fact that the ascending aorta moves more than the rest of the aorta because of it's attachment at the aortic root. Due to movement of the heart, the ascending aorta moves. As a result, it comes down to the strength of the landing zone. I have an artificial valve and a Dacron conduit for part of my ascending aorta because of the root rupturing. If they valve every needs repaired in the future, they can repair it by going through the groin.

REPLY
Please sign in or register to post a reply.