Brain and aortic aneurysm with coronary artery disease
Hello everyone. I'm new here. 58F, thin, low blood pressure and active. Last year I found out that I had a large brain aneurysm on the MCA which could only be addressed via brain clipping (craniotomy). It was a shock. My family history includes early heart disease (Dad was 42 for first heart attack, quad bypass at 53) and the inability to process our high cholesterol. I have been aware of my high cholesterol since my 20s but was always told you are a woman, fit and thin, etc. Well recently my gp conducted heart related tests which resulted in a cardiac calcium schore of 611 (99th percentile), Lipoproteins at 1300, Cholesterol at 290 with LDLs at 270. I also have a mildy dilated ascending aorta at 4.1. I am shocked. Is there anyone out there who has had a brain aneurysm and coronary artery disease or an aortic aneurysm? I'm wondering what my future will bring.
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@organizedchaos04 I have always thought aneurysms go hand in hand with high blood pressure so I am surprised that you have been diagnosed with two aneurysms even though you are active and have low blood pressure! But then … I have no medical knowledge or experience …🤷🏼♀️
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1 ReactionMy husband had a chest x-ray in 2015 and an aortic aneurysm was picked up just by chance at age 57. He had no symptoms, it was 4.7. We too were in shock. We had a consultation with a surgeon in New York City who only operates on aneurysms. He said although 4.7 seems so close to 5 cm. (at which they do operate) it's not.
He was very reassuring my husband does not have to walk on eggshells, only not to lift 100 pounds or more over his head. 11 years later, he is fine. It is measured annually and depending on the angle of a CT Scan or MRI the measurement can slightly changed. It went down, hovering around 4.1 to 4.6. His was most likely caused by uncontrolled B/P which is under control now. He also has severe coronary artery disease but his numbers are controlled with medications. Since you have a family history of early cardiovascular disease it "seems" like it's the culprit but only a cardiologist can tell you this. Aneurysms/cardiovascular disease can be genetic. With your cardiac profile, I am assuming you are now under the care of a cardiologist...not your GP to treat you for cardiovascular disease. Easy to say, but try to keep your stress level under control.
Sounds like you are facing major life changes...but no doubt you will do follow all your health care/cardiac recommendations and get through this!
All the very best to you.
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3 Reactions@rashida Thank you for your reply. I have always had low blood pressure and been aware of genetic heart issues. My family, including me have high cholesterol. A genetic thing. The brain aneurysm surprised me. Within two weeks of finding out I had a craniotomy, the only way to address MCA aneurysms unfortunately. Thanks again.
@briarrose Thank you for your reply. Its good to hear that your husband is doing well. I have low blood pressure, so was surprised when I ended up with a brain aneurysm. It was on the middle cerbral artery so craniotomy was my only option. I dont think I will ever be the same but now the genetic heart issues seems to be the next issue. Cardiologist is in two weeks so we shall see how that goes. Thanks again.
You are quite welcomed! Yes, my husband is doing well. And like you, when it was discovered, we were devastated, thinking it was a "death" sentence. We had been married only 4 months at the time.
Wondering if the brain aneurysm is genetic also (?)
Since early cardiovascular issues seem to part of your familial history, keep on eye on your children if any.
Sending you lots of positive wishes! Have faith, all will work out for you.
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1 Reaction@briarrose Thank you! Sending you positive issues as well! Brain aneurysms can be genetic but I dont have anyone in the family who has had one. I'm hoping to find someone who has had both as it really puzzles me. I'm now hearing that the cardio issue I need to worry about is the calcium score of 611 and the damage that many years of high untreated cholesterol have caused to the LAD and RCA. Thanks again.
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