Any advice on abdominal aortic aneurysm and kidney disease?

I don't have any experience with kidney disease but I've had my entire abdominal aorta replaced after a spontaneous Dissection that I was fortunate enough to live through.
My advice is to find the best, most experienced doctor you can, and get a second opinion. Don't just take "the next surgeon in the queue".
This may sound harsh, and it probably is, but surgeons do surgery. If you can find the best surgeons who do a lot of the surgeries you may need done, they aren't in a great need to put you on the table. They already have people lining up for their expertise and abilities. They'll also , most likely have dealt with your particular situation already (kidney issues). Don't be afraid to ask the doctor(s) specifically how many of these operations they've done so far in there career, but also, a breakdown of the outcomes of those surgeries. I always tell people- I'd want a doctor who doesn't need to perform the surgery, but has enough experience, with a large percentage of good outcomes, that he could do it with his eyes closed.
I think that places like Mayo that take a "team" approach to patient health and really practice it, are the better option.
Good luck in your journey!

Hello @nerkk

I am afraid I don't have experience with the kidney issue either. I have a dilation of my ascending aorta and have read a little bit about treatment in that area. I wanted to agree with the good advice from @terryb3582. There's a little bit about it here: https://www.acc.org/About-ACC/Press-Releases/2022/11/02/18/18/ACC-AHA-Issue-Aortic-Disease-Guideline. This would seem especially important given the complexity of your health concerns. I ran across some science behind going to a high volume center as well. The outcomes are better. I guess it would be because they have seen more problems that might be encountered in your surgery and they get lots of practice. I should say, I have no experience or education in medicine. 🙂

Hope it all goes well!!