Are there new breakthroughs for Abdominal Aortic Aneurysm surgeries?

Posted by suzie71 @suzie71, Dec 10, 2023

I have a AAA, and I am being monitored for the size. It has stayed stable now for 3 years with a 3.9 Cm in size. My fear is that I know the surgery is one of the hardest surgeries to have. I know years ago that survival was very slim, but I would like to know what to expect now if I have to undergo the surgery at some point,

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Profile picture for shlary @shlary

@houston13 thanks. Yes I realize the difference but since I have the genetic high level Lpa just wondering about treatment. Guess my doctor didn’t explain well when he used the word annuities. Still serious in my book

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@shlary aneurysm

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Profile picture for moonboy @moonboy

An abdominal aortic aneurysm (AAA) and atherosclerosis are related but not the same condition. AAA is a bulging or ballooning of the abdominal portion of the aorta—the main artery that carries blood from the heart to the rest of the body. The wall of the aorta weakens and stretches, increasing the risk of rupture. Atherosclerosis, on the other hand, is the buildup of fatty plaques (cholesterol, calcium, and other substances) inside the walls of arteries. This process can weaken the arterial wall over time and is one of the most common causes of AAA. In other words, atherosclerosis often contributes to or accelerates the development of an aneurysm, but not all aneurysms are caused by atherosclerosis. Some are due to genetic factors, connective tissue disorders, inflammation, or trauma.

In short:
Atherosclerosis = plaque buildup inside artery walls.
AAA = a weakened and dilated section of the aorta, often resulting from or worsened by atherosclerosis.

Peace.

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@moonboy thanks very much. You sound like a Dr.
I think my dr used the word aneurysm but I am not there yet and want to control it but trying to get in touch with my cardiologist. Statins may be the answer now but I feel that because my Lpa is so high I have seek more aggressive treatment.

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Profile picture for houston13 @houston13

@shlary artherosclerosis is the narrowing of blood vessels normally due to history of high cholesterol which builds up, inside the walls, eventually they may block the flow of blood. An Aneurysm is totally different, it is a localized bulge of the artery, think of a small balloon that happens on a weak wall spot. Aneurysms can happen almost in any artery, an AAA specifically happens on the aorta in the section that travels through the abdomen (aneurysms can happen on any spot of the aorta and are named differently depending on the section of the aorta) , as they grow larger they can rupture or dissect and those are critical events, usually fatal.

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@houston13 thanks. Yes I realize the difference but since I have the genetic high level Lpa just wondering about treatment. Guess my doctor didn’t explain well when he used the word annuities. Still serious in my book

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An abdominal aortic aneurysm (AAA) and atherosclerosis are related but not the same condition. AAA is a bulging or ballooning of the abdominal portion of the aorta—the main artery that carries blood from the heart to the rest of the body. The wall of the aorta weakens and stretches, increasing the risk of rupture. Atherosclerosis, on the other hand, is the buildup of fatty plaques (cholesterol, calcium, and other substances) inside the walls of arteries. This process can weaken the arterial wall over time and is one of the most common causes of AAA. In other words, atherosclerosis often contributes to or accelerates the development of an aneurysm, but not all aneurysms are caused by atherosclerosis. Some are due to genetic factors, connective tissue disorders, inflammation, or trauma.

In short:
Atherosclerosis = plaque buildup inside artery walls.
AAA = a weakened and dilated section of the aorta, often resulting from or worsened by atherosclerosis.

Peace.

REPLY
Profile picture for shlary @shlary

Is AAA also atherosclerosis or is this different??
I find the drs not too concerned and am going to push for tests to check the seriousness. I am having surgery soon for cancer and this is a concern

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@shlary artherosclerosis is the narrowing of blood vessels normally due to history of high cholesterol which builds up, inside the walls, eventually they may block the flow of blood. An Aneurysm is totally different, it is a localized bulge of the artery, think of a small balloon that happens on a weak wall spot. Aneurysms can happen almost in any artery, an AAA specifically happens on the aorta in the section that travels through the abdomen (aneurysms can happen on any spot of the aorta and are named differently depending on the section of the aorta) , as they grow larger they can rupture or dissect and those are critical events, usually fatal.

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Is AAA also atherosclerosis or is this different??
I find the drs not too concerned and am going to push for tests to check the seriousness. I am having surgery soon for cancer and this is a concern

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I had op 16 months ago chronic pain still ,pain killers not effective last resort is methadone .
Mobility is reduced due to loss of blood and oxygen to spine ,there was complication as first applied stent broke which could have attributed to my condition .
,Must say ,sorry was not really an excuse or expression I experienced on the out come .

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Profile picture for mwendt54 @mwendt54

@maverick1791
My husband had his EVAR for AAA on 10/8. The procedure itself went extremely well. No pain, no endoleaks so far. The surgery itself took about 2 1/2 hours. He had 2 stents placed and was discharged the following day 10/9.
On Saturday 10/11 he was complaining that he “wasn’t feeling right.” Had fullness in his stomach and was constipated. He took a laxative and proceeded to have diarrhea and was very light headed, dizzy and complaining about not being able to move his feet. He couldn’t get up and I certainly couldn’t and wouldn’t even try. I called 911. They arrived and his blood pressure was in the tank, 87/52. He was pale and sweaty. I asked them to take him back to the medical center where he had the procedure for 2 reasons, #1 it’s a level 1 trauma center and #2 his surgeon was there and this medical center is the best in the Milwaukee, WI area. His dizziness has continued over the past couple days, was found to be in metabolic acidosis. Fluids, lovenox and decreasing his blood pressure medication was started. He’s doing better tonight. We walked the floor a few times, was up in the chair throughout the day and was able to shower. All scans look great, no complications from the EVAR procedure just scary as hell. You had asked for an update so there it is. The procedure itself couldn’t have gone better and we are very happy. He should be able to come home tomorrow.

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@mwendt54
Thank you for the update. As I understand your email, the EVAR went better than expected? That’s great! No leakage & stents staying in place.
Im not sure how he got the Metabolic Aacidosis. Not even sure what that is so I won’t comment.
Make sure he keeps walking to prevent any blood clots from forming. My nurse put my feet in inflatable socks that would pump up & deflate every 10 seconds. This prevents blood clots from forming. Not great for sleeping though.
Within the next 30 days or so, he should have an Ultrasound & CT Scan. These tests would find any Endoleaks & check to make sure the stens stay in place.
Just finished mine on 9/25 & got the all clear from my surgeon. In 6 months I’ll have another Ultrasound. If that goes well, it will be a yearly test for the rest of my life. My artificial graft should last my lifetime.
Make sure he keeps walking to make sure he builds up his leg muscles.
Thanks for the great update !
God Speed ftom Carol Stream, Il. 🙏

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Profile picture for maverick1791 @maverick1791

@mwendt54
My prayers are with you and your husband for a pain free & successful surgery.
Please drop me a note to let me know how it went.
♥️

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@maverick1791
My husband had his EVAR for AAA on 10/8. The procedure itself went extremely well. No pain, no endoleaks so far. The surgery itself took about 2 1/2 hours. He had 2 stents placed and was discharged the following day 10/9.
On Saturday 10/11 he was complaining that he “wasn’t feeling right.” Had fullness in his stomach and was constipated. He took a laxative and proceeded to have diarrhea and was very light headed, dizzy and complaining about not being able to move his feet. He couldn’t get up and I certainly couldn’t and wouldn’t even try. I called 911. They arrived and his blood pressure was in the tank, 87/52. He was pale and sweaty. I asked them to take him back to the medical center where he had the procedure for 2 reasons, #1 it’s a level 1 trauma center and #2 his surgeon was there and this medical center is the best in the Milwaukee, WI area. His dizziness has continued over the past couple days, was found to be in metabolic acidosis. Fluids, lovenox and decreasing his blood pressure medication was started. He’s doing better tonight. We walked the floor a few times, was up in the chair throughout the day and was able to shower. All scans look great, no complications from the EVAR procedure just scary as hell. You had asked for an update so there it is. The procedure itself couldn’t have gone better and we are very happy. He should be able to come home tomorrow.

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Profile picture for mwendt54 @mwendt54

@maverick1791
Congratulations to you on your successful outcome! My husband turned 70 last week and has his EVAR surgery scheduled for 10/8/25. His aneurysm is 5.2 cm and has been watched every 6 months for a few years. It was found accidentally after a family member was diagnosed with a genetic mutation called Loeys-Dietz syndrome which causes aneurysms. We feel very fortunate to have found this out. I’m particularly encouraged by your result and no endless or other complications from the surgery so far. It causes a lot of stress worrying about complications from this surgery. Best wishes for continued good health for you and thank you for posting.

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@mwendt54
My prayers are with you and your husband for a pain free & successful surgery.
Please drop me a note to let me know how it went.
♥️

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