New diagnosis today. Trying to figure what to do..

Posted by mhaney5 @mhaney5, Mar 25 5:44pm

Hello everyone. I could use your help. Today I was diagnosed with a 4.0 aneurism of the aortic root. I read most of the time they don’t do anything till it grows to over 5.0cm. Is that right? What should be my next steps?

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

So with my dissection and aneurysm, I am now thinking of everything that happened in my life before it. And of course all the symptoms were there, but many probably had nothing to do with it. Tiredness, shortness of breath, fatigue, difficulty eating sometimes, racing heart... etc.
When it happened, of course there were symptoms - and I needed those to alert me that a dissection was in session ! So grateful my chest was stabbed with a flaming sword - if it was a milder pain I probably wouldn't be here typing delightful messages into this forum.

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Profile picture for moonboy @moonboy

Surgery has improved my life greatly. Not only am I here to talk to you and help you through this journey, but I’m far healthier now than I was 10 years ago. I’m in Daytona Beach right now with my 12 year-old daughter enjoying spring break. Without surgery, I would not be here. So, yeah, if I had it to do all over again I do it all over again. Put yourself in the hands of a great surgeon and you’re going to be fine. Peace.

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wow @moonboy
You are looking good !
In other universe we could have been brothers (which makes sense as we have matching scars)
🙂
Seriously, I am glad you made it, and continue to stick around - for me, and everyone on this forum.
Enjoy spring break - we don't have such a thing here

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Profile picture for moonboy @moonboy

I take 1-atorvastatin, 2-carvedilol, 4-amlodipine, 1-aspirin, 1-multivitamin. Forever. I set my pills up every six months little compartmented containers. It’s easy peasy. Cholesterol, heart rate, blood pressure. I take one round in the morning and one round in the evening. Easiest thing in the world. I do not have an artificial valve or a porcine valve so I don’t need to take any anti-rejection drugs. I should mention I had some pretty serious problems with the Met Forman when they were trying to I guess control my blood sugar. I would be leery of that medication unless you’ve had some experience with it and affect you.

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Without trying to compare...
I have mild heart failure post OHS surgery (aneurysm/dissection/prosthetic valve and aorta).
My drug names... atorvastatin, bilsoprolol, perindopril, warfarin, spironolactone
they do the following (and I don't really care which ones do what)
heart function, heart strength, aortic strength, reduced pressure, and mitigation of valve-related stroke

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Profile picture for houston13 @houston13

The only thing I would add to moonboy’s post is to take care of your body, if you smoke stop, exercise (keeping in mind the restrictions he listed), it is important to keep your body as healthy as possible, exercise also helps the mind to manage anxiety and stress. At 4.0 you may never get to the point of needing surgery but if you ever do, having taken care of your body will pay dividends. I had my repair at 5.2cm 5 years ago and being in good shape helped me recover quickly.

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I have a 5.0 root aneurism that has been stable for many years.What are the chances that I will eventually need surgery and will it have to be open heart

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Profile picture for trki @trki

My husband has an 4.9 aortic root aneurysm and moderate to severe aortic valve regurgitation. He doesn’t really have symptoms specific to the heart. He does have significant fatigue, but he is being treated with Androgen Deprivation Therapy for aggressive prostate cancer.
Two surgeons said he could have open heart surgery now to within 6 months. They both were concerned about heart damage leading to heart failure due to the severe regurgitation.( both felt it was more severe than moderate.)

He has an echo scheduled at the end of this month … we will see how stable his heart is then, and then make a decision about when to schedule .

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5.0 root aneurism has been stable for years.Chances the I will surgery in the future and will it have to be open heart.

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Profile picture for fine12 @fine12

I have a 5.0 root aneurism that has been stable for many years.What are the chances that I will eventually need surgery and will it have to be open heart

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Hard to tell without more information, your cardiologist will look at your body size, family history, shape of the aneurysm, other issues you may have and the risk of surgery in your condition (for example in my particular case my surgeon gave me >99% probability of no issues, so in his mind I should had it repaired, for others the odds could be way lower and they would have to be weighed against the probability of dissection/rupture), etc to make a recommendation.

At 5.0 you are in the realm of possibility, and unfortunately although there are studies to find other ways to repair ascending aortic aneurysms, open heart is currently the only truly effective solution.

All the best to you!!

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Profile picture for moonboy @moonboy

Thatta Boy! Show me up!!!

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I feel the urge to participate in this medication contest 🙂. I take 2 Carvedilol, 2 Valsartan, 2 Nifedipine, 1 Spironolactone, 3 Hydralazine, 1 Atorvastatin, 2 Terazosin and wear a Clonidine transdermal patch every day. And that is just for trying to manage my blood pressure. I take 9 other daily medications for other health issues as well as a number of vitamins. I’m not complaining though because they have kept me alive. And I’m keeping the drug companies and pharmacies in business.

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Profile picture for wtamminen @wtamminen

I feel the urge to participate in this medication contest 🙂. I take 2 Carvedilol, 2 Valsartan, 2 Nifedipine, 1 Spironolactone, 3 Hydralazine, 1 Atorvastatin, 2 Terazosin and wear a Clonidine transdermal patch every day. And that is just for trying to manage my blood pressure. I take 9 other daily medications for other health issues as well as a number of vitamins. I’m not complaining though because they have kept me alive. And I’m keeping the drug companies and pharmacies in business.

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I hear ya brother but if you’re wearing a clonidine patch your bp must be off the hook! Cause clonidine is used to rapidly reduce bp and I’m thinking you’re probably sleeping a lot!? When I was in pharmacy (certified tech in armed forces) they hadn’t even made a patch for that particular drug but I know it rapidly decreases bp so yeah, you need to be careful and unfortunately cater to all the must do’s for high blood pressure. I hope you’ll get better soon. May I ask what strength the patch is releasing? Just professional curiosity. And you’re definitely in the right place. Great group, great people, as well as very knowledgeable. Be well as you can- that’s quite a cocktail they have you on!

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Profile picture for chebo1954 @chebo1954

I hear ya brother but if you’re wearing a clonidine patch your bp must be off the hook! Cause clonidine is used to rapidly reduce bp and I’m thinking you’re probably sleeping a lot!? When I was in pharmacy (certified tech in armed forces) they hadn’t even made a patch for that particular drug but I know it rapidly decreases bp so yeah, you need to be careful and unfortunately cater to all the must do’s for high blood pressure. I hope you’ll get better soon. May I ask what strength the patch is releasing? Just professional curiosity. And you’re definitely in the right place. Great group, great people, as well as very knowledgeable. Be well as you can- that’s quite a cocktail they have you on!

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The Clonidine transdermal patch I am taking gives me 0.2 mg per day. I also have some 0.1 mg pills I can take if needed. My blood pressure has not been controlled for many years. I have seen 4 different cardiologists in the last 10 years. None of them have been able to find a way to keep my blood pressure stable. I’m sure it helped cause my aneurysm (which I had repaired 4 months ago). Even with all the medication I take my resting BP sometimes goes up to 180/110. Then at other times it drops down to 100/ 55. I do other things to help control my BP like exercise, meditation, trying to limit salt, and trying to eat healthy.

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