Has anyone had ascending aorta aneurysm surgery prior to 5 cm?

Posted by psmeyers @psmeyers, Sep 22 5:25pm

Hi I am a 56 year old woman and I have an ascending aorta aneurysm. in 2024 it was 3.7cm and now it is 4.5cm. My mother died of aorta dissection and I have a condition known as Takayasu arteritis. This attacks the aorta. My dr said he would consider surgery before 5 cm. Has anyone had surgery early like this?

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I did. My root was 4.8 and mid ascending aorta was 4.7. I was in open heart surgery for 3 other major procedures. The root ruptured and aorta split when the took me off the bypass machine while the surgeon was literally watching it.

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I am 81 y.o. with a 4.8 c. m. ascending aortic aneurysm and considering surgery. Also, I am asymptomatic, healthy and physically fit otherwise. However, the Aortic Index chart for height shows my 57 inch height and 4. 8 c. m. is actually 7.0 c.m.! The height chart is available if you Google Aortic Index Height chart.

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I was 51 when diagnosed withe an aneurysm of 4.2cm. two years later I asked my doctor to check it again because I wanted to do more running. At age 53 I was diagnosed with a 4.8 aneurysm. My doctor said stop running and scheduled a surgery. That is now 13 years ago. I am active and run 6 days a week for about an hour.
I think for women it is important to have surgery when it is 5cm (The Netherlands) or when in your case the increase in two years is .8cm. Especially if aneurysms are diagnosed in your family.

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Profile picture for pdehaan @pdehaan

I was 51 when diagnosed withe an aneurysm of 4.2cm. two years later I asked my doctor to check it again because I wanted to do more running. At age 53 I was diagnosed with a 4.8 aneurysm. My doctor said stop running and scheduled a surgery. That is now 13 years ago. I am active and run 6 days a week for about an hour.
I think for women it is important to have surgery when it is 5cm (The Netherlands) or when in your case the increase in two years is .8cm. Especially if aneurysms are diagnosed in your family.

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@pdehaan

Ook een Nederlander ?

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Profile picture for pdehaan @pdehaan

I was 51 when diagnosed withe an aneurysm of 4.2cm. two years later I asked my doctor to check it again because I wanted to do more running. At age 53 I was diagnosed with a 4.8 aneurysm. My doctor said stop running and scheduled a surgery. That is now 13 years ago. I am active and run 6 days a week for about an hour.
I think for women it is important to have surgery when it is 5cm (The Netherlands) or when in your case the increase in two years is .8cm. Especially if aneurysms are diagnosed in your family.

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@pdehaan was it an as-sending arirtic aneurysm? What kind of surgery did you have. For assending I think it is open heart surgery. Ugh

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Yes it was an ascending aorta aneurysm. It was an open heart surgery: they replaced my ascending aorta with a graft.

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Thanks for answering everyone. My genetic test came back negative which is good but still have vasculitis. I am taking prednisone and getting a scan in 3-6 months. They are letting me know on Monday. I am scared but you all gave me hope it will be fine even if I need the surgery, thank you for taking the time out.

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Hello everyone. What make it grow? I’m 60 yrs young and have been diagnosed with it as welll. It doesn’t run in my family history. So how does it come about? I’m learning about this.

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I had a complete Type A-1 ascending aortic dissection suddenly in 2015 at age 50. You do NOT want to wait until it dissects on its own. I would highly recommend that you meet with a good thoracic surgeon at a major heart center (20> or more aortic surgeries a year) and get your surgery scheduled. After having gone through it myself emergently, I can assure you you're much better off with a planned scheduled surgery rather than an emergency in the middle of the night. You're going to be fine, but you cannot ignore it. Peace

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