Hi,

Thanks for the query.

Open heart surgery for Aortic Aneurysm need not always give rise to cognitive difficulties. It depends upon the extent of the aneurysm and hence the need of it being done just under a standard cardiopulmonary bypass(CPB) or does it have to be done under total circulatory arrest if it is more extensive. The surgery, if it can be done under standard CPB does not have much risk of cognitive behavior dysfunction postoperatively, whereas there is a higher risk of the same if the aneurysm is extensive and is upto or if involving the arch of the aorta.

The discharge from the hospital can be in about 8 to 10 days, but resumption of normal activities and work may take from six to eight weeks.

The risk again depends upon the extent of the disease. If the complete CT SCAN report may be uploaded further guidance can be given.

Regards

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Hi,

I am sorry, I am unable view your reports. Kindly re-upload them. You have a feature to upload the reports by yourself on the right side of this query page. Please utilize it.

Alternatively, you may mail your reports/images to YYYY@YYYY with subject as "Attention to Dr. Sadruddin Shariff".

I would like to have a clear picture, before concluding.

Regards
Dr Sadruddîn

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Hi,

I have gone through your reports and I can conclude that at present you do not require surgery or any intervention as rightly said by your cardiologist. The indication of intervention depends upon not only the size of the aneurysm but also the rate of its expansion usually about a cm per year. It is sufficient to monitor closely the aneurysm with a scan every six months or so.

Coming back to your question of cognitive disorders postoperatively, the scans reports uploaded do not mention the vertical extent of the disease, it is at the level of the pulmonary artery, that is what I gather and hence I may not be able to tell you the exact intervention you require. However the incidence of cognitive dysfunction is the same and there appears to be no difference in their occurrence either with open surgical methods or endovascular approaches.

The method to which you are referring to is known as waist coat aortoplasty or reduction aortoplasty with external wrapping, and this is done in borderline cases and who also require some other simultaneous cardiac surgery. The gold standard has been right royal and traditional ascending aortoplasty when indicated absolutely. In good hands and so much of technology around the incidence of postoperative complications are bare minimum now.

Please feel free to ask and follow up on the same anytime, all the best and good health to you!

Regards

Dr Sadruddin Shariff

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