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At What Stage Should Ascending Thoratic Aortic Aneurysm Be Repaired?
I have been told I have an ascending thoratic aortic aneurysm measuring 4.5cm. this seems to have developed in the last 2 years. . I have had my aortic valve replaced 13 years ago with a bovine one. At what stage do you think it needs to be repaired? 5cm. . this seems to have appeared in the last 2 years. I also have had aortic valve replaced with bovine valve I have been told I have and ascending thoratic aorta aneurysum measuring 4.13 years ago. at what stage do you thinit needs to be repaired? rta aneuysm
Wed, 2 May 2018
Hello,
That is correct, generally speaking, most vascular surgeons do not consider repairing aortic aneurysms until they reach a size of about 5 cm.
This is because the risk of complicated rupture is great and we know that major complications of rupture do not elevate substantially until an aneurysm gets to about 5 cm.
Then, the risks versus benefits of the procedure and possible complications balance in favor of intervening if that makes sense.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi
That is correct, generally speaking, most vascular surgeons do not consider repairing aortic aneurysms until they reach a size of about 5 cm.
This is because the risk of complicated rupture is great and we know that major complications of rupture do not elevate substantially until an aneurysm gets to about 5 cm.
Then, the risks versus benefits of the procedure and possible complications balance in favor of intervening if that makes sense.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi
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