I can not thank you enough for posting this video. I have been diagnosed with a 4.2 (stable for 3 years) ascending aortic anuerysym and your explaination has helped tremendously. I am 55 and have had high blood pressure that I have only begun to treat recently, so I believe this was the cause. I am under the care of a cardiologist, but yet your video was more informative than that visit!!
MY son is 21 yrs. old. He has ARPKD and is currently on Dialysis. His liver has hepatic fibrosis because of the ARPKD. His meld score is 24 driven a lot by the renal failure. We are wanting to put him on the Wait List for Liver/Kidney transplant. We have a concern because he has enlarged ascending aorta which is measuring 5 cm. Do you recommend a repair before transplant?
@tjkingful Thank you for your question. Unfortunately, we are unable to provide a second opinion without first tproviding your son with a formal medical examination and consultation. However, we will forward your question to Dr. Sundt for his review. Thank you again.
If a patient has an aneurysm of the ascending aorta which is 5.2 CM and his valve is bicuspid with no regurge or gradient on it, would u go for a root replacement or only a supracoronary graft provided that the sinuses and the sinotubular junction are not dilated ?
I am a med student just sitting here studying, fascinated by, right now, ascending aortic aneurysms. I came over this while thinking about a question we had not long ago, concerning the major etiology of such a scenario. I was stuck between two etiologies; marfan syndrome, and syphilis. I have trouble finding valid epidemiological data on syphilis, and marfan for that matter, so choosing the best answer is still unsolved in my head. Anyone wants to clarify?
From Dr. Sundt page 1: While of course we would not want to make a formal recommendation without meeting you and doing a complete medical evaluation as well as review of your imaging studies ourselves, you probably fall just below the usual criteria for repair. Still, it is not black and white. If your aorta is truly 4.9 cm, it is abnormal--the question is only "how abnormal is it, and is it abnormal enough to recommend repair?"
From Dr. Sundt page 2: Any decision to go ahead with surgery is a balance of the risks and benefits. Your operative risk is likely very low--1% or less chance of a complication if you are healthy and the surgery is done in experienced hands. Other factors to consider are family history of aortic complications and whether the aorta has grown. In short, it would be reasonable to play it either way! Part of the decision making is how anxious you feel about it too!
My former boss, a retired internist, had a dissecting aneurysm where the aorta entered the heart, at age 86, and he survived and is fine! Amazing
klizmusic 5 months ago
My former boss, a retired internist, had a dissecting aneurysm where the aorta entered the heart, at age 86, and he survived and is fine! Amazing
klizmusic 5 months ago
Dr. Sundt,
I can not thank you enough for posting this video. I have been diagnosed with a 4.2 (stable for 3 years) ascending aortic anuerysym and your explaination has helped tremendously. I am 55 and have had high blood pressure that I have only begun to treat recently, so I believe this was the cause. I am under the care of a cardiologist, but yet your video was more informative than that visit!!
TheOnemaple 7 months ago
MY son is 21 yrs. old. He has ARPKD and is currently on Dialysis. His liver has hepatic fibrosis because of the ARPKD. His meld score is 24 driven a lot by the renal failure. We are wanting to put him on the Wait List for Liver/Kidney transplant. We have a concern because he has enlarged ascending aorta which is measuring 5 cm. Do you recommend a repair before transplant?
Thank you.
Mrs. K
tjkingful 8 months ago
@tjkingful Thank you for your question. Unfortunately, we are unable to provide a second opinion without first tproviding your son with a formal medical examination and consultation. However, we will forward your question to Dr. Sundt for his review. Thank you again.
mayoclinic 8 months ago
Dr Sundt,
If a patient has an aneurysm of the ascending aorta which is 5.2 CM and his valve is bicuspid with no regurge or gradient on it, would u go for a root replacement or only a supracoronary graft provided that the sinuses and the sinotubular junction are not dilated ?
sordimos 1 year ago
I am a med student just sitting here studying, fascinated by, right now, ascending aortic aneurysms. I came over this while thinking about a question we had not long ago, concerning the major etiology of such a scenario. I was stuck between two etiologies; marfan syndrome, and syphilis. I have trouble finding valid epidemiological data on syphilis, and marfan for that matter, so choosing the best answer is still unsolved in my head. Anyone wants to clarify?
martincanada1 1 year ago
From Dr. Sundt page 1: While of course we would not want to make a formal recommendation without meeting you and doing a complete medical evaluation as well as review of your imaging studies ourselves, you probably fall just below the usual criteria for repair. Still, it is not black and white. If your aorta is truly 4.9 cm, it is abnormal--the question is only "how abnormal is it, and is it abnormal enough to recommend repair?"
mayoclinic 1 year ago
I am 55. Mine is 4.9cms. I have a tri valve with no issues and Marfran syndrome is not involved. I am otherwise healthy.
What are your thoughts on my condition.
jeffreyjennings 1 year ago
From Dr. Sundt page 2: Any decision to go ahead with surgery is a balance of the risks and benefits. Your operative risk is likely very low--1% or less chance of a complication if you are healthy and the surgery is done in experienced hands. Other factors to consider are family history of aortic complications and whether the aorta has grown. In short, it would be reasonable to play it either way! Part of the decision making is how anxious you feel about it too!
mayoclinic 1 year ago
@mayoclinic Thanks for your insight.
jeffreyjennings 1 year ago
Very interesting video, it was very nice that the physician mentioned that there are different options for the treatment depending on each case.
MrSymposier 2 years ago