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Thoracic Aortic Aneurysm Archive Questions

Below are Dr. Neschis’s answers to Thoracic Aortic Aneurysm questions
received through the Ask the Expert feature.

This content is provided for informational purposes only, and is not intended
to be a substitute for individual medical advice in diagnosing or treating a
health problem. Please consult with your physician about your specific health
care concerns.




Now displaying records 1 to 9 of 9.

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Q : 1

06/12/2009
My grandmother is 84 years old she has had triple bypass heart surgery and now she has an aneursym on her aorta. What are the risks and they sent her home with "baby asprin" why?

Not all aneurysms need to be treated right away. It depends on the size and type of aneurysm. Small aneurysms, particularly in older patients, are usually followed over time and treated if they grow to the point that they are more of a threat. Baby aspirin is most often given for its abilty to help prevent heart attacks and strokes.


Q : 2

05/23/2009
I am a 58 year old woman and I have been diagnosed with an ascending thoracic aortic aneurysm of 3.5mm and a descending one of 2.5mm. My doctor told me to get another CT scan in 6 months and that I wouldn't have to worry about this for at least a few years. I am now experiencing shoulder and neck pain and wonder if this could be related to the aneurysms.

If you are experiencing pain, your should contact your doctor whether it is related to the aneurysms or not. The size of the aneurysms you've described are quite small for typical aneurysms. Most that are this size are followed rather than treated immediately.


Q : 3

04/02/2009
When using the Gore Tag, does it matter whether the aneurysm is on the ascending or descending aorta?

Yes, when discussing the TAG graft we generally are referring to descending thoracic aneurysms.


Q : 4

04/01/2009
Does an aneurysm have to reach a certain size before the gore tag procedure can be considered? Last year I learned that I have a thoracic aneurysm that is 3.5 cm. and my doctors are not giving me any other information.

Typically, aneurysms that are 3.5 cm. are followed closely unless there are other features about it that suggest surgery should be performed. If you want a second opinion, ask your doctors to recommend a vascular surgeon for you to discuss your case with.


Q : 5

02/10/2009
I would like to know if I might be a candidate for the gore tag endoprosthesis surgery. I am 52, non smoking female with an ascending aortic aneurysm at approx 4.6cm. I am in excellent health.

Typicaly the Gore endograft is not used for ascending aneurysms. Most surgeons would recommend the open approach for a young healthy person.


Q : 6

01/13/2009
My wife has a thoracic aortic aneurysm at 5.9 with no discomfort that is controlled by medication. Should she avoid flying on a commercial airline due to the atmospheric pressure change?

For specific issues like these, you should consult with the physician that is managing your wife's care.


Q : 7

03/20/2008
Can this procedure be used for ascending arch aneurysms?

In some cases it can allow repair without stopping the heart which is generally needed for this type of repair. However, it would still require some form of open operation to bypass the arch blood vessels that will be covered by the edograft.


Q : 8

05/14/2007
Can the GORE TAG Thoracic Endoprosthesis be used on a dilated aortic root? My CT scan indicates the dialation is 4.3 to 4.5 Two-year old echograms indicated it was at 3.5 I've never smoked, drank or had high blood pressure - usually 120/80/55. Thank you for your time.

Unfortunately the GORE TAG is not designed to treat the aortic root. Check with you doctor on how to obtain the proper follow-up/treatment.


Q : 9

05/10/2007
How long would it take an asending thoractic aortic aneurysm to grow to 4cm? Would one be seen in a chest X-ray?

Chest Xr-ay is not a reliable way to follow the size. Someone with an ascending aortic aneurysm should be seen by a cardiac surgeon to develop an appropriate plan. It is hard to predict growth, that is why small aneurysms are often followed over time, but needs more than a chest X-ray, usually a CAT scan or MRI.


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