My mother got diagnosed with an aortic aneurysm at 43-44 mm! It is stable from the day she discovered it about 4 years ago!im so frightened! She also survived a celebral aneurysm about 10 years ago!her heart is nevertheless healthy!what should we do?
@cardiacsurgerypatienteduca2445Күн бұрын
Actually, she doesn't need surgery. Find a cardiologist who will manage her blood pressure and get a cardiac surgeon that is well respected. She doesn't need surgery but should be followed by a surgeon just to be safe. It's VERY IMPORTANT that your mother keep her blood pressure controlled. Good luck!
@athinameleti1738Күн бұрын
@@cardiacsurgerypatienteduca2445 oh thank you doxtor for your reply!She has her blood pressure under control! I mean she is on the pill and if it’s reaches above 13,5 and 9 she takes an extra one ! So for the moment she is ok but is this thing a ticking bomb in chest?
@BKBKification5 күн бұрын
Very good at explaining everthing
@RCPLANET19625 күн бұрын
Mine is 4.2 let’s hope it doesn’t grow!
@Kamralux6 күн бұрын
So my 75 yr diabetic father went for CABG + ascending aorta graft so that CABG for triple vessel could get blood but they had to abort ascending aorta graft operation in between as the aorta was highly calcified and they did not risk clamping it. They somehow got the cabg done but now there is some differential of pressure between upper half and lower half of approx 50. What are the risk factors
@cardiacsurgerypatienteduca2445Күн бұрын
I'm sorry for the delay in responding. What are the risks or risk factors of what? I apologize but I'm not understanding your question. The risks of the aneurysm is possible rupture, I WOULD STRONGLY RECOMMEND you find a heart surgeon very experienced in aortic surgery just in case your father needs that surgery one day. Good Luck!
@CrystalBlackwell-b8b6 күн бұрын
Hello doctor. My mother just had surgery for her aortic aneurysm and they put her on life support however a woman put a rod in her arm before she was put to sleep with anesthesia and my mother said it hurt horribly. I do believe this was supposed to be done after she was put to sleep under anesthesia as putting a rod in someone’s arm while not numbing or not asleep would hurt very much. Was this wrong? Also she wasn’t written any preventative antibiotics which now she is running a fever and is to see her doctor in a couple days. I don’t think proper protocol was followed and I would like you to please explain if this is the right way for things to go??
@cardiacsurgerypatienteduca2445Күн бұрын
Sorry for the delay in responding. I'm not sure what rod you are referring to. I suspect you mean an IV line? Either way, please review this with your surgeon so that you can get clarification. Good Luck!
@mahsumoral49606 күн бұрын
Hello, I am 25, and my ascending aorta is 4.0 cm now. As I have searched, there is a closed surgery option in aortic aneurysm. However, I donot know if it is applicable in ascending aorta aneurysm. Could you please shed light on this?
@cardiacsurgerypatienteduca2445Күн бұрын
Sorry for the delay in responding. There are NO PERCUTANEOUS or "closed surgery" for ascending aortic aneurysms. By closed I suspect you mean that the chest isn't opened. There is a "closed surgery" for Descending aortic aneurysms. In those cases, stents are placed. I hope that answers your question. I strongly recommend you get a very EXPERIENCED heart surgeon to follow you BUT you will not need surgery for many years if at all. Good Luck.
@kpc345612 күн бұрын
Thanks Doc! Awesome video. I work in Cath Lab and love watching these kinds of videos. Keep them coming!
@your_fatherUWU17 күн бұрын
I'm 19, next week I'm having an aneurysm + valve replacement surgery😢please wish me luck 🙏
@cardiacsurgerypatienteduca244510 күн бұрын
Good Luck!
@donttalkwet124 күн бұрын
Im so scared. Mine has just been recently discovered in 2019 at 4.2cm and they said not to worry we will monitor it, i carried on as normal with the gym etc, each year it remained the same but then this year its gone upto 4.5 im terrified, been reffered to a specialist in that area for a chat and gene testing. I dont want to die and im so scared of this surgery i may need. Im only 42 years old.
@cardiacsurgerypatienteduca244522 күн бұрын
Sorry for the delay in responding. I recognize and understand your concerns. First, the increase in size doesn't necessarily mean it will continue. It could stop growing. Second, an elective surgical repair of an aneurysm has a 98% success in a well experienced surgeon. There is no reason you have to die. Research good surgeons. Good luck.
@franciscorodriguezjr.230525 күн бұрын
It's been 5 years since my open heart, surgery to replace my aortic valve, and I have a pain right at the incision. It hurts when I lift my right arm or when I cough, especially when I touch the area. It feels tender, and also feels like there is something poking me from the inside out. Can it be that the wires maybe got lose?
@cardiacsurgerypatienteduca244522 күн бұрын
Sorry for the delay in responding. Yes, the wires can be causing the pain. Go back to your cardiac surgeon for an evaluation. Good Luck!
@1979FrankyboyАй бұрын
Hi. Ive just found out my ascending aorta went from 38mm to 42.6.mm in one year. Im 44 years old fit healthy look after myself. Is it likely I will need surgery at some point?
@cardiacsurgerypatienteduca244528 күн бұрын
Sorry for the delay in responding. It is very difficult to predict based on one year if you will continue that rate of increase. As a result, I would say, I could give you a better answer in 1 year. If your rate of increase continues like this for another year, then I would say you will probably need surgery. I would strongly recommend you keep your blood pressure controlled and get a reliable cardiologist and cardiac surgeon. Good Luck!
@1979Frankyboy27 күн бұрын
@@cardiacsurgerypatienteduca2445 thank you for the responding. My blood pressure take today was 123/68 but generally it's always been on the lower end of the scale
@dilse1229Ай бұрын
Dr what’s the cost to remove the sternum wire
@cardiacsurgerypatienteduca2445Ай бұрын
Great question but I don't have the answer. I'm not aware of the costs.
@dilse1229Ай бұрын
By the way please can I Know which country are you from if you don’t mind.
@cardiacsurgerypatienteduca2445Ай бұрын
@@dilse1229 United States
@dilse1229Ай бұрын
@@cardiacsurgerypatienteduca2445 Thank you Doctor
@Lex-rc1grАй бұрын
I am a premed shadowing, I am studying so I can impress the docs and be informed for this procedure. Thanks for the info and great explanations!
@repurposedbydevineАй бұрын
I had surgery in March to repair my aorta type a dissection.
@bennettdickmann1602Ай бұрын
I am very impressed with this explanation. His calm demeanor and voice level gave me assurance that - despite his warning of risks - this surgery can be very successful. Than you!
@TheGalwayfanАй бұрын
My daughter has chest and rib pain with her cyst. It was just discovered. My son has a shunted subarachnoid cyst and i have kidney cysts. What are the odds this is all a coincidence? Why are my adult kids so physically fragile. Did my celiac disease do this to them? Im scared and i feel responsible for their poor health.
@the12makeitАй бұрын
Thank you for this video. A family member has a descending tear all the way down to the hip area. They was complaining of chest pain, back pain, and stomach pain as it they ate bunch of spicy peppers. What procedure do you think would be the best course of action for surgery the first one that you mentioned or the stents?
@cockeyedoptimista2 ай бұрын
I'm slightly taking aback by the word "approximating" when you speak of reconnecting the halves of the sternum! I've repaired many a broken plate or cup, and I can sometimes reattach them precisely, with no visible seam - but they're not bones. Have wished I had gone into surgery: I would have been good but I am a woman and ended up in art because I didn't know any better. In any case, I doubt there are any missing chips or pieces on the two halves of the sternum and my hope is that the surgeon would connect those two pieces back together as perfectly as humanly possible. That's what I hope happened on mine! I'm sure that it gets very very tedious after doing many operations. It might be hard to treat every single individual patient as a precious human being. I was a stranger when I had to have my surgery- I am not from the area where this happened. I think my doctor did a very good job. (Virginia Hospital Center.) I am having some issues with the wires, but it's not serious from a medical point of view. I really appreciate your videos! Anyhow, I guess you have to use "approximāte". It's a good word and it's certainly good for the lawyers who hound doctors sometimes. But I hope that you really do try to get them as perfectly back together as possible! I do know that sometimes there are forces pulling things back apart and it's not always easy to get them precisely matched up. I broke the 5th metatarsal of my foot years ago, and they had to put a pin in because the tendon there just pulls it right back out otherwise. But I don't think there are tendons pulling back on the rib cage or sternum, since they're just like a basket on the skeleton. Thank you very much if you read this! Bless you.
@cockeyedoptimista2 ай бұрын
Hello, Dr. Lemaire. Thanks for posting this quiet, clear, well-spoken video! Much appreciated. I was just wondering: "stop breathing"?! Fascinating: so the lungs won't interfere. I had no idea: they did that to me?! So how to you breathe? Whatever; I can look it up. I guess there are other ways to get the needed things into the blood and so forth. No doubt it's a Complicated process. I don't even have time to learn about it right now; bless physicians who specialize in such things and can help others; we all have our specialties.. No reply needed at all; I was just struck by that! Thanks again for your videos, which I only just encountered. It seems rare to have things so nicely explained for the patients' point of view. Many doctors just leave one in the dark and are annoyed by questions. Here, a curious person can learn something!
@Mikau-gb8uo2 ай бұрын
pain, pain and more pain.. but it subsides each week..
@lilwopaho2 ай бұрын
I was just wondering during this procedure do they have to shave your whole body again. Because last time when they did it it felt like they either shaved too close and i had a burning sensation over my lower body and my chest area with a razor or something. I had two wires break.
@cardiacsurgerypatienteduca24452 ай бұрын
Sorry for the delay in responding. You do not need your entire body shaved for sternal wire removal. You only need your chest shaved. Take care.
@margieb51742 ай бұрын
explain well done.
@bobbydale19382 ай бұрын
Great video ! Well done ! Thanks 🎉
@rockford25232 ай бұрын
Thank you for this information! I have a mass somewhere on or in my heart and I have not had a clue as to what takes place.
@cardiacsurgerypatienteduca24452 ай бұрын
I wish you the best. Please find an experienced heart surgeon.
@christy65342 ай бұрын
My cardiologist never explained to me what this Dr. is doing in this video. There should be a law for all cardiologist to explain to their patients what is Ascending Aorta Aneurysm and its consequences because life or death matters.
@cardiacsurgerypatienteduca24452 ай бұрын
I wish you the best.
@diren12712 ай бұрын
Hi. Thanks for the video. İ have a bicuspid aortic valve and 4.85 aorta. Can it be by minimal invasiv procedure?
@cardiacsurgerypatienteduca24452 ай бұрын
Sorry for the delay in responding. Yes, this surgery can be done minimally invasively. Please look into doctors in your area that can do that. You may have to go to a center that is a little farther from where you live. Take care.
@sincity73872 ай бұрын
What is the actual stroke risk?
@cardiacsurgerypatienteduca24452 ай бұрын
Sorry for the delay in getting back to you. The Stroke risk is dependent on the patient's other medical problems but in general it varies from 1-2% but again it can be higher based on the anatomy of the patient and other medical problems.
@crimsonpearl46862 ай бұрын
I am 61, healthy, with a aortic root dia at 3.8cm, but I was told, for me, I am simply on the "outer limits of normal". This was pointed out to me from a CT scan a got to get my calcium score (which is at 0!) At just 3.8cm, was told this is NOT an aneurysm, simply mildly dilated. This was confirmed with a follow up CT scan 1 year later showing it is stable and not growing. Just had a echo last week and after 7 1/2 years, still at 3.8cm. blood pressure is normal (115/76). Was told I should not have any worries long term, but will follow with echo every 3 years or so just to be safe!
@cardiacsurgerypatienteduca24452 ай бұрын
I think you got good advice and I'm glad that the aneurysm is not growing.
@Samarasiri_Widanage3 ай бұрын
Dear Dr, I have something called bronchogenic cyst, and doctors were trying to remove it by VAT surgery and failed. and again they said "open surgency will need to be done and its risky". I am with this now from long time, my age 43, doctors guess this is from the time I born. kindly advise. I can share with you reports and documents. Thanks much
@REDDLADY23 ай бұрын
My pericardial cyst was diagnosed thirty years ago incidentally by cxr. My last CT scan was 2008. It doesn't bother me and I rarely think about it. I walk. Two miles a day with no problem. I guess I'm blessed. Thanks for the video, the best I've seen.
@cardiacsurgerypatienteduca24453 ай бұрын
I'm glad you're doing well. Take care.
@mikerod763 ай бұрын
Hello, I have a dilatation of my aortic root at 4.1 and I also have right bundle branch block. My question is whenever this goes to surgery, will the RBB be a deciding factor of mortality with open heart surgery to fix the aneurysm? Thanks
@cardiacsurgerypatienteduca24453 ай бұрын
I apologize for the delay in responding. First, depending on your age, there is a chance that you may not require surgery. However, the presence of a Right Bundle Branch block is not a deciding factor in having surgery. The 3 critical factors are (1) Size of the aortic root, (2) Presence of aortic valve regurgitation, and (3) the presence of symptoms.
@engelsengels63343 ай бұрын
What’s the life expectancy after the surgery . Can you run lift walk?
@cardiacsurgerypatienteduca24453 ай бұрын
Sorry for the delay in responding. The life expectancy is great. Without complications with surgery AND the without the presence of additional aneurysms, the life expectation is great.
@cardiacsurgerypatienteduca24453 ай бұрын
I forgot to address the run and lifting. After an initial activity restriction, yes, you can resume all activities.
@engelsengels63343 ай бұрын
@@cardiacsurgerypatienteduca2445 Appreciate thank you
@stanleycheung39883 ай бұрын
Thank you Dr. Lemire. I just found out that I have a 4.5cm ascending Aortic Aneurysm. My brother and sister (in Asia ) also have ascending and descending. I believed this is part our family's gift. Now , I am wondering what kind of Dr. I should look for to monitor my aneurysm in New York. I am 74, live in Nassau Long Island NY. I try not to have surgery, just like my brother he still hanging around there. I need to know how to avoid make it worse, so I can live longer. I appreciate that anyone can share this kind of experience.
@cardiacsurgerypatienteduca24453 ай бұрын
Good luck. Keep your blood pressure well controlled and hopefully you could avoid surgery.
@westboundNinja13 ай бұрын
Dr. Please help. 37male 5,10" 315lbs Went to cardiologist to get cleared for bariatric surgery (gastric sleeve)and everything went well except i read i have this the size of 4.0 Im wondering if this will complicate things.
@cardiacsurgerypatienteduca24453 ай бұрын
I appreciate the question but the 4.0cm aneurysm should not impact the operation. Its still considered small. Please follow up with a cardiac surgeon.
@westboundNinja13 ай бұрын
@@cardiacsurgerypatienteduca2445 you know why you have the success that you have and if others don't ill remind them just in case they come across this message. You serve, you give and the returns I'm sure are bountiful this is the secret to a fulfilling life. I only recently began to love myself and in that I'm finding a lot of issues that would've been fatal had I not jumped on it in time. I want to give you thanks and give thanks to everyone else who's reached out to you and allow you to serve up more free game for us in want. Your answer relieved so much unnecessary anxiety. My cardiologist is on the line my friend, 😊
@JM24_953 ай бұрын
Hello, as a cardiologist surgeons told me to verify it for them on echocardiography, I have been searching all over the net and could find how to do it because patient had recidivent cardiac effusion. Is it possible ? Thank you
@cardiacsurgerypatienteduca24453 ай бұрын
I apologize but I don't understand your question. Please ask again.
@prahslra3 ай бұрын
I had a quadruple bypass a few months ago. At first I didn’t want to know what was done to me, but now that I’m feeling better and stronger (and incredibly grateful!), I’m keen to understand as much as I can, because the whole thing seems miraculous. So in that spirit, can you explain how they actually separate the sternum once it is severed, (do they use a special device?) and can you say how wide is the opening thus created? I imagine it has to be quite wide in order to see and even touch the heart, but without damaging the ribs. I’ve noticed no-one ever explains this part. (Perhaps the less the patient knows, the better. Is that the general idea?)
@cockeyedoptimista2 ай бұрын
Interesting question! I was wondering something similar, being a recovered sternotomee myself. I was wondering exactly that - how did they keep the ribs from not being disturbed, since obviously there's some outward pushing going on. I really wouldn't expect this kind doctor to take the time for such an elaborate explanation, though. I guess you could look it up in a medical library somewhere. Or maybe on your next cardiologist visit, you could ask them. I know they don't like to take a lot of time explaining things. Also, not everyone can get into a medical library but sometimes you can. Life is short! Sometimes you can't know everything. Also, it is kind of gross to look at this stuff. The previous video I looked at it was pretty rough. However, it is interesting to know. I hope you are doing well and not in need of anymore surgeries! Your comment was very well written and I enjoyed reading it.
@peetyw88513 ай бұрын
My primary physician suggested that I get an ultrasound of my heart at age 66. No symptoms but she felt that my continued vigorous workouts could contribute to a dilation as the expanding ascending aorta gets less supple with age and may gradually expand. That saved my life. Dilation was very significant, and, on first annual follow-up, the subsequent ultrasound showed that a dissection of the inner wall had occurred but had clotted. ‘had the repair on an expedited basis a week later. Doing great 3 yrs post-op. So discuss getting an ultrasound, even if asymptomatic, with your primary.
@cardiacsurgerypatienteduca24453 ай бұрын
I'm glad that everything worked out for you!
@vij59513 ай бұрын
Sir i have slightly enlarged aortic.can i solve this healthy food healthy life style sir.does size decrease chances or stable.im eaten lot of meat fast now i didn't take
@cardiacsurgerypatienteduca24453 ай бұрын
I apologize for the delay in responding. Unfortunately, there is no way to decrease the size of your aorta. The best you can do is slow the growth down. The best way to do this is to decrease your blood pressure. I would strongly recommend finding an experienced surgeon to at least follow your aneurysm. Good Luck!
@vij59513 ай бұрын
@@cardiacsurgerypatienteduca2445 how many years taken 1cm growth sir. With healthy lifestyle and self care.my functions all were good.40 years now.im not diabetic
@Anntics103 ай бұрын
Im having trouble finding a surgeon who can remove them. I had an accident and the wires broke, which caused them to poke me when I look up or to the side. Who would remove them? I’ve asked a couple thoracic surgeons, but their receptionists tell me they can’t remove them. I’m not sure who to ask at this point.
@cardiacsurgerypatienteduca24453 ай бұрын
I apologize for the delay in responding. Any Cardiothoracic surgeon can remove sternal wires but the best person to ask is the surgeon who put them in. Good luck.
@gardenoflifefinearts71773 ай бұрын
I just came out of the hospital. My Aorta is 4.2 , and the doctors let me go because they didn’t see a reason to do a procedure. My concern is how to stop it from dilating?
@cardiacsurgerypatienteduca24453 ай бұрын
I apologize for the delay in responding. The best way to slow down or minimize the growth of the aorta dilating is to keep your blood pressure controlled. High blood pressure increases the size of the aorta. That is the best way. Some of it is luck unfortunately.
@gardenoflifefinearts71773 ай бұрын
@@cardiacsurgerypatienteduca2445 My blood pressure is very low, always!
@viktoriaberki44433 ай бұрын
How are the chances if its 10 cm in this area and someone is 72 and smoker and had already one surgery 11 year ago in abdominal part?Here is much more risk right?Back than they told us 50/50 ..My daddy passed away 6 weeks ago coz it ruptured and im so down..feeling quilty that i didnt bring him earlier to the hospital coz he was feeling week for few days but he was complaning about his kidney and he had kidneyissues befor...
@cardiacsurgerypatienteduca24453 ай бұрын
I apologize for the delay in responding and I'm sorry for your loss. I've never heard of a 10cm aneurysm in the chest but I'm sure it does exist. Once a thoracic aneurysm gets greater than 5.5cm the risk of rupture increases.
@littledrummerboy31064 ай бұрын
Our daughter has Turner’s syndrome and has a bicuspid aortic valve. Her aorta was perfect until we put her on Norditropin (growth hormone) and it was discovered after a year that she had a mild aneurysm. It was written off that it had anything to do with the GH. We continued using them. At her echocardiogram a year later they said it went from mild to moderate. Still rejected the idea that Norditropin had anything to do with it and they highly recommended continuing using it. Finally, due to a global shortage we opted to quit using it and at her last echo it was recommended that she have a sedated cardiac MRI because her aorta looked different. I am confident there is a correlation, as now her Z-score is 5.29 and the aneurysm is classified as “severe”, per the radiologist’s analysis. Our cardiologist has yet to return our calls or schedule anything, even to review the results. To go from mild to severe in a pediatric patient with normal BP seems frightening and that surgical repair is imminent. How would you recommend we proceed?
@littledrummerboy31064 ай бұрын
I should add that she is just 8.5 years old.
@jaynemcdowall4974 ай бұрын
Mine was found incidentally when CT done for pulmonary embolism- that was 7 years ago at age 47. I have no family history and never had high blood pressure. Each year CT is done and it has remained stable at 4.3. Hopefully never need surgery!
@mstainasbabies70634 ай бұрын
Dr Anthony, thank you for a very clear explanation for us laypersons. I’m 63, had CAC done in March of 2023 with a score of 4.76, however an asc aortic aneurysm was found that was 4.2cm. My cardiologist did not say anything to me! And I happen to be going through my report from 2023 a couple of weeks ago when I found the AAA result!!! I have been on keto diet for about one year and I decided to get another CAC which I had two weeks ago. My CAC score is now 15 but the AAA is 4.1cm. 0.1cm smaller that last year. I don’t have insurance and tight on finances, so I want to ask you if I should worry about my AAA at 4.1cm? I’d really appreciate your feedback!!!!! Thank you very much!!!
@cardiacsurgerypatienteduca24454 ай бұрын
I appreciate the question. I would state that an ascending aortic aneurysm of 4.1 or 4.2cm will most likely not grow to the 5.5cm however, it still needs to be monitored. By the way, aneurysms don't get smaller so the 4.1cm that was just pointed out is most likely a variable based on the person reading the CT scan. Radiologists can measure the same CT scan differently. Either way continue to monitor. Keep your blood pressure controlled.
@gsp2west4 ай бұрын
I'm at 5.1 and having my ascending aortic aneurysm repaired in May along with a MV repair and ablation for Afib.. This video helped me understand what I'll be going through. Thanks..
@ofeliapascual15084 ай бұрын
Doctor, would an 83-year-old woman survive a surgery to repair an an aortic aneurysm?
@alainpaum4 ай бұрын
Very good explanation I actually have aortic ascending aneurism very big ! But I was told that it would be risky to be operated I could be paralyse ! So I decided to reject any operation and see what will happen ! So far I am ok but not perfect ! I believe that only GOD can save me !
@joannapacheco45664 ай бұрын
My mom is at 5.2 and her dr wants to do it within two months. Im pretty worried. Do they have to stop the heart?
@cardiacsurgerypatienteduca24454 ай бұрын
Yes. The heart is stopped for the surgery. Please keep in mind that during an elective surgery the success rate is VERY high. Please ask your surgeon about his/her experience. Good Luck!
@artsmodelstation93964 ай бұрын
Q: I just had a quadruple bypass. Post op, they left the pacing wires in, just cut the leads surface of skin. Why would they leave them in ? Kinda worried.
@cardiacsurgerypatienteduca24454 ай бұрын
That's a great question. It's done all the time. Pacing wires ideally should be removed but often they are left behind because of the risk of bleeding associated with them being pulled out. They normally do not cause any problems however there is a small risk of them eventually protruding out of the skin. The risk is very small. I would not worry too much about this. Good Luck.
@artsmodelstation93964 ай бұрын
@@cardiacsurgerypatienteduca2445 thx for the info. i’ll keep an eye out for the tiny alien 👽 wires. 😆
@artsmodelstation93964 ай бұрын
@@cardiacsurgerypatienteduca2445 thx for the info. i’ll keep an eye out for those tiny alien 👽 wires. 😆
Пікірлер
Thank you very much for this video!
My mother got diagnosed with an aortic aneurysm at 43-44 mm! It is stable from the day she discovered it about 4 years ago!im so frightened! She also survived a celebral aneurysm about 10 years ago!her heart is nevertheless healthy!what should we do?
Actually, she doesn't need surgery. Find a cardiologist who will manage her blood pressure and get a cardiac surgeon that is well respected. She doesn't need surgery but should be followed by a surgeon just to be safe. It's VERY IMPORTANT that your mother keep her blood pressure controlled. Good luck!
@@cardiacsurgerypatienteduca2445 oh thank you doxtor for your reply!She has her blood pressure under control! I mean she is on the pill and if it’s reaches above 13,5 and 9 she takes an extra one ! So for the moment she is ok but is this thing a ticking bomb in chest?
Very good at explaining everthing
Mine is 4.2 let’s hope it doesn’t grow!
So my 75 yr diabetic father went for CABG + ascending aorta graft so that CABG for triple vessel could get blood but they had to abort ascending aorta graft operation in between as the aorta was highly calcified and they did not risk clamping it. They somehow got the cabg done but now there is some differential of pressure between upper half and lower half of approx 50. What are the risk factors
I'm sorry for the delay in responding. What are the risks or risk factors of what? I apologize but I'm not understanding your question. The risks of the aneurysm is possible rupture, I WOULD STRONGLY RECOMMEND you find a heart surgeon very experienced in aortic surgery just in case your father needs that surgery one day. Good Luck!
Hello doctor. My mother just had surgery for her aortic aneurysm and they put her on life support however a woman put a rod in her arm before she was put to sleep with anesthesia and my mother said it hurt horribly. I do believe this was supposed to be done after she was put to sleep under anesthesia as putting a rod in someone’s arm while not numbing or not asleep would hurt very much. Was this wrong? Also she wasn’t written any preventative antibiotics which now she is running a fever and is to see her doctor in a couple days. I don’t think proper protocol was followed and I would like you to please explain if this is the right way for things to go??
Sorry for the delay in responding. I'm not sure what rod you are referring to. I suspect you mean an IV line? Either way, please review this with your surgeon so that you can get clarification. Good Luck!
Hello, I am 25, and my ascending aorta is 4.0 cm now. As I have searched, there is a closed surgery option in aortic aneurysm. However, I donot know if it is applicable in ascending aorta aneurysm. Could you please shed light on this?
Sorry for the delay in responding. There are NO PERCUTANEOUS or "closed surgery" for ascending aortic aneurysms. By closed I suspect you mean that the chest isn't opened. There is a "closed surgery" for Descending aortic aneurysms. In those cases, stents are placed. I hope that answers your question. I strongly recommend you get a very EXPERIENCED heart surgeon to follow you BUT you will not need surgery for many years if at all. Good Luck.
Thanks Doc! Awesome video. I work in Cath Lab and love watching these kinds of videos. Keep them coming!
I'm 19, next week I'm having an aneurysm + valve replacement surgery😢please wish me luck 🙏
Good Luck!
Im so scared. Mine has just been recently discovered in 2019 at 4.2cm and they said not to worry we will monitor it, i carried on as normal with the gym etc, each year it remained the same but then this year its gone upto 4.5 im terrified, been reffered to a specialist in that area for a chat and gene testing. I dont want to die and im so scared of this surgery i may need. Im only 42 years old.
Sorry for the delay in responding. I recognize and understand your concerns. First, the increase in size doesn't necessarily mean it will continue. It could stop growing. Second, an elective surgical repair of an aneurysm has a 98% success in a well experienced surgeon. There is no reason you have to die. Research good surgeons. Good luck.
It's been 5 years since my open heart, surgery to replace my aortic valve, and I have a pain right at the incision. It hurts when I lift my right arm or when I cough, especially when I touch the area. It feels tender, and also feels like there is something poking me from the inside out. Can it be that the wires maybe got lose?
Sorry for the delay in responding. Yes, the wires can be causing the pain. Go back to your cardiac surgeon for an evaluation. Good Luck!
Hi. Ive just found out my ascending aorta went from 38mm to 42.6.mm in one year. Im 44 years old fit healthy look after myself. Is it likely I will need surgery at some point?
Sorry for the delay in responding. It is very difficult to predict based on one year if you will continue that rate of increase. As a result, I would say, I could give you a better answer in 1 year. If your rate of increase continues like this for another year, then I would say you will probably need surgery. I would strongly recommend you keep your blood pressure controlled and get a reliable cardiologist and cardiac surgeon. Good Luck!
@@cardiacsurgerypatienteduca2445 thank you for the responding. My blood pressure take today was 123/68 but generally it's always been on the lower end of the scale
Dr what’s the cost to remove the sternum wire
Great question but I don't have the answer. I'm not aware of the costs.
By the way please can I Know which country are you from if you don’t mind.
@@dilse1229 United States
@@cardiacsurgerypatienteduca2445 Thank you Doctor
I am a premed shadowing, I am studying so I can impress the docs and be informed for this procedure. Thanks for the info and great explanations!
I had surgery in March to repair my aorta type a dissection.
I am very impressed with this explanation. His calm demeanor and voice level gave me assurance that - despite his warning of risks - this surgery can be very successful. Than you!
My daughter has chest and rib pain with her cyst. It was just discovered. My son has a shunted subarachnoid cyst and i have kidney cysts. What are the odds this is all a coincidence? Why are my adult kids so physically fragile. Did my celiac disease do this to them? Im scared and i feel responsible for their poor health.
Thank you for this video. A family member has a descending tear all the way down to the hip area. They was complaining of chest pain, back pain, and stomach pain as it they ate bunch of spicy peppers. What procedure do you think would be the best course of action for surgery the first one that you mentioned or the stents?
I'm slightly taking aback by the word "approximating" when you speak of reconnecting the halves of the sternum! I've repaired many a broken plate or cup, and I can sometimes reattach them precisely, with no visible seam - but they're not bones. Have wished I had gone into surgery: I would have been good but I am a woman and ended up in art because I didn't know any better. In any case, I doubt there are any missing chips or pieces on the two halves of the sternum and my hope is that the surgeon would connect those two pieces back together as perfectly as humanly possible. That's what I hope happened on mine! I'm sure that it gets very very tedious after doing many operations. It might be hard to treat every single individual patient as a precious human being. I was a stranger when I had to have my surgery- I am not from the area where this happened. I think my doctor did a very good job. (Virginia Hospital Center.) I am having some issues with the wires, but it's not serious from a medical point of view. I really appreciate your videos! Anyhow, I guess you have to use "approximāte". It's a good word and it's certainly good for the lawyers who hound doctors sometimes. But I hope that you really do try to get them as perfectly back together as possible! I do know that sometimes there are forces pulling things back apart and it's not always easy to get them precisely matched up. I broke the 5th metatarsal of my foot years ago, and they had to put a pin in because the tendon there just pulls it right back out otherwise. But I don't think there are tendons pulling back on the rib cage or sternum, since they're just like a basket on the skeleton. Thank you very much if you read this! Bless you.
Hello, Dr. Lemaire. Thanks for posting this quiet, clear, well-spoken video! Much appreciated. I was just wondering: "stop breathing"?! Fascinating: so the lungs won't interfere. I had no idea: they did that to me?! So how to you breathe? Whatever; I can look it up. I guess there are other ways to get the needed things into the blood and so forth. No doubt it's a Complicated process. I don't even have time to learn about it right now; bless physicians who specialize in such things and can help others; we all have our specialties.. No reply needed at all; I was just struck by that! Thanks again for your videos, which I only just encountered. It seems rare to have things so nicely explained for the patients' point of view. Many doctors just leave one in the dark and are annoyed by questions. Here, a curious person can learn something!
pain, pain and more pain.. but it subsides each week..
I was just wondering during this procedure do they have to shave your whole body again. Because last time when they did it it felt like they either shaved too close and i had a burning sensation over my lower body and my chest area with a razor or something. I had two wires break.
Sorry for the delay in responding. You do not need your entire body shaved for sternal wire removal. You only need your chest shaved. Take care.
explain well done.
Great video ! Well done ! Thanks 🎉
Thank you for this information! I have a mass somewhere on or in my heart and I have not had a clue as to what takes place.
I wish you the best. Please find an experienced heart surgeon.
My cardiologist never explained to me what this Dr. is doing in this video. There should be a law for all cardiologist to explain to their patients what is Ascending Aorta Aneurysm and its consequences because life or death matters.
I wish you the best.
Hi. Thanks for the video. İ have a bicuspid aortic valve and 4.85 aorta. Can it be by minimal invasiv procedure?
Sorry for the delay in responding. Yes, this surgery can be done minimally invasively. Please look into doctors in your area that can do that. You may have to go to a center that is a little farther from where you live. Take care.
What is the actual stroke risk?
Sorry for the delay in getting back to you. The Stroke risk is dependent on the patient's other medical problems but in general it varies from 1-2% but again it can be higher based on the anatomy of the patient and other medical problems.
I am 61, healthy, with a aortic root dia at 3.8cm, but I was told, for me, I am simply on the "outer limits of normal". This was pointed out to me from a CT scan a got to get my calcium score (which is at 0!) At just 3.8cm, was told this is NOT an aneurysm, simply mildly dilated. This was confirmed with a follow up CT scan 1 year later showing it is stable and not growing. Just had a echo last week and after 7 1/2 years, still at 3.8cm. blood pressure is normal (115/76). Was told I should not have any worries long term, but will follow with echo every 3 years or so just to be safe!
I think you got good advice and I'm glad that the aneurysm is not growing.
Dear Dr, I have something called bronchogenic cyst, and doctors were trying to remove it by VAT surgery and failed. and again they said "open surgency will need to be done and its risky". I am with this now from long time, my age 43, doctors guess this is from the time I born. kindly advise. I can share with you reports and documents. Thanks much
My pericardial cyst was diagnosed thirty years ago incidentally by cxr. My last CT scan was 2008. It doesn't bother me and I rarely think about it. I walk. Two miles a day with no problem. I guess I'm blessed. Thanks for the video, the best I've seen.
I'm glad you're doing well. Take care.
Hello, I have a dilatation of my aortic root at 4.1 and I also have right bundle branch block. My question is whenever this goes to surgery, will the RBB be a deciding factor of mortality with open heart surgery to fix the aneurysm? Thanks
I apologize for the delay in responding. First, depending on your age, there is a chance that you may not require surgery. However, the presence of a Right Bundle Branch block is not a deciding factor in having surgery. The 3 critical factors are (1) Size of the aortic root, (2) Presence of aortic valve regurgitation, and (3) the presence of symptoms.
What’s the life expectancy after the surgery . Can you run lift walk?
Sorry for the delay in responding. The life expectancy is great. Without complications with surgery AND the without the presence of additional aneurysms, the life expectation is great.
I forgot to address the run and lifting. After an initial activity restriction, yes, you can resume all activities.
@@cardiacsurgerypatienteduca2445 Appreciate thank you
Thank you Dr. Lemire. I just found out that I have a 4.5cm ascending Aortic Aneurysm. My brother and sister (in Asia ) also have ascending and descending. I believed this is part our family's gift. Now , I am wondering what kind of Dr. I should look for to monitor my aneurysm in New York. I am 74, live in Nassau Long Island NY. I try not to have surgery, just like my brother he still hanging around there. I need to know how to avoid make it worse, so I can live longer. I appreciate that anyone can share this kind of experience.
Good luck. Keep your blood pressure well controlled and hopefully you could avoid surgery.
Dr. Please help. 37male 5,10" 315lbs Went to cardiologist to get cleared for bariatric surgery (gastric sleeve)and everything went well except i read i have this the size of 4.0 Im wondering if this will complicate things.
I appreciate the question but the 4.0cm aneurysm should not impact the operation. Its still considered small. Please follow up with a cardiac surgeon.
@@cardiacsurgerypatienteduca2445 you know why you have the success that you have and if others don't ill remind them just in case they come across this message. You serve, you give and the returns I'm sure are bountiful this is the secret to a fulfilling life. I only recently began to love myself and in that I'm finding a lot of issues that would've been fatal had I not jumped on it in time. I want to give you thanks and give thanks to everyone else who's reached out to you and allow you to serve up more free game for us in want. Your answer relieved so much unnecessary anxiety. My cardiologist is on the line my friend, 😊
Hello, as a cardiologist surgeons told me to verify it for them on echocardiography, I have been searching all over the net and could find how to do it because patient had recidivent cardiac effusion. Is it possible ? Thank you
I apologize but I don't understand your question. Please ask again.
I had a quadruple bypass a few months ago. At first I didn’t want to know what was done to me, but now that I’m feeling better and stronger (and incredibly grateful!), I’m keen to understand as much as I can, because the whole thing seems miraculous. So in that spirit, can you explain how they actually separate the sternum once it is severed, (do they use a special device?) and can you say how wide is the opening thus created? I imagine it has to be quite wide in order to see and even touch the heart, but without damaging the ribs. I’ve noticed no-one ever explains this part. (Perhaps the less the patient knows, the better. Is that the general idea?)
Interesting question! I was wondering something similar, being a recovered sternotomee myself. I was wondering exactly that - how did they keep the ribs from not being disturbed, since obviously there's some outward pushing going on. I really wouldn't expect this kind doctor to take the time for such an elaborate explanation, though. I guess you could look it up in a medical library somewhere. Or maybe on your next cardiologist visit, you could ask them. I know they don't like to take a lot of time explaining things. Also, not everyone can get into a medical library but sometimes you can. Life is short! Sometimes you can't know everything. Also, it is kind of gross to look at this stuff. The previous video I looked at it was pretty rough. However, it is interesting to know. I hope you are doing well and not in need of anymore surgeries! Your comment was very well written and I enjoyed reading it.
My primary physician suggested that I get an ultrasound of my heart at age 66. No symptoms but she felt that my continued vigorous workouts could contribute to a dilation as the expanding ascending aorta gets less supple with age and may gradually expand. That saved my life. Dilation was very significant, and, on first annual follow-up, the subsequent ultrasound showed that a dissection of the inner wall had occurred but had clotted. ‘had the repair on an expedited basis a week later. Doing great 3 yrs post-op. So discuss getting an ultrasound, even if asymptomatic, with your primary.
I'm glad that everything worked out for you!
Sir i have slightly enlarged aortic.can i solve this healthy food healthy life style sir.does size decrease chances or stable.im eaten lot of meat fast now i didn't take
I apologize for the delay in responding. Unfortunately, there is no way to decrease the size of your aorta. The best you can do is slow the growth down. The best way to do this is to decrease your blood pressure. I would strongly recommend finding an experienced surgeon to at least follow your aneurysm. Good Luck!
@@cardiacsurgerypatienteduca2445 how many years taken 1cm growth sir. With healthy lifestyle and self care.my functions all were good.40 years now.im not diabetic
Im having trouble finding a surgeon who can remove them. I had an accident and the wires broke, which caused them to poke me when I look up or to the side. Who would remove them? I’ve asked a couple thoracic surgeons, but their receptionists tell me they can’t remove them. I’m not sure who to ask at this point.
I apologize for the delay in responding. Any Cardiothoracic surgeon can remove sternal wires but the best person to ask is the surgeon who put them in. Good luck.
I just came out of the hospital. My Aorta is 4.2 , and the doctors let me go because they didn’t see a reason to do a procedure. My concern is how to stop it from dilating?
I apologize for the delay in responding. The best way to slow down or minimize the growth of the aorta dilating is to keep your blood pressure controlled. High blood pressure increases the size of the aorta. That is the best way. Some of it is luck unfortunately.
@@cardiacsurgerypatienteduca2445 My blood pressure is very low, always!
How are the chances if its 10 cm in this area and someone is 72 and smoker and had already one surgery 11 year ago in abdominal part?Here is much more risk right?Back than they told us 50/50 ..My daddy passed away 6 weeks ago coz it ruptured and im so down..feeling quilty that i didnt bring him earlier to the hospital coz he was feeling week for few days but he was complaning about his kidney and he had kidneyissues befor...
I apologize for the delay in responding and I'm sorry for your loss. I've never heard of a 10cm aneurysm in the chest but I'm sure it does exist. Once a thoracic aneurysm gets greater than 5.5cm the risk of rupture increases.
Our daughter has Turner’s syndrome and has a bicuspid aortic valve. Her aorta was perfect until we put her on Norditropin (growth hormone) and it was discovered after a year that she had a mild aneurysm. It was written off that it had anything to do with the GH. We continued using them. At her echocardiogram a year later they said it went from mild to moderate. Still rejected the idea that Norditropin had anything to do with it and they highly recommended continuing using it. Finally, due to a global shortage we opted to quit using it and at her last echo it was recommended that she have a sedated cardiac MRI because her aorta looked different. I am confident there is a correlation, as now her Z-score is 5.29 and the aneurysm is classified as “severe”, per the radiologist’s analysis. Our cardiologist has yet to return our calls or schedule anything, even to review the results. To go from mild to severe in a pediatric patient with normal BP seems frightening and that surgical repair is imminent. How would you recommend we proceed?
I should add that she is just 8.5 years old.
Mine was found incidentally when CT done for pulmonary embolism- that was 7 years ago at age 47. I have no family history and never had high blood pressure. Each year CT is done and it has remained stable at 4.3. Hopefully never need surgery!
Dr Anthony, thank you for a very clear explanation for us laypersons. I’m 63, had CAC done in March of 2023 with a score of 4.76, however an asc aortic aneurysm was found that was 4.2cm. My cardiologist did not say anything to me! And I happen to be going through my report from 2023 a couple of weeks ago when I found the AAA result!!! I have been on keto diet for about one year and I decided to get another CAC which I had two weeks ago. My CAC score is now 15 but the AAA is 4.1cm. 0.1cm smaller that last year. I don’t have insurance and tight on finances, so I want to ask you if I should worry about my AAA at 4.1cm? I’d really appreciate your feedback!!!!! Thank you very much!!!
I appreciate the question. I would state that an ascending aortic aneurysm of 4.1 or 4.2cm will most likely not grow to the 5.5cm however, it still needs to be monitored. By the way, aneurysms don't get smaller so the 4.1cm that was just pointed out is most likely a variable based on the person reading the CT scan. Radiologists can measure the same CT scan differently. Either way continue to monitor. Keep your blood pressure controlled.
I'm at 5.1 and having my ascending aortic aneurysm repaired in May along with a MV repair and ablation for Afib.. This video helped me understand what I'll be going through. Thanks..
Doctor, would an 83-year-old woman survive a surgery to repair an an aortic aneurysm?
Very good explanation I actually have aortic ascending aneurism very big ! But I was told that it would be risky to be operated I could be paralyse ! So I decided to reject any operation and see what will happen ! So far I am ok but not perfect ! I believe that only GOD can save me !
My mom is at 5.2 and her dr wants to do it within two months. Im pretty worried. Do they have to stop the heart?
Yes. The heart is stopped for the surgery. Please keep in mind that during an elective surgery the success rate is VERY high. Please ask your surgeon about his/her experience. Good Luck!
Q: I just had a quadruple bypass. Post op, they left the pacing wires in, just cut the leads surface of skin. Why would they leave them in ? Kinda worried.
That's a great question. It's done all the time. Pacing wires ideally should be removed but often they are left behind because of the risk of bleeding associated with them being pulled out. They normally do not cause any problems however there is a small risk of them eventually protruding out of the skin. The risk is very small. I would not worry too much about this. Good Luck.
@@cardiacsurgerypatienteduca2445 thx for the info. i’ll keep an eye out for the tiny alien 👽 wires. 😆
@@cardiacsurgerypatienteduca2445 thx for the info. i’ll keep an eye out for those tiny alien 👽 wires. 😆
@@cardiacsurgerypatienteduca2445 thx