What are the risks for ascending aortic aneurysm repair? Other risks of aortic aneurysm repair include: Bleeding Infection Swelling Heart problems Stroke Lung infection Respiratory failure Kidney failure Irregular heart rhythms You may have other risks, based on your specific medical condition. How do I prepare for surgical repair of ascending aortic aneurysm?
Recommendations for getting ready for surgery include the following: Your healthcare provider will explain the procedure and ask if you have any questions. You will be asked to sign a consent form that gives permission to do the procedure. Read the form carefully and ask questions if something is not clear. Your surgical team will do a complete medical evaluation. This may include a thorough medical history and physical exam, special X-rays, computed tomography CT scans, blood tests, and procedures to check the health of your lungs and heart.
Your healthcare provider may also do an echocardiogram of your heart. If you are pregnant or think you might be, tell your healthcare provider. Tell your healthcare provider if you are sensitive to or are allergic to any medicines, latex, iodine, tape, contrast dyes, and anesthetic agents local or general. Tell your healthcare provider about any medicines you are taking, including any blood thinners, herbal medicines and over-the-counter medicines.
You may be told to stop taking certain medicines before your surgery. If you still smoke, ask your healthcare provider how soon before surgery you need to stop. Smoking increases your risk for blood clots and breathing problems.
Stop eating and drinking before surgery, usually after midnight on the night before surgery. What happens during a surgical repair of an ascending aortic aneurysm? You will have general anesthesia to make you comfortable and sleep through the surgery.
Your surgeon will make a cut in the front of your chest and down through your chest wall, to reach your heart and aorta. During the operation, a device called a heart-lung machine will do the work of your heart. A cold solution will stop your heart so the surgeons can work on a still heart. Your surgeon will remove the bulging weak area and sew a man-made substitute, called a graft, into place. If the aortic valve is not healthy, your surgeon may repair it or replace it with an artificial valve.
After your surgeon does all of the repairs, normal blood flow through your heart and your aorta will resume. Your surgeon will then close the incision in your chest. If you have an aortic aneurysm, make sure to partner with your doctor for proper monitoring and be aware of any changes you feel. Yes, you can live with an aortic aneurysm, and there are many ways to prevent dissection splitting of the blood vessel wall that causes blood to leak or worse, a rupture a burst aneurysm.
Some aortic aneurysms are hereditary or congenital, such as bicuspid aortic valve , infection or inflammatory conditions. Others relate to personal habits. Harmful activities and health issues for someone with an aortic aneurysm include:. To help avoid an aortic aneurysm, there are several lifestyle adjustments you can make:.
Altering your lifestyle habits can result in positive and long-lasting results. Taking prescribed medications, such as beta blockers, can also reduce your risk of an aortic aneurysm. Not all weakened or bulging vessels require immediate surgery. Aneurysms are rated by size — the larger the aneurysm the greater chance it will rupture. And of course, if the aortic vessel bursts, immediate surgery is vital. Smoking, obesity, age and high blood pressure can all put a person at higher risk for aneurysms.
About 75 percent of abdominal aortic aneurysms happen in people with a history of smoking, according to the CDC. This condition impacts men and women. People at higher risk for an aortic aneurysm can adopt heart-healthy lifestyle changes, including a healthy diet, more physical activity, and smoking cessation.
Your doctor may also recommend medicines including statins, beta blockers, or other prescriptions that are generally helpful for the cardiovascular system.
If the aneurysm is more than 4 centimeters in size, your doctor may recommend monitoring and some heart- and cardiovascular-healthy lifestyle changes. Smaller aneurysms rarely rupture and grow at an average rate of one-third of a centimeter each year. If the aneurysm is more than 5. The stent graft reinforces the weakened aorta and eventually the aneurysm will shrink around the graft.
Under experienced care, this procedure is often possible using a minimally invasive approach with essentially no incisions. There are patients whose anatomy is not suitable for a stent repair in which open surgery will be necessary. Though most treatment centers in the nation require patients to be under general anesthesia for a stent graft, our highly specialized M Health Fairview care team performs many of these procedures with only local anesthesia and mild sedation.
This approach allows for treatment of about 80 percent of abdominal aortic aneurysms.
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