Posted By Janelle on February 24, 1999 at 12:26:44:
In Reply to: Re:
AorticAbdominal aortic aneurysm
Aortic aneurysm
Aortic angiography
Aortic arch syndrome
Aortic dissection
Aortic insufficiency
Aortic rupture, chest x-ray
Aortic stenosis
Hypertrophic cardiomyopathy
Thoracic aortic aneurysm valve issues posted by CCF CARDIO MD - CRC on February 23, 1999 at 18:19:05:
Hello,
I have been reading the posts here for some time now, as I prepare for
AorticAbdominal aortic aneurysm
Aortic aneurysm
Aortic angiography
Aortic arch syndrome
Aortic dissection
Aortic insufficiency
Aortic rupture, chest x-ray
Aortic stenosis
Hypertrophic cardiomyopathy
Thoracic aortic aneurysm Valve replacement on March 8th. I have been through most of the testing, have given blood on my own behalf, have decided on a mechanical valve, and I am working hard on preparing myself mentally.
I have a few questions that I would like to ask. Some background. I am a 44 year old male, 6'3", 238 pounds, feeling ok, and in pretty good general health. I have already done the second opinion thing, and now both cardiologists and the surgeon agree that this should be done. My question is more to understand how bad my situation is. This is what I know from the letter that I got today from my surgeon (who I fell is VERY good, and I have much confidence in). I have known
aorticAbdominal aortic aneurysm
Aortic aneurysm
Aortic angiography
Aortic arch syndrome
Aortic dissection
Aortic insufficiency
Aortic rupture, chest x-ray
Aortic stenosis
Hypertrophic cardiomyopathy
Thoracic aortic aneurysm insufficiency. My
aorticAbdominal aortic aneurysm
Aortic aneurysm
Aortic angiography
Aortic arch syndrome
Aortic dissection
Aortic insufficiency
Aortic rupture, chest x-ray
Aortic stenosis
Hypertrophic cardiomyopathy
Thoracic aortic aneurysm regurgitationAortic insufficiency
Mitral regurgitation - acute
Mitral regurgitation - chronic is 3 to 4+ and I have mild to moderate
aorticAbdominal aortic aneurysm
Aortic aneurysm
Aortic angiography
Aortic arch syndrome
Aortic dissection
Aortic insufficiency
Aortic rupture, chest x-ray
Aortic stenosis
Hypertrophic cardiomyopathy
Thoracic aortic aneurysm stenosis (my surgeon indicates this is a very bad combination to have). My left ventricular and diastolic dimension is 65%, and my systolic dimension is also above the normal range. During my second opinion, we did a stress echo....it showed that the left ventricle was quite dilated, and that I have quite severe aortic insufficiency and moderate aortic stenosis. My peak gradient was 55 across the aortic valve.
I have recited all this from the letter. I am not questioning the need for the replacement...I am trying to understand how bad my situation is. Any help that you could provide would be greatly appreciated.
Dear Herb,
Thank you for your question. The key finding here is the left ventricular dilation. If you don't proceed with surgery this will continue to get worse and eventually you will go into heart failure which could be irreversible. On a scale of 1 to 10 on the need to proceed with the surgery soon I would put you at 8. Hope this helps answer your question.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
Dear Herb,
just wanted to wich you the best with your surgery. I just had my aortic valve replaced on Monday February 15. Was discharged from the hospital that Friday. I am doing quite well and look forward to a complete recovery. I had a lot of people praying for me, and I will remember to keep you in my prayers as you approach the time for your surgery.
P.S.
If you don't have one already, get a good, comfortable recliner!!