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diagnosis ascending aortic aneurysm
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diagnosis ascending aortic aneurysm

Diagnosed with AAA in Dec 2012, measured 4.8 on CTA, 5.5 is cut point, at 6 mo. point will have a full arterial CTA and remeasurement of the AAA, also have history of stroke; on BP meds, statin, Anti-platelet med(plavix); HIV+, on meds for HIV for 12 years with wonderful results, never been sick from the HIV; also have a PFO and severe sleep apnea; been treated for depression for many years. I mention PFO and apnea as they have a correlation with higher stroke incidence. Seeing a cardiologist soon to look at closing the hole (PFO) between my atriums by catheterization. Not a successful CPAP user for Apnea, my neurologist wanted to refer me for surgery last year but I declined; now rethinking my decision on the apnea surgery. Once I get past the PFO issue with the cardiologist, plan on addressing the apnea surgery with my AAA surgeons OK. Thoracicsurgeons plan is for open chest surgery when I reach 5.5 or I develop significant symtoms (symptoms) of my AAA. Am asymtomatic concerning my AAA. It was discovered incidental to a ER admission due to a TIA.
  Funny,  previously I considered myself  fortunately healthy despite my accumulating health challenges as I get older; remained active as I love the beach/ocean. But now, I am very anxious, scared; am not good at waiting; feel like I am on very thin ice and at any moment my first symtom of my AAA will be a dissection/rupture. Been inactive, feel housebound & in a "waiting to get this over with frame of mind".
  Guess my question is have I missed anything in my first paragraph as to current diagnosis and treatment plan of surgeon. And will anyone that has had an AAA recently diagnosed/corrected please share you thoughts, experience
                                               Mahalo, pisces46 (tells you my location and age)




  
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I am a physician who responds to any heart/vascular disease questions on this forum. Unfortunately, I am unable to give any first-hand experience of undergoing a AAA repair; however, I can tell you that your serial exams/imaging are in accordance to the current guidelines and recommendations for someone who has a known AAA, and that should you ever require surgery (symptoms or change in size (absolute measurement or rate of change), this is a common procedure that can be carried out by a number of institutions throughout the country.  I cannot encourage you enough to continue to maintain a healthy cardiovascular profile with medication compliance, abstaining from tobacco, and diet/exercise.  Additionally, using your CPAP for your OSA is crucial for your pulmonary health, as well as preventing any further structural changes to your heart.  Hope this helps.
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