What are the prospects of endovascular repair?

[cbdheartman]

Sorry, for one more. I will try to make this my last question for a while.

The Cleveland Clinic talks about endovascular repair that here (http://my.clevelandclinic.org/heart/disorders/aorta_marfan/endovascularaorticaneurysm.aspx). Is this only an option if you don't have valve issues? What about if you have a well functioning valve that may not pose a problem for 20-30 years? Are these stents successful?

Thanks!

 

[john79t]

Now you may be on to something. You would need to be evaluated by the CC to see if you are a candidate for this type of proceedure, I don't think I would do it any where excet CC but that is just my opinion. If I did not have the bi aortic valve and just the aortic anuerysm I would definitly ask CC to evaluate me for the stent. It does not requre pump time or OHS. Worth checking out.

 

[Dana54]

I'm assuming this wouldn't work for ascending aortic aneurysms heartman.....Or maybe it would. I don't see any info on that. (Wondering how they could stent a root with the coronaries there.)

 

[gustaf]

It is not for ascending aortic aneuyrisms. Too complicated geometry and also the joining to the heart.

(I have a stent for a coarctio on the descending aorta, but that's a different story.)

::g

 

[Ross]

The long-term durability of endovascular stent grafting to treat a thoracic aneurysm is yet unknown because this is a fairly new procedure. For this reason, patients who have endovascular repair of their thoracic aneurysms must be monitored closely on a regular basis with examinations and imaging studies.

Do it right the first time and this won't be a worry ever again.