Patient Webinar: Advances in Aortic Valve & Aneurysm Surgery with Dr. Bavaria and Dr. Desai

[@TuskanDesignGroup]

I’m one month post ascending aorta aneurysm repair. It was a 6.8 in size. So far recovery is going well. Mild sternum pain, although some nerve damage. Given the procedure I’m doing well. This video explains so much of what we go through with this problem. Thankful for the doctors and their expertise!

[@shirleykelley3873]

Thank you!

[@patriot8087]

Thank you kindly for this content and the helping me understanding as best I can my upcoming Aortic heart valve replacement next month at 75 years old.

[@HeartValveSurgery]

Glad it was helpful Patriot!

[@MrGODINTHEMAKING]

Im 42 and have to have a arising aortic graft for my aneurysm. Mine is currently 6.2cm way pass what it should be. Plus a valve replacement for my aortic stenosis. I had valve repair when i was 8 years old. Now currently in congestive heart failure with the symptoms that come along. Im excited for nov.12th my surgery date... 🙌🏾 ready to feel better. Thanks for video.

[@carlaochoa6256]

@MrGODINTHEMAKING how was the surgery?

[@blakeaaron5698]

How did it go?

[@mikemaurice7520]

Dr Desai handled my care 10 days before this video date.

[@MBenit]

Thank you Adam!!

[@HeartValveSurgery]

Hey Maikel! Glad you enjoyed the webinar with Drs. Bavaria and Desai!!!

[@tlucas6823]

Thank you so much for educating in this area 🙏

[@victorlloyd5271]

Thank you for this.

[@HeartValveSurgery]

Our pleasure Victor!

[@christaotto4287]

I have Elher's-Danlos in my family and because of this my doctor gave me a routine echo even though I'm not that affected by this condition. Turns out I was at a 3.8cm and the last four years is grown 1mm each time. I would have never known had my doctor not been proactive. So many with Elher's-Danlos are left out of this issue and not recognized by other doctors. I hope you'll look into this condition and this could be a root of the family heredity that is unnamed.

[@christaotto4287]

I should add I was 53 when I had my first echo.

[@bryonaderhold2009]

Need this guy in AZ. I have an aneurysm the doctors refuse to fix it. Said it can cause more damage.

[@bryonaderhold2009]

I only have access so the government pays for it they want to spend hundreds thousands of dollars to make me live

[@kchilz32]

How are you doing now?

[@mikeburnett1211]

Adam thanks for this site, it is awesome.

[@kchilz32]

I was in the hospital due to covid pneumonia from January to April this year. I had many chest X-rays and CT scans done and it’s noted that I have a family history of aortic dissection. This past week I went to the emergency room for lingering pneumonia my last CT on 02/23/2022 before the one done last week said no aortic issues. I had both X-ray and CT done 09/11/2022 on the CT findings it does mention anything about aorta but the X-ray mentions torturous aorta. Mind you I have pectus excavatum could this possibly be a mistake in the reading of the images? The ER doctor didn’t mention it I found out myself by reading the notes thru my patient portal. Thanks

[@vette-zr1250]

Well done, team. Very enlightening.

[@nothingfree3524]

DAT SPLAINS IT ! 👍👏 !

[@ammo6057]

I had an aortic resection and valve replacement 10 years ago when I was 57. Currently my valve has a moderate to severe leak. Because I am 67 many recommend a redo surgery. One surgeon did recommend TAVR. I am in good shape and am weighing open heart again during this vital part of my life vs. later. If I got TAVR now it could last 7 years, but I would be at same cross roads. Love to hear from someone in same boat on how they decided. Also interested if anyone has seen this addressed in any videos or panel discussions. Thanks

[@loristout157]

I have Ehlers Danlos Syndrome just diagnosed with ascending thoracic aortic aneurysm at 4.2 cm

[@Caroline-r1k]

Hi very informative lecture. What are the options for 70-80 year olds who are high risk with aneurysm and are post (unrelated) op? - Both Bicuspid and Tricuspid. Thanks

[@LB-sw2km]

Can they see if it’s leaky from a calcium score ultra sound ?

[@donnaberscht5320]

I wish we had doctors here in Saskatchewan canada as good as you doctors there can you give me some tips please

[@christopherlearn1976]

I got the same thing but you are talking about hey my name is all Christopher learned and I'm having surgery on the 9th to the replace that and get a mechanical and I'm 40 years old is it worth to do it

[@HeartValveSurgery]

Thoughts and prayers are with you Christopher!!!

[@suzanammari7591]

Can you please refer me to a good surgeon in Los Angeles, California that has performed this surgery thousands of times? The doctor that wants to performed the surgery has never done it before and it is scaring me.

[@HeartValveSurgery]

Hi, Here is a list of heart valve surgeons in Los Angeles to consider - www.heart-valve-surgery.com/surgeon-database/surgeonSearchResults.php?q=los+angeles&type=city_zip_or_last_name. Hope that helps!

[@iguscin71]

You're lucky...Cedars-Sinai's Smidt Heart Institute is one of the leading cardiac surgery hospitals in the WORLD!!!!

[@robertoleary9391]

I have a 4.6 cm aortic artery ascending stemming from a possible aortic bivalve. I'm due to go into Methodist Hospital in Texas to test for existence of a bivalve condition and check to see if aneurysm has grown, I'm an 83 year old male. I have two sons still in University so I'd like to see them through with my wife.

[@HeartValveSurgery]

Our thoughts are with you. We hope the medical team at Methodist Hospital in Texas can help you. Dr. Michael Reardon is an excellent cardiac surgeon at that hospital.

[@bnaumann9]

I would like to see what some top doctors in the US feel about the PEARS procedure

[@HeartValveSurgery]

Hey there, Thanks for mentioning the PEARS procedures. We have not heard about this yet. So, we will do our best to get some educational content posted in the future. Again, thanks for the feedback!!!

[@doctorwonderful]

Question: What about an ascending aortic arch aneurysm (aortic root mildly dilated) with bovine arch anatomy? Any other considerations, risks, or worries with repair? By history, I am an anesthesiologist (age 67) who was diagnosed with a 4.4 cm ascending thoracic aneurysm (ATA) in April 2023 (second CT angio {Dec 2023} no change in size). After your fine video, I noticed on the echos done to stage me, there were no remarks regarding my aortic valve anatomy. No mention of tricuspid vs. bicuspid. Any help/direction would be most appreciated. My comment: I used to do the anesthesia for TAA repairs in the 90s and almost all the patients with ATAs died perioperatively. When I was diagnosed, this floored me. I must say going through life with this over my head is somewhat disconcerting. Any progress with the risks associated with the repair of an ATA?

[@donnaberscht5320]

Why is it so itchy inside my aortica is 5.1centerminters

[@martinkirby3100]

I’m in hospital awaiting open heart surgery for the aorta and valve

[@bfoster1950]

Praying for you. 🙏

[@lfalsetto]

Have they done surgery yet?

[@denishood7258]

How can you determine the annual case volume for this type of procedure? Is this public info or would you ask your Dr? I have not been able to locate this on any public searches. Ty

[@tennieworld]

We have Vidant Medical Center Heart Institute and East Carolina University. Could Dr. Desai help a person via telemedicine/DiVinci robotic surgery?

[@HeartValveSurgery]

Hi, You raise a really interesting question. Unfortunately, we do not know the answer. You can try Dr. Desai's office at [phone] to learn more. Hope that helps!

[@LB-sw2km]

I live in Massachusetts’ Any drs like these drs I can see ? The dr I had gave me no information and made it like it wasn’t a big deal . Please help

[@jimosullivan4866]

Dr Kamal Khabbaz , Beth Israel hospital

[@eriksossa5297]

I live in Massachusetts as well. Had ascending aortic aneurysm and valve replacement at Yale at age 60 with Dr. Vallabhajosyula. Great outcome and am doing well. Recommend him without hesitation…good luck

[@LB-sw2km]

@@jimosullivan4866 thank you 🙏

[@LB-sw2km]

@@eriksossa5297 thank you 🙏

[@LB-sw2km]

@@eriksossa5297 so happy you had great results 😊 God bless

[@donnaberscht5320]

I was diagnosed with a aortica aneurysem i had ultra sound i am so worried of sugery is it successful

[@rogerbrandon629]

I’m a 66 year old male that’s had an enlarged robotic route at the base of the aorta it’s been steady at 4.6 but now it’s jumped up to 5.1 when is a good time for surgery?

[@rogerbrandon629]

My name is Roger please answer me.

[@HeartValveSurgery]

Hi Roger, We just sent you a response to your comment on another video. Here is what we wrote: Hi Roger, Dr. Castro does not actively monitor the HeartValveSurgery.com KZbin Channel. That said, we would strongly encourage to discuss this issue with your cardiologist at your earliest convenience. You can learn more about guidelines for aorta treatment at www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-guideline-on-aortic-disease-2-gl-ad. We hope that helps!

[@123jac]

After an autopsy of a man (in Iraq), they found that he had an unruptured aortic aneurysm that measures 9.8, he died of other cause than the heart.

[@EvelynGibeau]

That’s me

[@FirefighterAdvocate]

Hi Doctors, I'm a 45 year old Firefighter and have a bicuspid valve with an thoracic ascending aorta anursm. I'm doing surgery coming up in February. They are going to replace the aorta with the mesh you spoke about. Questions - will this last for the rest of my life? Will it need to be replaced in the future? Any concerns or other questions I should be asking before surgery? I'm a Kaiser member.

[@jakestone954]

Hope it went well for you?

[@FirefighterAdvocate]

@@jakestone954 it did and thank you.

[@jakestone954]

Happy to hear that!

[@FirefighterAdvocate]

@@jakestone954 thank you Jake. You stay healthy and safe.

[@jakestone954]

@@FirefighterAdvocate I am 50 years old and I Have a 5.2 cm aortic root and 4.4 ascending aorta and I am considering my options for surgery but I have not committed to the procedure just yet. It has only become obvious to me this week that this is something I cannot live with and I need surgery. I guess you also know the sleeve they install is permanent and does not need to be replaced. Happy to hear you made a full recovery. Oh I see you posted a A number of videos on your recovery I will watch those intently and really appreciate you doing that!

[@sevincemirhan5492]

I'm 63 year old female 4.6 cm aortic do it need surgery my father died from it I'm scared i want it removed

[@peacefuldaizy5717]

They cannot give you specific advice. You should be seeing a cardiologist to monitor the aneurysm. I am 56 and have a 4.6cm ascending aortic aneurysm and moderate aortic stenosis. I also have a bicuspid aortic valve. The size of our aneurysms is not that big; because of this our risk to have surgical repair is greater than our risk of rupture. You need to see a cardiologist and get specific recommendations from him or her.