Hello and welcome to HealingWell. I am so sorry to read of your aneurysm and I can understand why you are angry. Have you been referred to a thoracic surgeon at this point? Also did your Cardiologist start you on something for your BP?
The decision on how to best treat a thoracic aneurysm or the aorta depends on its size and rate of its growth, location and your overall health. The risk of rupture increases when the aneurysm is larger than about twice the normal diameter of a healthy aorta blood vessel.
If a thoracic aneurysm is small and causes no symptoms, your physician may recommend “watchful waiting,” which includes:
- Close monitoring of the aneurysm with CT or MRI scans every 6 months
- Blood pressure medication to control high blood pressure, and decrease pressure on the weakened area of the aneurysm
- Restriction of some physical activities. Heavy lifting should be avoided due to increased pressure on the aorta, which may put an aneurysm at risk of rupture
The decision to treat a thoracic aneurysm with surgery is determined by many factors, including:
- The presence of symptoms, including chest and back pain, and pain in the jaw, neck and upper back
- If the aneurysm is growing more than 1 centimeter (cm) per year
- Signs of an aortic dissection, including sudden, severe sharp tearing pain in the chest or back
- The age of the patient and the patient’s overall medical condition
New evidence has shown that the size of the aneurysm in addition to a patient’s height plays an important role in the decision for surgery. While 5 centimeters is the size most aneurysms are considered for surgery, Cleveland Clinic surgeons have compiled years of experience and published studies to find that a patient’s height and their aneurysm’s size strongly correlates with the need for surgery. For instance, a patient who is over 6 feet tall with a 5 centimeter aneurysm would be recommended for surgery. Yet, a patient who is 5 feet 7 inches with a thoracic aneurysm of 4.7 centimeters is a candidate for surgery due to their individual risk of rupture.
Due to highly individualized characteristics guiding the decision for surgery, it is best that a physician closely monitor your thoracic aneurysm on a regular basis.
I am posting the link that provided the info I have shared with you:
I do not know how much info your Dr. shared with you so please continue to talk with us here in the forum as we are here to support you. We are not physicians but we do care about you as a person going through a tough time.
The waiting is probably the worst part, but the restrictions really only preclude intense activities( check with your Dr. re your restrictions.) There is a series of Pulitzer Prize winning articles by a journalist living with an aneurysm. In one of the articles he talks about completing a race (triathlon) and accomplishing his goal of doing so SLOWER than he has in the past. A different take on competition. If you choose to read the article remember it is from 2004, ten years ago and medicine/procedures have come a long way.
I hope you choose to keep talking with us as many of us feel fear and anger at our own particular medical dx.
I wish you peace,