Pre-emptive aorta reinforecement at time of AVR (without aneurysm0?

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drivetopless

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Dec 28, 2008
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650
Location
formerly Atlanta, GA.
Has anyone out there elected to "fix" their aorta at the time of AVR, even though there was not yet an aneurysm?

Here's why I'm asking:
Count down/prep to AVR continues:

April - I had my first surgical consult with Dr. Wolfe at St. Joseph's here in Atlanta. I liked him very much for his technical nature, and I've heard lots of good things about his capabilities. He would perform minimally invasive with an ON-X valve. He felt I needed the surgery soon but it wasn't yet urgent and I could schedule at my convenience. I left his office feeling positive, but needing to find out what type of BAV I have- true or functional. A true BAV can be an indicator of associated Connective Tissue Disorders and could lead to the likelihood of an aortic aneurysm later. It would also indicate a discussion/decision about the approach for the surgery--possibly a more difficult procedure.

June: Saw my cardiologist (Dr. Manfred Sandler - AWESOME doctor) for my now 4 month interval check ups. His first question- "Where's your scar? I thought you would have had AVR by now." Ha ha. Sandler did a TEE on me 12 years ago, so he was able to confirm I have the "true" type BAV but no aneurysm.

July: I have a 2nd surgical consult with Dr. Chen of Emory. He is the go-to guy if you need an emergency aneurysm repaired in Georgia, but he also performs minimally invasive AVRs. I'm thinking he's the guy to ask about pro-actively addressing the aorta while getting the AVR.

Any advise/input is welcome. Thanks!
 
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