{"id":1196,"date":"2021-06-08T20:52:51","date_gmt":"2021-06-08T20:52:51","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=1196"},"modified":"2023-09-27T13:04:02","modified_gmt":"2023-09-27T13:04:02","slug":"aneurysm-aortic-sparing","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/aneurysm-aortic-sparing\/","title":{"rendered":"Aortic Aneurysm &#038; Heart Valve Disease Treatment: 9 Important Facts"},"content":{"rendered":"<p>For patients, the diagnosis of aortic valve disease can be dislocating, confusing and isolating.\u00a0 However, if patients are diagnosed with an aortic aneurysm &#8211; in addition to a valve disorder &#8211; anxiety levels can skyrocket.<\/p>\n<p>As we have learned in our <a href=\"https:\/\/www.heart-valve-surgery.com\/journals\/\">community<\/a>, patients often consider an aortic aneurysm a &#8220;ticking time bomb&#8221; as a bursting of the aorta, which is the largest artery in the human body, can lead to a sudden, life-threatening situation.\u00a0 Unfortunately, it was an aortic aneurysm that took the life of <a href=\"https:\/\/www.johnritterfoundation.org\/\">John Ritter<\/a>, the wonderful comedian best known for his starring role in <em>Three&#8217;s Company<\/em>.<\/p>\n<p>To help patients better understand the realities of diagnosing, managing and treating aortic aneurysms and aortic valve disease, I met with <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Joseph-Bavaria-Philadelphia-Pennsylvania.php\">Dr. Joseph Bavaria<\/a>.\u00a0 A past-President of The Society of Thoracic Surgeons and the Vice Chief of the Division of Cardiovascular Surgery at <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/penn-medicine\">Penn Medicine Heart &amp; Vascular Institute<\/a>, Dr. Bavaria has performed 9,000+ cardiac procedures of which 6,000+ operations included heart valve repairs and\/or replacements.\u00a0 It should be noted that Dr. Bavaria is an aortic valve and aortic aneurysm specialist who has successfully treated many patients in our community including Mark Siedlecki, Diane Mowery and Eileen Garton.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/_dR66_iUx9E\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings from Dr. Bavaria<\/h2>\n<p>Dr. Bavaria shared several insights in this video. Here are key learnings for patients to consider:<\/p>\n<ul>\n<li>Dr. Bavaria&#8217;s interest in cardiac surgery began with his passion for becoming a doctor as a way to help people.\u00a0 After studying engineering in college, Dr. Bavaria&#8217;s attraction to physiology led him to medical school and then a specific focus on cardiac surgery.<\/li>\n<li>In his clinic at Penn Medicine, Dr. Bavaria sees many patients with both aortic valve disease and <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-aneurysm.php\">aortic aneurysms<\/a>.\u00a0 Dr. Bavaria states, &#8220;The combination of aortic valve disease and aortic aneurysms is unbelievably common.&#8221;<\/li>\n<li>Specific to disease development and progression, an aortic valve disorder can cause an aortic aneurysm. At the same time, an aortic aneurysm can cause an aortic valve disorder.\u00a0 &#8220;It goes both ways,&#8221; states Dr. Bavaria, &#8220;For example, in <a href=\"https:\/\/www.heart-valve-surgery.com\/bicuspid-aortic-valve-symptoms.php\">bicuspid aortic valves<\/a>, it\u2019s these flow patterns that a lot of times will cause aneurysms&#8230; In three-cusp aortic valves, it&#8217;s the aorta that&#8217;s causing the valve problem. The two are intimately connected.&#8221;<\/li>\n<li>Both aortic valve disease AND aortic aneurysms are life-threatening conditions. However, the timeline of severity for each condition is unique.\u00a0 An aneurysm becomes very serious if a rupture or dissection occurs. Aortic valve disease, on the other hand, is a slow but progressive cause of heart failure. It is critical to repair or replace defective aortic valves prior to the onset of heart failure.<\/li>\n<li>Patients can undergo a single operation known as an aortic root procedure to address both aortic valve disease and aortic aneurysms.\u00a0 The operation is done frequently and is very safe at cardiac centers that specialize in aorta and heart valve surgery.<\/li>\n<li>Specific to the aortic valve, Dr. Bavaria can repair, replace of even &#8220;spare&#8221; the aortic valve. Valve-sparing procedures involve fixing the aortic aneurysm without any treatment to the aortic valve.\u00a0 The benefits of aortic valve repair and valve-sparing root procedures is that the patient can retain his\/her own tissue which can lead to long-term durability and no lifelong use of blood thinners.<\/li>\n<li>For aortic valves that are leaking, also known as <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-valve-regurgitation-symptoms.php\">aortic regurgitation<\/a>, Dr. Bavaria will typically repair those valves during an aortic root procedure.\u00a0 Alternatively, <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-stenosis-valve-heart-narrowing.php\">aortic valves that are stenotic<\/a> typically need to be replaced.<\/li>\n<li>Given the data currently available, Dr. Bavaria does not believe that a tissue valve replacement placed in a Dacron graft will lead to better, long-term durability. However, there can be decreased complications (infection, thrombus, stroke) as a result of Dacron graft utility.<\/li>\n<li>Dr. Bavaria&#8217;s number one piece of advice for patients with aortic valve disease and aortic aneurysms is to find a cardiac center that specializes in aortic root procedures and performs these operations regularly.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many Thanks Dr. Bavaria &amp; Penn Medicine!!!<\/h2>\n<p>On behalf of our community, I want to thank Dr. Bavaria for taking the time to share his clinical experiences and research with our patient community. Dr. Bavaria&#8217;s commitment and dedication to advancing therapies for patients with aortic valve disease and aneurysms is extraordinary.<\/p>\n<p>I also want to thank the entire Penn Medicine team for taking such great care of our patients!!!<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Joseph-Bavaria-Philadelphia-Pennsylvania.php\">See Dr. Joseph Bavaria&#8217;s Interactive Surgeon Profile<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/penn-medicine\">Explore the Penn Medicine Heart Valve Microsite<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the hearing impaired members of our community, we have provided a written transcript of this video below.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"class_list":["post-1196","page","type-page","status-publish","hentry","category-aneurysms"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/1196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=1196"}],"version-history":[{"count":24,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/1196\/revisions"}],"predecessor-version":[{"id":3786,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/1196\/revisions\/3786"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=1196"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=1196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}