{"id":1295,"date":"2021-06-30T17:56:49","date_gmt":"2021-06-30T17:56:49","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=1295"},"modified":"2023-09-27T13:30:26","modified_gmt":"2023-09-27T13:30:26","slug":"emergency-aortic-aneurysm","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/emergency-aortic-aneurysm\/","title":{"rendered":"Doctor Q&#038;A: Emergency Aortic Valve Disease &#038; Aortic Aneurysm Surgery"},"content":{"rendered":"<p>While aortic valve disease is a progressive cardiac disorder that can take years or decades to become severe, patients may require an emergency procedure.<\/p>\n<p>For example, <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-stenosis-valve-heart-narrowing.php\">aortic stenosis<\/a> is commonly referred to as a &#8220;silent killer&#8221;. Why? According to research by <a href=\"https:\/\/en.wikipedia.org\/wiki\/Eugene_Braunwald\">Dr. Eugene Braunwald<\/a>, once a patient is diagnosed with severe aortic stenosis and that patient experiences symptoms, the survival rate is just 50% after 24 months. That said, a missed aortic stenosis diagnosis could warrant emergency surgery.<\/p>\n<p>In addition, patients with aortic valve disease often struggle with an <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-aneurysm.php\">aortic aneurysm<\/a>. The aorta is the largest artery in the body. So, any rupture or dissection of the aorta could be life-threatening. This is another reason that patients may need emergency surgery.<\/p>\n<p>To learn more about emergency operations related to aortic valve disease, we interviewed <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Christopher-Mehta-Chicago-Illinois.php\">Dr. Christopher Mehta<\/a>. As you may know, Dr. Mehta is an aortic valve and aneurysm specialist at <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/northwestern-memorial-valve-program\">Northwestern Medicine<\/a> in Chicago, Illinois.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/CP8WVBE9IIU\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Emergency Aortic Valve &amp; Aneurysm Surgery<\/h2>\n<p>Here are the key learnings from our discussion with Dr. Mehta.<\/p>\n<ul>\n<li>Dr. Mehta knew he wanted to become a cardiac surgeon since he was a child.\u00a0 Dr. Mehta was fascinated by how the heart works and how cardiac surgery can help people feel better. Specific to heart valve therapy, Dr. Mehta believes this is a very exciting time as new, minimally-invasive technologies (e.g. <a href=\"https:\/\/www.heart-valve-surgery.com\/tavr-procedure.php\/\">TAVR<\/a>) are advancing the therapeutic approach to valvular issues.<\/li>\n<li>Aortic valve disease typically consists of two unique disorders &#8211; stenosis (a narrow valve that results from calcium build-up on the valve) and regurgitation (a leaking valve that does not close properly). Both stenosis and regurgitation can causes symptoms including shortness of breath, chest pain, fatigue and dizziness.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/profileImages\/415_129_152.jpg\" alt=\"Dr. Christopher Mehta (Heart Surgeon)\" width=\"129\" height=\"152\" \/>Dr. Christopher Mehta<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Both aortic stenosis and aortic regurgitation (also known as insufficiency) may cause the heart to enlarge and weaken.\u00a0 Unfortunately, heart failure can result from aortic stenosis and <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-valve-regurgitation-symptoms.php\">aortic regurgitation<\/a> as the heart&#8217;s ability to &#8220;pump blood&#8221; is compromised.<\/li>\n<li>There is a distinct relationship among the aortic valve and the aorta, which is the largest artery in the body. Abnormal blood flow patterns within an aneurysm can impact the aortic valve and, at the same time, abnormal blood flow pattern across the aortic valve can impact the aorta.\u00a0 Patients with <a href=\"https:\/\/www.heart-valve-surgery.com\/bicuspid-aortic-valve-symptoms.php\">bicuspid aortic valves<\/a>, a two-cusp valve, are prone to develop aortic aneurysms.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/Images\/bicuspid-aortic-valve-comparison.jpg\" alt=\"Bicuspid Aortic Valve Compared to Normal Tri-Leaflet Valve\" width=\"600\" height=\"269\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>If an aortic aneurysm progresses, it can cause two potentially life-threatening situations &#8211; aortic rupture and aortic dissection.<\/li>\n<li>Dr. Mehta suggests there is a 1% per hour risk of dying from an aortic dissection within the first 24 hours. Patients with an aortic dissection need to go to the hospital immediately for emergency surgery.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/Images\/Ascending-Aortic-Aneurysm-Heart-Valve-Disease.jpg\" alt=\"Normal and Ascending Aortic Aneurysm\" width=\"600\" height=\"375\" \/><\/p>\n<ul>\n<li>Risk factors for aortic aneurysms include obesity, smoking and high blood pressure (hypertension).<\/li>\n<li>Aortic valve disease and aortic aneurysms can be genetic. Dr. Mehta states, &#8220;If patients are related to someone who has died of an aortic dissection, these patients should be monitored by their physician for a risk of aneurysm.&#8221;<\/li>\n<li>Common diagnostic tests for aneurysms include CT scans and MRI.<\/li>\n<li>The goal with monitoring aortic valve disease and aneurysms is to catch them early.\u00a0 Dr. Mehta states, &#8220;If we can catch aortic valve disease and if we can catch aneurysms early, we can operate earlier and save lives.&#8221;<\/li>\n<li>There are several different approaches that Dr. Mehta uses to treat aortic valve disease and aneurysms.\u00a0 Those approaches include both minimally-invasive and open-heart procedures that can treat both cardiac conditions during the same procedure.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many Thanks Dr. Mehta &amp; Northwestern Medicine<\/h2>\n<p>On behalf of our patient community, many thanks to <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Christopher-Mehta-Chicago-Illinois.php\">Dr. Christopher Mehta<\/a> for taking the time to share his clinical experience and research with us.\u00a0 And, many thanks to <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/northwestern-memorial-valve-program\">Northwestern Medicine<\/a> for taking great care of the HeartValveSurgery.com patients.<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2019\/03\/04\/aortic-stenosis-mortality-incidence\/\">The Aortic Stenosis &#8220;Danger Zone&#8221; Is Here<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2018\/07\/11\/top-5-facts-aorta-aneurysm-bicuspid\/\">The Aorta: What 5 Facts Should Patients Know?<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2019\/07\/12\/aortic-aneurysm-dr-chris-malaisrie-patient\/\">Patient Success Story: No More Walking Time Bomb After Tom&#8217;s Valve-Sparing Aortic Root Replacement<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-aneurysm.php\">Aortic Aneurysms: Symptoms, Causes, Risks &amp; Treatment<\/a><\/li>\n<\/ul>\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-1295","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\/1295","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=1295"}],"version-history":[{"count":20,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/1295\/revisions"}],"predecessor-version":[{"id":3810,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/1295\/revisions\/3810"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=1295"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=1295"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}