CodeBlueBlog: REPAIRING YOUR AORTA WITHOUT SURGERY

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« CRISIS? WHAT CRISIS? | Main | REPAIR YOUR AORTA IN EUROPE? »

REPAIRING YOUR AORTA WITHOUT SURGERY

There is no crisis in health care. There is an ongoing crisis in cost and delivery of medical services.

The aorta is the body's main arterial trunk. It traces a path from your heart upwards to the upper chest (= thoracic aorta), then it curves backwards and dips down to descend through the back of your chest, passing through the diaphragm, into the abdomen (= abdominal aorta). Once in the abdomen, the aorta passes to the level of your pelvis (just below umbilicus) breaking into two main trunks, the iliac arteries. These arteries then go on--one to each leg-- to supply blood to your legs.

The thoracic portion of the aorta has its own set of problems -- like the dissecting aneurysm that killed John Ritter -- which I will discuss another time.

The abdominal aorta can age, gaining calcium in its wall and expanding abnormally. If this part of the aorta becomes larger than 3.5 cm diameter, it is then called an abdominal aortic aneurysm (abbreviated:AAA--See illustration above). In general, this phenomenon begins to become a problem in your seventies. Smoking, diabetes, and high blood pressure are the major culprits.

These aneurysms can progress and grow slowly. After they reach 5cm or so, you are in danger of dying suddenly from a burst aorta (= rupture of an abdominal aortic aneurysm). Obviously, if the aorta bursts it will not take long to pump your entire blood supply into your abdominal compartment.

In the past IF detected, these aneurysms needed an open surgical repair. This operation has a relatively high mortality rate. After all, the aorta is deep in you abdominal compartment and is already fragile. One can die from the length and difficult machinations of the surgery; or, one can die if the aneurysm breaks open during surgery.

There has been, for the past 4 or 5 years, an FDA-approved, minimally invasive way to repair AAA's, once detected.

The aneurysms are detected by an abdominal ultrasound, and everyone over 70 should be screened with this procedure -- sooner if you smoke, have high blood pressure or diabetes, or you are a first-order relation to someone who had an AAA.

Once detected, the aneurysm can most often be repaired using a stent graft. This procedure is done without general anesthesia, in the radiology department, usually by an "interventional radiologist," and/or a vascular surgeon.

The procedure involves placement of a needle into the pulsing blood vessel of your groin followed by passage of a thin plastic tube (a catheter) carrying a Chinese finger trap-like metallic stent.

The stent is deployed across the aneurysm by inflating an underlying balloon.

You may spend two or three nights in the hospital, but, overall, this represents a remarkable and well-proven alternative to surgery.

Recent articles confirm the utility of this procedure.

Oh, by the way, you will have a REAL hard time getting a screening ultrasound OR a stent graft repair in Canada.

Posted by Doctor CBB on May 17, 2004 at 06:11 AM | Permalink

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What's being promised is akin to Jack's magic beans, except penis-enlargement pills don't work so spectacularly. To get the extra inches requires at least a six-month commitment. But the pills need to be taken with an exercise program — "jelq" — including drills similar to stretching hamstrings before jogging. To see what LIKE many people, I get about a dozen emails a day bearing news good and bad. The bad is that it takes to become a Mr Big, go to enlargepenisguide.com. You'll find a nude man, a fairly happy man one imagines, pretending to be a clock, with what appears to be a baby's arm grafted to his pubic bone as the minute hand.
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If I hadn't made this pledge, I could have abandoned the project — particularly after spotting Mr Baby Arm, whom I presume is also trying to improve himself. And that's the rub. If you're born with one of these ridiculous organs, there are times when just about every man feels short-changed.
The average size of an erect penis is about 15.24 centimetres — six inches in the old money. (When talking about penis size, it's traditional to use inches.) The sad thing is it seems there are many men living fretfully with a ruler in one hand and a world of hope in the other. To meet some of these people, return to http://enlargepenisguide.com — and log on to the "progress reports" forum. You'll find men apparently taking the pills, diligently jelqing (stretching a flaccid penis) and sharing how it's hanging. Like Nicky: "I'm 21, and, measured from the pelvic bone, the length of my penis is around 7.5 inches, but I've always wanted to be large like a porn star. I've been doing the exercise a few days now …"
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"The curious thing about our society, most of the time we pretend that the penis doesn't shrink," says David Mitchell, a doctor and a medical anthropologist. "In fact, the penis doesn't have a set flaccid size. It's actually meaningless to measure the size of the penis because it varies from minute to minute according to the temperature and one's state of mind. The trouble is, if you get anxious, it only makes it smaller, to the point where it can disappear … in cases where anxiety spirals into a panic attack."
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Chris Fox, of La Trobe University, is doing a PhD on penis size and its role in body image. So far, he has interviewed 15 men aged 20 to 75. "The short answer is that every man at some point in his life worries about the size of his penis," Mr Fox says. "If we don't like our penis we won't enjoy sex. For people with a pathological issue with penis size, it will affect their sex life.
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health care also health·care (hlthkâr) n. :efforts made to maintain or restore health especially by trained and licensed professionals -- usually hyphenated when used attributively

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