I understand 5.0 CM + is the time where you should consider surgery. How dangerous is a 4 cm aortic aneurysm? 2005-2023 Healthline Media a Red Ventures Company. Eagleton M. (2017). The long-term outlook for someone with an ascending aortic aneurysm is good if its repaired before it ruptures. 5. Aortic Aneurysms: The Most Dangerous Type. Also according to Dr. Nguyen Duy Tan, Thong Nhat Hospital is one of the specialized centers for this method and has been successful in many cases of aortic aneurysm and dissection with a high . Unfortunately, there is no consensus or evidence that one criterion or composite of features precisely define such a group or predict within what time frame after diagnosis they are most susceptible to all-cause mortality. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Thirty-five percent (39/110) of family members had BAV/AAT or . Loscalzo et al. Read our editorial policy. Approximately 60% of TAAs occur in the root or ascending aorta, 10% in the arch, 40% in the descending aorta, and 10% in the thoracoabdominal aorta, with some aneurysms involving multiple aortic segments.3. Expansion rates and outcomes for the 3.0-cm to the 3.9-cm infrarenal abdominal aortic aneurysm AAAs of 3.0 cm to 3.9 cm expanded slowly, did . I am hoping if I can hang out for a few more years they will have developed a stent to fix it without the requirement for open heart surgery like they have for the lower down ones, that would be good. With close follow-up, good blood pressure control and a healthy lifestyle, many patients living with aortic . Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. The aorta is the large blood vessel that the heart pumps into via the aortic valve every time it beats. When this happens we have whats called dilated or dissected roots either can be life threatening but if there isnt enough time for them to rupture before someone notices then survival may still be possible with treatment (2011). The feedback link Was this Article Helpful on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. Expansion rate of descending thoracic aortic aneurysms. Treatment for an abdominal aortic aneurysm may vary depending on your overall health and the size, exact location, growth rate, and type of aneurysm. First question is: is there any possibility that it will never grow? Abdominal Aortic Aneurysm Repair With Stent Survival after open versus endovascular thoracic aortic aneurysm repair in an observational study of the Medicare population. Recovery After Aortic Aneurysm Repair: What to Expect, An ideal Healthline Media does not provide medical advice, diagnosis, or treatment. More importantly, once it has widened, it will continue to do so. Abdominal aortic aneurysms (AAAs) account for three fourths of aortic aneurysms and affect 0.5 to 3.2% of the population. Ann Thorac Surg. Stenosis occurs when the opening to the mitral valve is narrowed. If you have a small aortic aneurysm (approximately 3 cm) at the time of diagnosis, your doctor may recommend healthy lifestyle changes or medicine to help prevent it from growing larger. My aneurysm is 4.2 cms for the last 2 years. The recovery time for a less-invasive endovascular procedure is shorter than for an open surgery. small than 4cm is relatively low than the rupture risk associated with any large aneurysm of more than 6cm. Management of diseases of the descending thoracic aorta in the endovascular era: a Medicare population study. The upward part of the arch, which is the section closest to the heart, is called the ascending aorta. Couldn't understand where it came from. A 4.3 cm ascending aortic aneurysm is a ballooning or dilation of the ascending aorta, the main artery that carries blood from the heart to the body. I am a healthy 67 yr old female with a 4.6 cm ascending aortic aneurysm 4.6 cm. 8. Heart. Bulging can occur in any artery in your body. 2005;112:1082-1084. If you think you may have a medical emergency, immediately call your doctor or dial 911. Evidences have suggested that expansion of aneurysms takes place at the average rate from 0.3cm to 0.4cm yearly and tends to expand at the fastest rate as compared to any small aneurysm. Aneurysms are dangerous because they can rupture, causing internal bleeding. large AAA - 5.5cm or more across. I had been seen in a large local hospital and asked the consultant why the op could not be done there- she said, tactfully, "it would be in your best interests to go to the Heart Hosp.". Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the Gore TAG thoracic endoprosthesis. Isselbacher EM. Thursday, January 26 2023 - Have a nice day! 2016;103:1626-1633. Thoracic aorta. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Knyshov GV, Sitar LL, Glagola MD, Atamanyuk MY. If the aorta is between four and 4.5 cm, testing should be repeated every six months. Goodney PP, Travis L, Lucas FL, et al. A rupture in this part of the body can be life-threatening. Your doctor inserts a tiny, flexible catheter into an artery in your leg and guides the tube up to your aorta. Fairman RM, Criado FJ, Farber M, et al. Your doctor will likely schedule regular visits to evaluate the size of your aneurysm using a CT scan, MRI or ultrasound. My cholesterol is about 6 but nobody has suggested statins and I am happy with that. Ann Thorac Surg. Br J Surg. Prevalence is 3 times greater in men. This article does not provide medical advice. J Thorac Cardiovasc Surg. upmc.com/services/heart-vascular/conditions-treatments/pages/ascending-aortic-arch-aneurysm.aspx, vascular.org/patient-resources/vascular-conditions/thoracic-aortic-aneurysm, mayoclinic.org/diseases-conditions/thoracic-aortic-aneurysm/diagnosis-treatment/treatment/txc-20122075, escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-10/Ascending-aortic-aneurysms-pathophysiology-and-indications-for-surgery, my.clevelandclinic.org/health/articles/thoracic-aortic-aneurysm/symptoms-diagnosis, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. My next mri is due in October and he has told me to phone him first. In 6months. Even with surgery, theres a high risk of complications following a rupture. aorta dilate or bulge. An abdominal aortic aneurysmis dangerous because it is a weakening of the wall of the main blood vessel in your body. Upgrade to Patient Pro Medical Professional? Prog Cardiovasc Dis. However, varying degrees of degeneration can be seen in patients without these disorders, occurring as an idiopathic variant in familial syndromes or as an acquired form. I have an Abdominal Aortic Aneurysm measuring 2.5 x 2.14 CM proximal, mid aortic measures 4.0 x 3.6 CM , the distal aorta measures 5.0 x 4.7 CM. 18. My consultant tells me they are well on the way. They become more common with every decade of age. A healthy aorta is about 1 inch (2.5 centimeters [cm]) wide, or about the diameter of a garden hose. And the risk increases significantly when the diameter of the bulge exceeds 5.5 cm (more than 3 cm is considered an aortic aneurism, and 4 cm indicates "clinical significance"). Nonetheless I have stopped fussing over it and it hasn't grown anymore. right-arrow Wow I suppose it's a very big surgery! Svensson LG, Crawford ES, Hess KR, et al. 2007;50:209-217. particularly those suffering from connective tissue disorders like Marfan syndrome who might not show any symptoms until their disorder has progressed significantly enough so that it could cause significant injury on its own without intervention; providing warning signs include tall height due in part genetic makeup coupled how easily injured people typically tend grow over, The study found that short-term crude or actual survival rates improved among patients who had surgery to repair a ruptured abdominal aortic aneurysm. The thoracic aorta begins where the left ventricle ends at the aortic valve and continues down through the chest. I felt fine before the surgery but my energy level is down, I get tired rather quickly. You can partner with your doctor in monitoring your aneurysm. Went to the ER and they found the BAV with ascending aortic aneurysm measuring 4.7. Aortic Aneurysm. The aorta is the main artery in your body that moves blood away from your heart the highway that disperses oxygen-rich blood. (2007) performed a prospective study of 13 families with biscuspid aortic valve (BAV; 607086) and thoracic aortic aneurysm. Our website services, content, and products are for informational purposes only. Thanks again. Because of the unique morphology of aneurysm following coarctation repair, there is little evidence about the threshold diameter, although a small series suggests that surgery is justified, even if the size does not exceed 6 cm.19. 19. N Engl J Med. Bahia SS, Vidal-Diez A, Seshasai SR, et al. Endovascular abdominal aortic aneurysm repair: type 2 endoleaks and risk of rupture . Brain aneurysms are caused by weaknesses in the blood vessel wall that causes the vessel to balloon. Surgical repair is warranted at that size as well. I have only radiologist's report which says "There has been mild interval increase in size of the ascending aortic aneurysm, fusiform dilatation being seen through 8-9 cm above the valve plane with maximum AP dimension of 5.2 cm compared with measurements of 4.8 cm on previous exam (Feb. 2011 which then actually was reported as 4.7 cm). Aortic valve insufficiency (AVI) is also called aortic insufficiency or aortic regurgitation. Ascending aortic aneurysms are a subtype of thoracic aortic aneurysms or aneurysms that occur in the chest area above the diaphragm. On the basis of existing evidence, angiotensin II receptor blockers may have more beneficial effects than -blockers on the progression of aortic dilation.30 However, large-scale controlled studies are required to confirm this beneficial effect for patients who do not have connective tissue diseaserelated aneurysms. I had a private appointment with a cardiologist and asked him lots of questions and it put my mind at rest a bit. Once the diameter exceeds 6cm, the risk of rupture or dissection is extremely high. The cardiologist said that it is in the nature of aneurysms to grow but it could remain the same for years. The Heart Hospital, London, a branch of University College Hospital, is known to be one of the best in Europe. Primary form of aortoentric fistula or an abnormal connection in between the bowel and the aorta, Thromboembolism i.e. Ascending aortic aneurysms are the second most. An aortic aneurysm occurs when the aorta's wall is torn open. . Svensson LG, Rodriguez ER. The aneurysm ha read more 17 users are following. Treatment options An aneurysm that is less than 5 cm may be monitored without surgery.. There may be swelling around the tear, causing pain in different parts of your body. The hemorrhage most likely will lead to death. Notes on 4cm ascending aorta aneurysm 53yrs, https://patient.info/forums/discuss/4cm-ascending-aorta-aneurysm-53yrs-533575. Risk related to the burst or rupture of small aneurysms i.e. This process is called a dissection. If you and your doctor agree that a watch-and-wait approach is best, you may be placed on medications to help lower your blood pressure and cholesterol. Some ascending aortic aneurysms never rupture or cause any noticeable symptoms. The normal abdominal aorta measures approximately 2.0 cm in most people (range 1.4 to 3.0 cm). 22. Aortic aneurysms are small bulging blood vessels in the artery that runs through your neck. You dint mention how big is your aneurysm at the moment? It happens when the artery wall weakens. The bulging aneurysm can put pressure on the nerves or brain tissue. 21. Once formed, an aneurysm will gradually increase in size and get progressively weaker. This condition develops when the aortic valve is damaged. Generally, about 2.3 inches (6 cm) is the critical size for atherosclerotic aneurysms. Usually, surgical repair is necessary once an aneurysm reaches 5 centimeters (cm) in diameter. Like you, I was terrified when it was found. Nevertheless, thoracic aneurysms feature a distinct pathobiology, as they are characterized by medial necrosis and mucoid infiltration, as well as elastin degradation and vascular smooth muscle cell apoptosis. The normal abdominal aorta is 2.0 cm. Lancet. How is a Thoracic Aortic Aneurysm Repaired? How Game of Thrones Actress Emilia Clarke Survived Two Aneurysms, Glycemic Index: What It Is and How to Use It. A thoracic aortic aneurysm is also called a thoracic aneurysm. J Vasc Surg. Any suggestions of a hospital in Europe where they do a lot of these kind of surgeries with a lot of experienceI'm terrified I want to collect all good information, that gives me more hope and confidence. There are more than 10,000 deaths per year from ruptured abdominal aortic aneurysms. Makaroun MS, Dillavou ED, Kee ST, et al. Stanford Healthcare. An abdominal aortic aneurysm surgery becomes dangerous only if the patient is suffering from additional risk factors. The relative survival percentage remained steady at about 87%. Therefore, it is still unclear if these new molecular imaging technologies can be helpful in the management of patients with TAAs. 5 Things You Didn't Know About Diabetes and Heart Disease, Finding the Right Doctor for Aortic Aneurysm Repair. I did go to the bother of trawling through old medical records and I found an echo which had been done when I was 31 that showed widening of 3.2 cms. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm? Aneurysms anywhere in the body are dangerous because they can rupture and cause massive internal bleeding. If the blood vessel ruptures, it could result in a subarachnoid hemorrhage, which is a kind of. It is not a substitute for professional medical advice, diagnosis or treatment. Patients with a maximum aortic diameter of 50 to 54 mm had a 74.5% risk of expanding to > 55 mm in the subsequent 2 years. Mayo Clinic Staff. Sinus of Valsalva aneurysm (SOVA) is an abnormal dilatation of the aortic root located between the aortic valve annulus and the sinotubular junction. 2013;46:533-541. An aneurysm occurs when an artery wall weakens, causing it to bulge or dilate abnormally. I have to follow up and check if it will grow etc. Davies RR, Gallo A, Coady MA, et al. High Cholesterol: 7 Things Doctors Want You to Know. Only 5.3% of those with a diameter of 40 to 44 mm achieved the theoretical threshold size (55 mm) within 2 years. Yearly rupture or dissection rates for thoracic aortic aneurysms: simple prediction based on size. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. I have to follow up and check if it will grow etc. It took 8yrs for it to start growing but once it started, it grew quickly. 7 Symptoms Never to Ignore If You Have Heart Failure. It's probably nothing serious. On my search all most all aneurysms are growing! HI Moreen, thank you so much for taking the effort to answer to my msg. (2017). It is intended for informational purposes only. However, a few forms of aneurysms because of unclear reasons remain fixed in their sizes for a specified time and later on, undergo with rapid burst. In the MOTHER database of 1,010 patients undergoing TEVAR (an amalgamation of device-specific Medtronic registries, which include TEVARs performed for a range of pathologies), increasing age was an independent predictor of 30-day mortality, with an odds ratio of 1.05 per additional year of age.25, It would be useful to determine who is not likely to achieve an overall benefit from having their aneurysm repaired. Perko MJ, Norgaard M, Herzog TM, et al. Achneck HE, Rizzo JA, Tranquilli M, Elefteriades JA. Youre also at higher risk of an ascending aortic aneurysm if you have aortic valve disease. Abdominal Aortic Aneurysm. Complications in frail and elderly patients can be the reason for loss of independence, and thus, quality of life should be an important consideration, especially in patients whose aneurysms were not symptomatic before surgery. By Robert J. Hinchliffe, MD, FRCS, and Paul Hollering, Thoracic aortic aneurysm (TAA) is a potentially life-threatening disorder that without intervention carries a poor prognosis. Centers for Disease Control and Prevention. The procedure can cause bleeding, respiratory complications such as pneumonia or even paralysis if not properly cared for afterword My blood pressure is normal, DIA is a bit higher, around 80ish, cholesterol on the edge, around 205 if I remember good. Incredibly the aorta pumps around 200,000,000 liters of blood around the body in a lifetime. The reported 30% to 50% short-term mortality in patients with aortic aneurysm diameters >6 cm was, until fairly recently, the basis for recommendation of elective aortic surgery at 6 cm. I recently had by-pass surgery there. Most people have an aortic valve with three flaps or leaflets that open and close with each heartbeat. Patients with endoleaks that sealed and low flow I'm in a lot if stress. Novel measurement of relative aortic size predicts rupture of thoracic aortic aneurysms. 4. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. These infections include syphilis and salmonella. Abdominal Aortic Aneurysm. I guess delivering and carrying 2 very large babies in my late 30s is when it may have grown last. Whereas abdominal aneurysms are characterized by severe intimal atherosclerosis, chronic transmural inflammation, and destructive remodeling of the elastic media, the microscopic findings in TAAs are frequently associated with cystic medial degeneration, reflecting a noninflammatory loss of smooth muscle cells, causing degeneration of elastic fibers within the media of the aortic wall.4 This degenerative process, which can be genetically determined, is typically seen in connective tissue diseases such as Marfan, Loeys-Dietz, and Ehlers-Danlos syndromes. These include longer delivery systems and more accurate deployment systems (necessary in tortuous anatomy with very high blood flow and exceptionally large forces and motion). Cardiol Young. 2007;84:1180-1185. When ascending aortic aneurysms meet the size criteria or co . Risk of aneurysm rupture annually depends on its specific size, according to which-. In the VALOR trial, the rate of serious morbidity among patients undergoing open surgical repair of the descending aorta was double that of the TEVAR patients (84% vs 41%, respectively). The aortic diameter of more than 3.0 cm [1] . 2002;74:S1877-S1880. The cardiologist was not super helpful and told me to find an aortic specialist. Aside from morbidity and mortality rates, which have widely been published, few available data exist on the quality of life of patients who have undergone TAA repair. 13. Aneurysm may takes place in almost every area present in aorta, but abdominal area is the common one. What Are People Looking For In Online Fitness Classes? Schermerhorn ML, Giles KA, Hamdan AD, et al. If thoracic aortic aneurysms are severe enough to cause symptoms, you may experience severe chest or back pain, shortness of breath, coughing or wheezing, difficulty swallowing, hoarseness, numbness or weakness in one or both arms, and loss of consciousness or low blood pressure. It will need surgery coming closer to 5cms. Unoperated aortic aneurysm: a survey of 170 patients. At present, it seems that there is no one-size-fits-all treatment, and therefore, patient selection should be performed on an individual basis according to morphological complexities, comorbidities, and anticipated overall survival and durability of any repair. 6. Experience with 1509 patients undergoing thoracoabdominal aortic operations. I agree about you being younger but neither of us know how long the aneurysm has been there and might have been there for years, but as you say your has more potential years to grow. J Vasc Surg. Bahia et al revealed that AAA patients with appropriate risk factor modification can significantly reduce their long-term mortality.27, Unfortunately, there are no trials that comprehensively analyze the natural history of TAA (like the EVAR 2 trial for AAA). She is also an Associate Professional Counselor and Clinical Rehabilitation Counselor, adding mental health and wellness to her area of expertise. The aneurysm is growing quickly, 0.5 cm or more over 6 to 12 months, regardless of its size. Preoperative Risk Assessment for Optimal TEVAR Outcomes, By Tristan R. A. All 13 families had multiple affected members, often in more than 1 generation, consistent with an autosomal dominant pattern of inheritance. All Rights Reserved Privacy Policy, Robert J. Hinchliffe, MD, FRCS; Paul Hollering. May I ask you what kind of medicines are you taking? 1. To be honest I don't think about it too much anymore. [13] At the last echo, the senior technician thought that I probably will never need surgery as the valve seems to be coping fairly well. 2011;124:2661-2669. The aneurysm has grown quickly (more than 0.5 cm in six months or more than 1 cm in one year). Ann Surg. There is little evidence that long-term statin therapy reduces TAA growth or rupture rates. Eur J Vasc Endovasc Surg. You can learn more about how we ensure our content is accurate and current by reading our. All rights reserved. Monitoring the biological activity of abdominal aortic aneurysms beyond ultrasound. family history, ( on my mom's . Ann Thorac Surg. American Family Physician. 2013;23:568-581. Just had a CT scan and showed I have a 4.4 CM aortic root. He or she will also consider the location of the aneurysm, any symptoms, your age, and other health conditions to determine the need for any further treatment. Based on this, they stratified patients into three groups: those with an ASI < 2.75 cm/m2 who were at low risk for rupture (4% per year), an ASI of 2.75 to 4.25 cm/m2 was considered moderate risk (8% per year), and those with an ASI > 4.25 cm/m2 were at high risk (20%25% per year). Learn how we can help 4.6k views Answered >2 years ago Thank A 50-year-old female asked: According to my dr that's possible. Brown LC, Powell JT. Eur J Vasc Endovasc Surg. The question is: is it enough to see a cardiologist or I should considering see a vascular surgeon as well? Each of these complications mentioned here are of limb as well as life-threatening ones and when doctors diagnose them, they indicate for the requirement of repair or surgery. These include pseudoaneurysms after trauma (aortic transection) and aortic cannulation (cardiac surgery and cardiopulmonary bypass). Aortic aneurysms can occur anywhere in the aorta and may be tube-shaped (fusiform) or round (saccular). Because patients with high rates of growth and large aneurysm size are selected out for surgery, following the natural history of the disease in an unbiased manner is difficult. (based upon risk assessment) diameter indicates increasing danger because they're harder to detect before too much damage has been done! Like you it took a while to adjust to the fright of it all. The aorta is the lifeblood of our body and aneurysms can put pressure on it from all sides. What should you not do with an aortic aneurysm? You have more than one aneurysm along the length of the aorta. They usually cause no symptoms except when ruptured. The two trials comparing early open surgical repair to surveillance found this result holds true regardless of patient age or aneurysm size (within the range of 4.0 cm to 5.5 cm diameter). 2016;103:1823-1827. I'm a European citizen living I the United Arab Emirates in Dubai at the moment and this is not a surgery someone would like to do in Dubai. Pivotal results of the Medtronic vascular Talent thoracic stent graft system: the VALOR trial. A thoracic aortic aneurysm is a weakened area in the body's main artery (aorta) in the chest. On average, people living five years after their procedure with this condition in particular can rest assured knowing they will be alive soon though there are some cases where these numbers may not apply, In 1985, the life expectancy for a 25-year old was 27 years. Chances Of Getting Pregnant From Pulling Out. In this procedure, a surgeon opens up your chest and replaces the damaged portion of your aorta with a synthetic tube called a graft. Do you feel the same as before surgery? The initial surgery itself was interesting and the recovery process is too. A small 4 cm sized aneurism has very little chance or likelihood for bursting, but larger 5+ inch dia. 4. And more than 70% of patient with ruptured aortic aneurysm are not able to reach hospital alive. Registered in England and Wales. The aneurysm forms in the wall of the artery. I was diagnosed with the same condition four years ago when I was 64. Karthikesalingam A, Bahia SS, Patterson BO, et al. 1996;61:935-939. These can include: Sometimes surgery may be needed for an aortic aneurysm, depending on the cause, size and symptoms of the aneurysm. Next Article A diameter greater than 3.5cm is considered to be an aortic aneurysm. The overall surgical mortality for an elective open TAA repair is 5% to 9%.5,6 In the last decade, we have seen a significant decrease in open procedures for TAAs. Cough. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. I do see a consultant surgeon as opposed to a cardiologist. National Heart, Lung and Blood Institute. 24. University of Bristol What is a dangerous size for an aortic aneurysm? I'll be happy to answer any questions you may have, if it well help.. Have bicuspid valve and thoracic aneurysm also . Comparison of the effect on long-term outcomes in patients with thoracic aortic aneurysms taking versus not taking a statin drug. A cerebral aneurysm (also known as a brain aneurysm) is a weak or thin spot on an artery in the brain that balloons or bulges out and fills with blood. I find when I do have an appointment with him it is very rushed so it was worth the money. (75.578.8 cm/s vs. 13836.2 cm/s; p<0.01). Created with Sketch. Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. Scali ST, Goodney PP, Walsh DB, et al. . Conrad MF, Ergul EA, Patel VI, et al. Smoke (or be exposed to secondhand smoke) or use any other tobacco products. Circulation. The aneurysm is causing symptoms such as pain in the back, stomach . Get the facts on symptoms, diagnosis, and treatment options from medication to, A thoracic aortic aneurysm is an abnormal bulge in the upper part of the aorta, your bodys largest artery. One hundred and ninety-two patients with an intact AAA of 5 cm or greater in diameter were seen in 9 years; 59 . An aortic aneurysm is a balloon-like bulge that affects the aorta, the main artery that carries oxygen-rich blood directly from the heart to smaller blood vessels in your body. The risk of a fatal bleeding event is high if bleeding is not treated promptly. With the right treatment and close monitoring, you can rest easier knowing your risk of rupture is reduced. Nonetheless, when the size of an aneurysm is greater than 5 centimeters, the only way to attend to it is through surgery. I hope yours remains within limits and good luck. Dake MD, Miller DC, Semba CP, et al. Take time to research the doctors experience. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Population-based outcomes of open descending thoracic aortic aneurysm repair. The aorta is the main blood vessel that carries blood from the heart to the rest of the body. Previous Article. I am very well and keep fit in case I need it done. Also after operation do you have to take daily medicines for life? It also will decrease the risk of aneurysm complications. Try our Symptom Checker Got any other symptoms?