“Can a 74 year old diabetic patient undergo aortic dissection surgery?”
My mother in law is 74 years old and is heavily dependent on insulin. Apart from this she also has moderately high blood pressure and kidney disease. She underwent bypass surgery 6 years back. She is now found to have an aortic dissection. Is surgery necessary?
4 Answers
Surgery may need be necessary. This can sometimes be controlled by beta blockade medicine such as Metoprolol or Propanolol.
DM should be well controlled by whoever is in charge.
Cage operation is safe nowadays, rather than placing a graft.
Discuss with her surgeon.
Cage operation is safe nowadays, rather than placing a graft.
Discuss with her surgeon.
Surgery may be necessary and she may be a good candidate for surgery. She should see a cardiothoracic surgeon to make the final decision on surgery.
A catheter-directed insertion of a covered stent may help him live longer. Hypertension is bad for aortic dissection. Is he on dialysis?
Quality of life issues are paramount for patients with high risk disease. He needs to decide whether he wants it done based on the risk factors that should be spelled out prior to embarking on this procedure. Stroke and heart attack are real risk factors on these patients.
Quality of life issues are paramount for patients with high risk disease. He needs to decide whether he wants it done based on the risk factors that should be spelled out prior to embarking on this procedure. Stroke and heart attack are real risk factors on these patients.
