Second Opinion on Heart and aortic aneurysms

Expert opinions and online advice on heart and aortic aneurysms delivered via your computer or mobile device. Second opinion is available wherever there is an internet. All you need is a PC or a smartphone.

An aortic aneurysm is a saccular or spindle-shaped bulging of its wall. A similar widening of the heart (usually left) ventricle wall is called a heart aneurysm. The most common causes of such conditions are atherosclerosis and coronary heart disease combined with high blood pressure.

What are the dangers of aneurysm?

The curvature of the ventricular wall forms a kind of reservoir where blood accumulates and blood clots (thrombi) can form as a result. Moving through the vessels, they can block blood flow. Depending on where exactly this happens, it can result in a vessel rupture (infarction) of the brain, gastrointestinal tract, or kidneys. In severe cases, a cardiac aneurysm leads to a rupture of the ventricular wall. Blood spills into the pericardium, usually causing death.

In the case of a thoracic aortic aneurysm, the risk of severe complications depends on its size. Small bulges do not constitute an immediate threat. However, when the size of the aneurysmal enlargement increases, there is a risk of fracture or complete rupture of the vessel.   Both cases are extremely life-threatening conditions; even if immediate surgery is performed, only about half of patients survive.

How are heart and thoracic aorta aneurysms diagnosed?

Abnormal "bloating" of the thoracic aorta can be detected by ultrasound, and of the ventricular wall by echocardiography. Its size, localization, and blood flow can be determined in more detail by MRI or CT scanning.

Treatment

Larger cardiac aneurysms are an indication for surgical treatment. The procedure is performed with the use of a heart-lung machine. The abnormal tissues of the ventricular wall are removed, and the healthy sections are joined together. If necessary, the defect is covered by a patch.

Big (or rapidly growing) aortic aneurysms also require treatment. Basically, there are two types of procedure:

  • open repair: the damaged part is removed and replaced with a graft (a standard procedure);
  • endovascular repair:  a stent-graft is delivered to the site of the aneurysm through the blood vessels with the help of a catheter).

Both methods have their advantages and disadvantages. Which method of thoracic aortic therapy is the most appropriate in each case should be a matter of discussion with a competent specialist.

What is the service about?

A second opinion on heart and aortic aneurysms is a service which makes it possible to get a remote consultation of a qualified specialist, based on available medical summary or study results.

It might be helpful:

• to confirm the existing diagnosis;

• to make sure that the recommended treatment, e.g. a surgery, is correct;

• to obtain information on advanced methods of heart and aortic aneurysm diagnostics and treatment;

• to get expert commentary on previously performed exam results;

• to make the right choice if there are two or more possible therapeutic options.

 

What will the client get?

Diagnostic conclusion, observation and treatment proposals, based on the provided information. In case of the provided initial data incompleteness, will be given recommendations for additional examinations.

What data should be provided to get a second opinion?

Written reports:

  • Medical report (desirable)
  • The results of the examinations, including transthoracic echocardiography (required) and transesophageal echocardiography (desirable)
  • List of medications, along with details of dosage and frequency of use (required)
  • Laboratory test results (desirable)

Radiology data:

  • Heart and coronary vessels CT with angiography (desirable)
  • Heart MRI (desirable)
  • Cardiac catheter examination (required)

What are the second opinion formats and terms?

Written second opinion:

  • Making a report based on the data provided, the consulting specialist summary including a diagnostic report and recommendations for further diagnostic, treatment and observation tactics. Report size: up to 1 page. 

Video consultation:

  • All services of written second opinion. Additionally:, a 10-minute video consultation with a doctor, including a visual patient examination, clarification of symptoms, radiology images consulting, explanation of the proposed treatment tactics, answering patient's questions.

Phone consultation:

  • All services of written second opinion. Additionally: a 10-minute telephone consultation with a doctor, including clarification of symptoms, explanation of the proposed treatment tactics, answering patient's questions.
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Specialists of the section Heart and aortic aneurysms

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