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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Risks After Undergoing Surgery To Implant Stent For AAA?

I have an AAA that is now 5.2 cm & stenting surgery is scheduled for early on 3/27. The vascular surgeon called me today and told me he discovered that I have two renal arteries going to each kidney when looking at the cat scan to estimate stent size. One of these arteries originates from the aneurism and will be completely and permanently blocked by the stent with some kidney damage as a result. He is not sure of how much damage or of how to estimate the risk, although the only option seems to be open stomach. I do not know whether to go forward or postpone until I can get a second opinion and if I do, should it be from a vascular or a renal specialist?
Tue, 1 Apr 2014
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General Surgeon,  's  Response
Hi ! Good afternoon. I am Dr Shareef answering your query.

I am of the opinion that your first physician is right in admitting that it is difficult to predict the outcome pre procedure. In case you want to go for a second opinion, I am of the opinion that both the vascular and the renal specialist should together take a decision after jointly evaluating you clinically along with all the investigation reports. Thanks and good luck.
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What Are The Risks After Undergoing Surgery To Implant Stent For AAA?

Hi ! Good afternoon. I am Dr Shareef answering your query. I am of the opinion that your first physician is right in admitting that it is difficult to predict the outcome pre procedure. In case you want to go for a second opinion, I am of the opinion that both the vascular and the renal specialist should together take a decision after jointly evaluating you clinically along with all the investigation reports. Thanks and good luck.