Coffee Shop : Heart Attacks, Cancer and strokes. Preventative approaches


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To: LindyBill who wrote (13321)12/14/2010 6:38:28 AM
From: unclewestRead Replies (3) of 24394
 
LB,
Saw your post about Holbrooke -

Holbrookes ripped from the inside

I agree with your advice about checking the aorta. My best army buddy had over 12" of internally dissected aorta replaced with dacron and lived another 25 years. His dissection was caused by leaping from an exploding helicopter that was 30' off the ground.

Both spontaneous and injury induced arterial dissections are pretty common. I've had 2.
The Docs explained the artery has three layers with the outer being the strongest. Both of mine involved the inner 2 layers. Both resolved without surgery. the first was in the left internal carotid just inside the skull, next to the brain stem and not surgically accessible.

It occurred in Aspen but I ended up at UCSF Medical Center. The only one in the country at that time doing research on internal brain arterial dissections. I thought I had a stroke because the left side of my face fell and I had trouble speaking.

Later I learned the left side of my head was affected by a left side tear and blockage because the blockage was before the point where the left side of the brain controls the right side of the body.

It was 2.6 CM long and the tear rolled up into a ball. The docs told me and my wife I had no more than 30 days. The blockage was over 90% and I was offered an experimental stent emplacement. I did some intel gathering and learned the procedure had not been successful on any of the 1st 13 patients. I decided to take what I have and declined the #14 spot. Gradually a small cross lateral artery took over and I recovered.

When I survived 30 days, they said 6 months. When it was 6 months and 1 day, I woke my wife early to tell her I beat the bastards. That was about 15 years ago.

The other was in a kidney about 10 years ago. It was located after the renal artery divides. It blocked 100% of the blood flow to 1/2 of the kidney immediately. Was in intensive care for 5 days under observation for bleeding or infection. It was too late for a bypass or stent attempt to save that 1/2 a kidney.
No infection meant no surgery and I still have 1/2 a kidney all shriveled up somewhere inside.

While in the hospital I met a vascular surgeon. He had had a similar dissection as my first in his internal carotid. And he took the same route.
Later he invited me to several technical presentations and discussions on this subject. There I really learned how lucky I had been.

I knew immediately whatever I had was serious. Both times the pain was spontaneous, excruciating and persistent.

The 2 most common causes of arterial dissections are high blood pressure and injuries especially car wrecks and impact sports. Most are in the limbs and easily repairable. If you are unlucky enough to have one burst, you want to be on the table in the operating room when it happens.
uw
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