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Defusing Ticking Time Bombs

ANN ARBOR, Mich. (Ivanhoe Broadcast News) -- Spinning 360 degrees every two seconds, Bob Barden knows how to make your heart stop! He's been flying stunt planes for four decades, with "Eddie the Grip" hanging on for dear life!

"We hope we never call him 'Eddie the Slip,'" Barden says.

But it wasn't one of these death-defying tricks that almost stopped Barden's heart. It was an aneurysm in his aorta. He says, "I felt like there was an elephant standing on my chest."

Tens of thousands of Americans live with a ticking time-bomb in their chests, and 15,000 Americans die from ruptured thoracic aortic aneurysms.

"If it ruptures, patients don't make it to the hospital," Himanshu Patel, M.D., a cardiothoracic surgeon at University of Michigan in Ann Arbor, tells Ivanhoe.

A stent endograft lets cardiothoracic surgeons repair problems in the upper part of the aorta without splitting open a patient's chest.

"It's really a very minimally invasive approach," Dr. Patel says.

The intense force of blood pulsing through the aorta can rip the aorta's walls wide apart. The stent graft can now be inserted to re-enforce the wall. A long tube -- guided by X-ray technique -- is snaked up into the aorta from a small incision in the leg or belly.

Dr. Patel says, "That whole aorta is now paved with an endograph, so the blood now flows all within the endograph."

Recovery time is much quicker, and for patients who might not survive open-chest surgery, it could save their life.

The procedure is now available at hospitals around the country. The long-term effects have not yet been established, so follow-up monitoring is needed to detect any problems. The open chest surgery is still considered to be the better long-term option if the patient is healthy.

Click here to Go Inside This Science or contact:

Himanshu Patel, M.D.
Cardiothoracic Surgeon
University of Michigan Health System
Ann Arbor, MI
(734) 936-4974
HJPatel@UMich.edu


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A joint production of Ivanhoe Broadcast News and the American Institute of Physics. Partially funded by a grant from the National Science Foundation.
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