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I have an aneurysm of my left anterior descending coronary artery.  What physician restrictions should I follow? 

I have been recently diagnosed with a left anterior descending aneurysm (LAD). I am told this is rare so a protocol for care/restrictions until surgery is not available due to its rarity. I am trying to find out what my physical restrictions should be. I do not have a desk job but a physically demanding job. My cardiologist at first said nothing more strenuous than a casual walk, i.e., don't do anything that will make you have to catch your breath. Now looking into it more, he is not sure. Is there a physical protocol of restrictions for this condition? It measures 7.4mm by 5.61mm. I do know if it ruptures, my chance of survival is slim. Is that correct? Thank you for any help or advice.

submitted by Lynne from Neconset, New York on 4/20/2013


by Texas Heart Institute cardiologist, Roberto Lufschanowski, MD  

Roberto Lufschanowski, MDDear Lynne: This aneurysm is large enough to cause concern. There is no protocol for exercise restrictions. I don't know your age but if you are young, surgery should be considered to repair it.  

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Updated April 2013
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