Page 11 - Palm City Spotlight - February '24
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Palm City Spotlight, Page 11

          clEvElAnd clinic mArtin HEAltH nEWs





      Surviving Thoracic Aortic                         Weakened And Torn                                    An aortic dissection occurs when a partial thickness tear
                                                                                                           in the inner wall allows the layers to separate and blood to
                                                          The elasticity of the aortic
      Disease: Don’t Leave It To                        wall, which is made up of                          pool between them. This can decrease blood flow to organs,
                                                                                                           cause an aneurysm to form, or lead to an abrupt rupture.
                                                        three layers, allows it to
      Chance                                            stretch as it fills with blood                     Treating Aortic Disease
                                                        from the heart. Aneurysms                            When and how to treat an aortic aneurysm or dissection
        The candy cane-shaped aorta is the largest artery in the body.   are formed when the wall          will depend on its size and location. “Dissections in the
      It has a very important job as the main conduit for oxygen-rich   weakens and balloons out.          ascending aorta closer to the heart require urgent surgery,
      blood traveling from the heart to the rest of the body.   If an aneurysm becomes too                 while tears further from the heart in the descending aorta
        About the width of a large garden hose, the aorta starts at   large, it can rupture and cause      may not,” Savage explains.
      the heart, ascends up to form an arch and then descends through   life-threatening bleeding.           Smaller aneurysms and tears may be monitored for years
      the chest into the abdomen. The section above the diaphragm,     “The problem with an                before requiring surgery. This watchful waiting approach will
      called the thoracic aorta, supplies blood to the head, arms and   aortic aneurysm is that your       include periodic imaging tests, usually every six to 12 months,
      organs in the chest cavity.                       first symptom is often your                        and strict blood pressure management.
        “Thoracic aortic disease is frequently overlooked because it   last,” says Dr. Savage, who   Edward Savage, M.D.     If surgery is deemed necessary, there are two options
      develops slowly and silently, and often without symptoms,” says   notes they are typically           depending on the location of the aneurysm. The diseased portion
      Cleveland Clinic Martin Health cardiothoracic surgeon Edward   discovered by chance in the course of imaging tests for   of the aorta can be replaced with a fabric tube called a graft
      Savage, M.D., site director, Heart Vascular Thoracic Center.  other conditions.                      during open surgery. Alternatively, a stent graft, which is a fabric
                                                                                                           tube supported by a metal wire scaffold, can be placed inside
                                                                                                           the aorta using a minimally invasive, catheter-based approach.
                                                                                                           Staying Healthy
                                                                                                             About 20 percent of patients with a thoracic aortic aneurysm
                                                                                                           or dissection have a family history of aortic disease. Other risk
                                                                                                           factors include age, a history of smoking, high blood pressure
                                                                                                           and atherosclerosis, as well as certain genetic conditions like
                                                                                                           Marfan syndrome.
                                                                                                             “In addition to following a heart healthy lifestyle to reduce
                                                                                                           your risk, first degree relatives of individuals with aortic
                                                                                                           disease, such as children and siblings, should be screened,”
                                                                                                           adds Savage.
                                                                                                             To make an appointment with a cardiovascular specialist at
                                                                                                           Cleveland Clinic in Florida, please call (877) 463-2010 or visit
                                                                                                           ClevelandClinicFlorida.org/Heart to learn more.

                                                                                                            Treasure Coast



                                                                                                            Outdoors




                                                                                                            Forward/Side Scanning
                                                                                                            Fishing Sonar


                                                                                                            By Jim Weix
                                                                                                              When trolling for
                                                                                                            dolphins I often think of
                                                                                                            the words in a song that
                                                                                                            says, “The ocean is a
                                                                                                            desert but it’s not on the
                                                                                                            ground.” Mile after mile
                                                                                                            I troll.
                                                                                                              It wasn’t until I read a
                                                                                                            bass fishing tournament
                                                                                                            article about side or
                                                                                                            forward scanning being
                                                                                                            banned in a tournament that I started wondering about
                                                                                                            using it for dolphin fishing. It seems bass anglers have
                                                                                                            been using it to locate those bass sitting under lily pads
                                                                                                            or other shallow structures.
                                                                                                              I’ve never fished on a vessel that I knew had it,
                                                                                                            but then discovered it is commonly used. According
                                                                                                            to one article, Gene Hill is credited with inventing
                                                                                                            omnidirectional  fishing  sonar  50  years  ago.  In  the
                                                                                                            military, he developed defense department equipment
                                                                                                            until  he  started  his  own  company,  MAQ  Sonar,  in
                                                                                                            Ontario, Canada, in the early 1970s. At first, his
                                                                                                            360-degree multibeam scanning system was considered
                                                                                                            practical and cost-effective only for the commercial
                                                                                                            fishing market. Then one sport-fisher, Ultimate Lady,
                                                                                                            shelled out the $100,000 or so for the cost of equipment
                                                                                                            and installation and used the new technology to gain
                                                                                                            an advantage in high-stakes billfish tournaments.
                                                                                                              Fortunately, costs have dropped dramatically, but
                                                                                                            they are still pricey, ranging from $2,000 to $9,500. But
                                                                                                            I must admit, my curiosity is killing me. Where is that
                                                                                                            cobia at the Sandpile sitting? Where are the dolphins
                                                                                                            in that five-mile-long weed line?
                                                                                                              So, for those of you who know that BOAT means
                                                                                                            Bring On Another Thousand, this might be your chance
                                                                                                            to dramatically increase your chances of filling the
                                                                                                            fish box.
                                                                                                              Editor’s note: Jim Weix is an avid hunter, angler,
                                                                                                            conservationist, as well as an outdoor writer. Jim is
                                                                                                            included in the Wisconsin Waterfowl Association’s
                                                                                                            Hall of Fame for helping restore thousands of acres
                                                                                                            of wetlands. Jim is a broker associate with The Keyes
                                                                                                            Company. He can be reached at (772) 341-2941 or by
                                                                                  See answer in this paper.  email: jimweix@jimweix.com.
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