Stories of the Heart: David Dowdy

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By News Team on January 30, 2019

In 2017, David Dowdy began having trouble with an aortic aneurysm that had initially been repaired years earlier.

His doctor in Greeneville, W.V., sent him to Carilion Clinic in Roanoke, Va., where he was referred to Joshua D. Adams, M.D., an aortic and endovascular surgeon at Carilion Clinic's Aortic Center.

Mr. Dowdy needed a stent placed to help relieve swelling in the arteries around his heart, but he was concerned about having to undergo an open procedure similar to his previous surgery.

However, Dr. Adams assured him that he did not need to worry.

"Dr. Adams explained that it did not need to be an open procedure like my other surgery," said Mr. Dowdy. "He said that I would not have any big scars or big staples or tubes, none of that. I said, 'that sounds good to me!'"

His condition could be corrected with a minially invasive approach called FEVAR, or fenestrated endovascular aortic repair.

This safer surgical care option carries a lower risk of complications and infection for patients, and it typically has patients out of the hospital and back to normal activity by the next day.

He explained everything," added Sandra, Mr. Dowdy's wife. "He drew us a picture and told us exactly what he was going to do. It was not as invasive."

The surgery went well and Mr. Dowdy is back on his farm and enjoying his life with his wife and family.

To learn more about FEVAR, visit