Ponca City, OK
A 51-year-old female asked:
Ct/ct angie chest w/o con (pe) shows ascend. aortic aneurysmal dialation of 4.5 cm in maximal diameter last month. echocardiogram no aneurysm?
2 doctor answers • 2 doctors weighed in

Dr. Martin Morellanswered
Rheumatology 30 years experience
The: Sensitivity or ability to pick up detail is much higher on the ct angio. Sometimes u/s may miss certain changes.
4.4k viewsAnswered >2 years ago

Dr. Philip Ovadiaanswered
Thoracic Surgery 24 years experience
Repeat test: Having an ascending aorta that measures 4.5 cm is considered an aneurysm but it is not large enough that any intervention (i.e. Surgery) would typically be recommended. The echocardiogram may have found the aorta to be slightly less than this size and therefore it wasn't interpreted as an aneurysm. Unless you are having symptoms (chest/upper back pain) then a repeat study in 1 year is adequate.
4.4k viewsReviewed >2 years ago
Last updated Sep 19, 2019
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