Doctor insights on:
Aneurysm Of Ascending Aorta
Covered Stent: The latest treatment modality for an ascending aortic aneurysm would be an endograft (covered stent). One of the challenges is maintaining flow to the great vessels of the aortic arch. Branched and fenestrated endografts are currently being developed and tested to accommodate the aortic arch and the ascending thoracic aorta. ...Read moreSee 1 more doctor answer
Stent grafts: Special stent graft techniques are being researched to allow for preservation of the aortic arch branches and avoid a more invasive chest incision. Treatment of ascending aorta aneurysms involving the coronary arteries still will require bypass surgery, although may be combined with stent graft techniques. ...Read more
female 58 yrs Small aneurism in ascending aorta and arch; also PFO; high LDL & chol- can't take statins. Willl diet & exercise be enough?
Depends on LDL level: AHA/ACC guidelines =treat based on an assessment of lifetime risk of developing heart disease. Typically, before statins are started, a sincere attempt at lifestyle changes, including avoiding saturated fats& exercising (atleast walking even 10,000 steps/day) ought to be undertaken. Recheck fasting lipids 6 months later. No egg yolks, no shellfish; eat salmon, almond/walnut (Incr. HDL) ...Read more
Could be.: The average AAOD (asc aorta diameter) by CT scan is about 3 +/- 0.4 cm (i.e., there is variation among people due to genetic factors, body size, & undefined parameters). So 95% of humans have aortic root diameters between 2.6 cm & 3.4 cm. You're certainly in that range. Unless you have symptoms, I would not worry about these detailed results. TTYD who ordered test. Or use HealthTap Prime. ...Read more
Sibley Heart Center: Sibley Heart Center (with Emory University) has an excellent reputation. I'm not from the area and don't know if they have any special center for connective tissue disorders (like Loeys-Dietz, Marfan or Ehlers-Danlos), but that would be a good place to start. Medical treatment and follow-up may be sufficient if the dilatation is not severe. Good luck. ...Read more
Are body weight exercises (eg. Pull-ups, pull Ups) ok to do with a mildly dialated ascending aorta measuring 4.3 cm?
By echocardiogram?: The 'normal range' of aortic root diameters varies based on (1) the modality used (most commonly used is ultrasound / echocardiogram) and (2) your height. The usual upper estimate is 2.1 cm/m of height. For someone who is 73 in tall (such as yourself), that translates to an upper limit of 3.8 cm, which is exactly what is measured in your case. Anything above that could be considered dilation. TTYD ...Read more
Need vascular eval: You need to follow-up with a vascular surgeon and have your BP followed as well as cholesterol , stop smoking if you do, etc. and generally get routine follow-up visits. Increased activity, like those in martial arts, may rise your BP, so it would be a question, that the Vascular Dr. who knows you best and treats you currently, would be able to tell you including exactly what activities 4U. ...Read more
Aortic root 3.5cm, ascending aorta 3 cm, LVOT diameter 19.cm. 86 year old man (not overweight) are these good numbers?
Just followed up with cardiologist for dilated ascending aorta found at Mayo. They measured it wrong. Isn't Mayo supposed to be better than that?
No one's perfect: The Mayo clinic has an excellent reputation & would be considered relatively reliable. However, certain msmts can change over time. Also, there will always be some variability between msmts (with less variability by definition for more precise msmts). Looking from a different angle or with better echo windows may also affect the result. Lastly, no one is perfect, so anyone can make a mistake. ...Read more
Defect: Ulcer of aorta with bleeding into wall creating wall-intramural hematoma-bruise. May heal or go on to leakage and reaction with fluid in chest. Local aortic tear-dissection can do a similar scene! ...Read more
What does this mean: ascending aorta at the level of the pulmonary artery bifurcation measures 2.5 x 2.3cm ap and transverse ? Is this too big?
59 y/o f, 5'8 145lbs. Bi-cus. A/v w/3.6 CM aneur in ascending aorta. Controlled high BP & chol w/meds. Dad died of dissection age 51. Get ann. Echo, but it doesn't show the aneur. Shd i ask for tee?
Yes: Bicuspid aortic valve and aortic aneurysm, and a family history of aortic dissection is enough to be extremely diligent in routine monitoring of the valve and aorta. Tee is a good test and should also consider ct angiogram to assess the entire aorta and arch as well as the area around the coronary artery ostia. ...Read moreSee 1 more doctor answer
Can you see a dissection of the aortic root arch or ascending aorta on a echocardiography? Which other tests can detect?
I had a dilated ascending aorta at 41mm. Last echo showed at 39 mm. Getting better on its own? Could infection have caused original dilation?
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