Top
10
Doctor insights on: Ascending Aortic Aneurysm Size Criteria

Share
Dr. Mario Matos-Cruz
929 doctors shared insights

Aortic Aneurysm (Definition)

Aortic aneurysm is a medical condition in which there is an balloon like outpouching in the wall of the aorta, which is the largest blood vessel in the body. Most commonly, this aneurysm occurs in the segment of the aorta that runs through the abdomen. Rupture can lead to massive ...Read more


2

2
I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

Depends: Typically an ascending aortic aneurysm is repaired after it becomes between 5.0 to 5.5 cm in size, depending on other factors such as age, how quickly it is expanding, and the presence of other conditions such as marfan's disease. ...Read more

See 1 more doctor answer
3

3
I have a 4cm ascending aortic aneurysm at what size does it need to be repaired?

5-6 cm: Generally, these are fixed when they get to be 5-6 cm in diameter; however, other factors may apply, such as presence of a congenital condition such as marfan's and whether the aortic valve is diseased. You should discuss this with a thoracic surgeon who has experience with this type of repair. ...Read more

See 1 more doctor answer
4

4
I have a 4cm ascending aortic aneurysm at what size does it need to be repairde?

At around 5cm: It needs to be followed up with ultrasound every 6 months. When it grows too fast or has reached 5cm then it needs to be considered for repair ...Read more

See 1 more doctor answer
5

5
Can an ascending aortic aneurysm shrink by itself?

Can an ascending aortic aneurysm shrink by itself?

Unlikely: This is very unlikely. Aneurysms treated endovascularly (stents / endografts) do often shrink because they are depressurized. ...Read more

See 1 more doctor answer
6

6
How can you deal with an ascending aortic aneurysm?

How can you deal with an ascending aortic aneurysm?

Echo...: Echocardiogram annually... When > 5 cm or aortic valve regurgitation is severe, then a bentall procedure is the classic repair. Speak with a cardiologist regarding this issue, not a primary care md or np. ...Read more

See 1 more doctor answer
7

7
How should I deal with an ascending aortic aneurysm?

Marfan's?: Repair when diameter 4.5cm or greater if bicuspid aortic valve or marfan's, ehrles danlos, with or w/o aortic insufficiency. Otherwise 6cm. Your cardiac surgeon is the one that can advise you on the timing of your repair, earlier repair may be indicated depending on anatomy and sinus of valsalva size. ...Read more

See 1 more doctor answer
8

8
How long can I live with an aortic aneurysm size 5.5?

How long can I live with an aortic aneurysm size 5.5?

Moderate to severe: Enlargement ...Very unusual in someone your age. Recommend evaluation with a cardiologist or cardio thoracic surgeon as risk of rupture increases with increase in size. Don't delay as you may need surgery. ...Read more

See 1 more doctor answer
9

9
What can be done to repair an ascending aortic aneurysm?

Surgery: Ascending aa usually needs surgical repair with cardiopulmonary bypass. If the aortic arch is involved, may need a bentall procedure as well, which is reconstruction of the vessels coming off arch. If aortic root involved, may need aortic valve repair. In rare cases, endovascular repair may be possible. A cardiothoracic surgeon and/or cardiologist will do tests and advise. ...Read more

See 1 more doctor answer
10

10
Is it possible for an ascending aortic aneurysm to shrink?

Not usually: But there is some variation in ct, mri, ultrasound so that one may see a report with a few millimeters ambiance: 4. 2. 4.3 4.1 probably no change. Also some after surgical repair or endovascular repair will be shrunk. ...Read more

See 1 more doctor answer

Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


Dr. Shadi Abu Halimah
1,370 doctors shared insights

Aneurysm (Definition)

An aneurysm is a condition where there is weakness in the wall of a blood vessel. A clot can form in the vessel as the vessel widens or expands. An artery with an aneurysm can ...Read more