Doctor insights on:
Can An Ascending Aortic Aneurysm Shrink By Itself
"Aneurysm" has scary implications for many people. It just means an enlargement of an artery. The problem is that when arteries (including the aorta) get too large, their walls become weak and prone to tear (dissection) or rupture. If this happens in the aorta it can be a catastrophe. Management of aortic aneurysms depends on where it is, how big, whether it's growing, ...Read more
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
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
Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family history of aneurysm, smoking or htn. Ascending aneurysms and para visceral (upper abdomen) aneurysms are probably the most challenging to repair. ...Read more
Couple of things: Ascending aortic aneurysms occur anywhere from just after the heart to just after the takeoff of the blood brain vessels. In descending aneurysm, the site is any of the remaining aorta. This becomes complicated because one type can also turn into the other. Generally speaking, ascending aneurysms are usually operated on, and descending are usually medically managed. Complicated topic. ...Read more
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
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
Ascending aortic aneurysm growth rate of 6 mm in a year -- now 4.6 is this a growth rate that could be dangerous?
Need to watch: Ascending aortic aneurysms typically need to be repaired somewhere between 5 and 6 cm in diameter. Typical growth rate is between 2-6 mm per year. The important thing is to keep follow up appointments and scans to closely track its growth. Given your age it is likely you will need it repaired at some point. ...Read more
I am 57. In July 2015 I was diagnosed with a 4.2 ascending aortic aneurysm. I have HTN. I am on 3 meds because it is hard to control. I am having SOB?
Please go to ER now. Though 4.2 is not a critical diameter (usually > 5), you do have an aneurysm and are 57 years old, hTn so a cardiac etiology is a concern. F/u/ w/ ER now.
http://ac. Els-cdn. Com/S235290671500010X/1-s2.0-S235290671500010X-main. Pdf? _tid=8799e99e-36dd-11e6-aedd-00000aacb35d&acdnat=1466423757_385f3a4af8c762e4ebdee9e42e7f57ea ...Read more
I am 74 old, 73 in. Tall, 4.8cm ascending aortic aneurysm, with bicuspid aortic valve, when should it be repaired?
Valve is problem: Aneurysm is small and secondary to turbulant blood flow across the abnormal valve. Bicuspid valves generally begin to calcify in the 5th and 6th decades of life leading to Aortic Valve stenosis. You should have a cardiologist and get annual echocardiograms and when the gradient across the valve is > 40mmHG and you have symptoms the valve should be replaced. Tx of aneurysm unnecessary at that size. ...Read more
My mother was detected with ascending aortic aneurysm of 3.9 CM in april 2013. Will she be able to fly internationally?
My mother has ascending aortic aneurysm size of aorta 3.7cm. She is traveling from india to usa next week. What are the risks? Should she not travel?
Is a dilated iliac artery 1.8 CM related in anyway to my ascending aortic aneurysm 4.75? I have both.
I was diagnosed with a ascending aortic aneurysm by my family doctor. Do I need to go see a heart doctor?
Likely yes: Ascending aa usually get eval by cardiothoracic surgeon and cardiologist. There is risk of rupture that increases with size and risk of involvement of aortic valve of heart and arteries supplying head and arms. Treatment options depend on your health and specifics of aneurysm. Blood pressure control and stopping tobacco use critical. I expect you will be getting referrals at some point in workup. ...Read more
No: Echocardiography is cheaper, has no radiation, and is accurate. I routinely follow patients with thoracic aortic aneurysms with annual echos. ...Read more
What are the differences of getting CT angiography vs. Mra for ascending thoracic aortic aneurysm?
Radiation: Cta uses radiation, while mra uses magnetic fields. Both will give good images of vascular anatomy. ...Read more
Weak wall: The aorta is a living pipe. It has 3 layers, the inner layer or intima, the middle layer or media were some muscle like cells dwell and the adventitia rich in collagen fibers. The process of arteriosclerosis may result in slow death of the media which then gets replaced by collagen scar. The pressure inside the aorta and the wall weakness will result in dilatation of the aorta and it could burst. ...Read more
The aorta: The aorta is the large, main artery that carries blood from the heart. An aneurysm (a portion that dilates or expands to a larger than normal diameter) can occur anywhere along its length, from where it emerges from the heart in the chest (thoracic aortic aneurysm) to where it travels through the abdomen & splits into the iliac arteries (abdominal aortic aneurysm, or aaa) - or anywhere between. ...Read more
Depends: An aortic aneurysm can be the result of inherited conditions like marfan's syndrome. Conversley, aortic aneurysms may appear 'de novo' in those without a family history and only clinical risk factors such as atherosclerosis and hypertension. Since the relationship between genetics and environment is complex, if there is a family history one should always be extra vigilant and monitor. ...Read more
Cysticmedialnecrosis: The aorta is a living organ. Has 3 layers. Intima, media, adventitia. The aortic wall is nourished by the vasa vasorum. Arteriosclerosis creates cholesterol plaque, the vasa vasorum occlude, the media slowly dies and becomes replaced by collagenous tissue, pressure and Collagenase activity weaken wall and it dilates excessively, if not repaired claims 17, 000 americans/yr.70%infrarenal. ...Read more