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Doctor insights on: Can An Ascending Aortic Aneurysm Shrink By Itself

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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

Dr. Mario Matos-Cruz
944 Doctors shared insights

Aortic Aneurysm (Definition)

"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


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Is it possible for an ascending aortic aneurysm to shrink?

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

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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

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How should I deal with an ascending aortic aneurysm?

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

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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

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Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

Is a descending aortic aneurysm more dangerous than an ascending aortic aneurysm?

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

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How do you deal with an ascending aortic aneurysm? To operate or not to operate?

How do you deal with an ascending aortic aneurysm? To operate or not to operate?

Operate: If it is truly an ascending aneurysm, it is life threatening and needs an operation. Type b or descending aneurysms in the thorax can many times be managed with blood pressure control but not type a. Type a can cause heart attack and strokes or rupture. ...Read more

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How does an ascending aortic aneurysn differ from a descending aortic aneurysm?

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

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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

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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

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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

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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

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What fruits and vegetables can treat ascending aortic aneurysm?

Wrong treatment: You need an experienced vascular surgeon. Surgery, hopefully minimal invasive, is always required to correct or repair an aortic aneurism. Fruit & vegetables are excellent foods & should not be omitted as part of your post-operative recovery. Good luck. ...Read more

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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?

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?

SOB aneurysm: 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

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Mortality rate for ascending aortic aneurysm repair?

Mortality rate for ascending aortic aneurysm repair?

There are many: Correlated findings that determine this. Age, Sex, other medical problems, surgical facility, surgical experience etc. You need to discuss this with the surgeon who will be performing the procedure to know for certain. ...Read more

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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

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My mother was detected with ascending aortic aneurysm of 3.9 CM in april 2013. Will she be able to fly internationally?

Yes: As long as she has no significant aortic valvular heart disease, and no chest pains or other unexplained symptoms, she should be fine. I wouldn't worry about the aneurysm (again as a sole problem) unless it were at least 4.5 cm. Make sure she gets follow up for it though. ...Read more

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Is a dilated iliac artery 1.8 CM related in anyway to my ascending aortic aneurysm 4.75? I have both.

Is a dilated iliac artery 1.8 CM related in anyway to my ascending aortic aneurysm 4.75? I have both.

Yes: They are part of the same process -- if you end up having the aortic aneurysm repaired, it is likely that your vascular surgeon will also fix the iliac aneurysm at the same time. ...Read more

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I was diagnosed with a ascending aortic aneurysm by my family doctor. Do I need to go see a heart doctor?

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

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Should I get a yearly CT angiography or an MRA for ascending thoracic aortic aneurysm?

Should I get a yearly CT angiography or an MRA for ascending thoracic aortic aneurysm?

No: Echocardiography is cheaper, has no radiation, and is accurate. I routinely follow patients with thoracic aortic aneurysms with annual echos. ...Read more

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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

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What is an aortic aneurysm?

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

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Where is an aortic aneurysm?

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

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What causes aortic aneurysm?

What causes aortic aneurysm?

Known risk factors: Certain aneurysms are caused by genetic predispositions that is caused by such conditions as marfan's syndrome. Otherwise the usual cardiovascular risk factors such as hypertension, diabetes, hypercholesterolemia and smoking. ...Read more

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Is aortic aneurysm inherited?

Is aortic aneurysm inherited?

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

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What causes an aortic aneurysm?

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

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What is an acute aortic aneurysm?

Dilated aorta: An aortic aneurysm is an aorta which is larger than it is supposed to be. "acute" refers to the sudden onset of symptoms. The aneurysm can cause pain by suddenly enlarging, encroaching on surrounding parts of the chest or abdomen, or rupturing. ...Read more

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Will a aortic aneurysm disappear?

NO: Aneurysmal dilatation of the aorta is a pathologic dilatation that does not disappear. Surgical resection makes it disappear. ...Read more

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
1,399 Doctors shared insights

Aneurysm (Definition)

An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of potential ...Read more