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Doctor insights on: Dilation Of Ascending Aorta

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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


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Can a dilation of the ascending aorta be temporary and caused by infection?

Can a dilation of the ascending aorta be temporary and caused by infection?

Not Temporary: Chagas disease is a tropical parasitic disease caused by the protozoan Trypanosoma cruzi. It can cause aortic dilation aka aneurysm. Once dilation happens it is not temporary. Close monitoring needed. ...Read more

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Can I safely participate in martial arts with a dilated ascending aorta of 4.2 cm?

Can I safely participate in martial arts with a dilated ascending aorta of 4.2 cm?

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

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Loeys Dietz child and my ascending aorta is dilated. Any knowledgable drs. In Atlanta?

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

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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?

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

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Recently diagnosed w/ bicuspid aortic valve w/ mild regurgitation. but also ascending aorta "mildly dilated at 3.8cm".What is this? Surgery soon?

Bicuspid aortic valve: Your structural abnormality may well lead to a need for intervention sometime in the coming decades. Ask for guidance regarding hygienic measures you could take now to avoid illness. Remember you have had this for 30 years. ...Read more

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8 yr old nonverbal autistic child + bicuspid aortic valve + now also diagnosis with 3.15 CM dilated ascending aorta. When to do surgery?

8 yr old nonverbal autistic child + bicuspid aortic valve + now also diagnosis with 3.15 CM dilated ascending aorta.  When to do surgery?

Complicated question: Timing of aortic root replacement is complex in childhood. Factors include the z-score of the aortic root diameter (which requires knowledge of body surface area), the rate of growth of the aorta, the function of the aortic valve, and the underlying cause. At 3.15 cm, it is unlikely that surgery is indicated at this time. Surveillance, typically by echocardiogram, should be performed regularly. ...Read more

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What causes ascending aorta aneurysms?

Athersclerosis: Combination of genetics and atherosclerosis. Atherosclerosis results from smoking and unhealthy eating. ...Read more

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What's the newest surgical procedure for an aneurysm of the 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 more

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What is the latest surgical procedure for an aneurysm of your ascending aorta?

What is the latest surgical procedure for an aneurysm of your ascending aorta?

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

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What are the causes of widening of the ascending aorta?

What are the causes of widening of the ascending aorta?

Varies: Hypertension, aortic valve disease, genetic or hereditary causes, certain infectious and inflammatory diseases are among possible causes and risk factors for ascending aorta dilation and aneurysm. ...Read more

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Ascending aorta diameter 2.8cm? is that normal for 18 year old? female

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

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Are body weight exercises (eg. Pull-ups, pull Ups) ok to do with a mildly dialated ascending aorta measuring 4.3 cm?

Are body weight exercises (eg. Pull-ups, pull Ups) ok to do with a mildly dialated ascending aorta measuring 4.3 cm?

May be --: you need to be cleared by a cardiovascular specialist if you want to do any weight exercise -- including the 'body weight' ...Read more

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Aortic root 3.5cm, ascending aorta 3 cm, LVOT diameter 19.cm. 86 year old man (not overweight) are these good numbers?

Aortic root 3.5cm, ascending aorta 3 cm, LVOT diameter 19.cm. 86 year old man (not overweight) are these good numbers?

Likely yes: The aortic root and ascending aorta are within normal limits. I presume the LVOT diameter is actually meant to be 1.9cm, and if so, is also appropriate. ...Read more

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I have a 3.7 CM enlarged ascending aorta, do I have to be concerned?

Concerned? no.: No, but observant, yes! Likelihood of rupture is very small, growing to worrisome levels once expands to 5.5 cm ...Read more

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For a male age 50, 6-1, 162 pounds, is an ascending aorta diameter of 3.8 in the normal range?

For a male age 50, 6-1, 162 pounds, is an ascending aorta diameter of 3.8 in the normal range?

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