Doctor insights on:
Ectatic Ascending Aorta
Is CT cardiac calcium scan accurate in diagnosing mild ectatic ascending aorta? Have fam. History of heart disease (father died at 46 with chf) and slight heart murmur. Should I have other tests done
No: You need an aortic ultrasound to determine if it is too large. A calcium score of the abdominal aorta is useless. A vest x-ray with abdominal view can tell you if you have a mildly ecstatic aorta or not but that is not harmful. If your doc is concerned the best test would be a stress test of your heart. Talk to your doc. ...Read moreSee 1 more doctor answer
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
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
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
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?
Not likely: Not likely if everything is well controlled and under physician supervision. ...Read more
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
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
My brother in prison has ascending aorta dilated to 4.7cm ,dilation of the posterior aortic arch to 5.15 cm. artifical aortic valve replacement in 2004, from endocartitus from dental cleaning. now what i wanna know should he be having surgrey ?
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