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Doctor insights on: Ectatic Ascending Aorta

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Dr. Marsha Davis
Board Certified, Internal Medicine
22 years in practice
65M people helped
1

1
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

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 more

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Dr. William Forsythe
Board Certified
21 years in practice
169K people helped
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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


Dr. Robert Pearson-Martinez
Board Certified, Pediatric Cardiology
14 years in practice
469K people helped
2

2
Loeys Dietz child and my ascending aorta is dilated. Any knowledgable drs. In Atlanta?

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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Dr. William Forsythe
Board Certified
21 years in practice
169K people helped
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Dr. John Munshower
Board Certified, Family Medicine
24 years in practice
93M people helped
3

3
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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Dr. Robert Pearson-Martinez
Board Certified, Pediatric Cardiology
14 years in practice
469K people helped
4

4
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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Dr. William Forsythe
Board Certified
21 years in practice
169K people helped
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Dr. Calvin Weisberger
Board Certified, Cardiology
45 years in practice
29M people helped
5
Dr. Sergio Schabelman
Board Certified, Cardiology
42 years in practice
629K people helped
6
Dr. Steven Neish
Board Certified, Pediatric Cardiology
32 years in practice
825K people helped
7

7
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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Dr. Payam Mehranpour
Board Certified, Cardiology
17 years in practice
1M people helped
8

8
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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Dr. Jeffrey Webber
Board Certified, Cardiology
26 years in practice
562K people helped
9

9
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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Dr. Shoaib Shafique
Board Certified, Vascular Surgery
28 years in practice
468K people helped
10

10
What causes ascending aorta aneurysms?

What causes ascending aorta aneurysms?

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

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Dr. William Forsythe
Board Certified,
21 years in practice
169K people helped
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