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Doctor insights on: Ectatic Ascending Aorta

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Dr. Marsha Davis
Board Certified, Internal Medicine
23 years in practice
66M 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

Dr. Marsha Davis
Board Certified, Internal Medicine
23 years in practice
66M people helped
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. Shontae Buffington
Board Certified
12 years in practice
652K people helped
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Dr. Shontae Buffington
Board Certified
12 years in practice
652K people helped
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Dr. Robert Pearson-Martinez
Board Certified, Pediatric Cardiology
15 years in practice
469K people helped
2

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

Dr. Robert Pearson-Martinez
Board Certified, Pediatric Cardiology
15 years in practice
469K people helped
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. Shontae Buffington
Board Certified
12 years in practice
652K people helped
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Dr. Shontae Buffington
Board Certified
12 years in practice
652K people helped
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Dr. John Munshower
Board Certified, Family Medicine
25 years in practice
93M people helped
3

3
Can I safely participate in martial arts with a dilated ascending aorta of 4.2 cm?

Dr. John Munshower
Board Certified, Family Medicine
25 years in practice
93M people helped

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
15 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?

Dr. Robert Pearson-Martinez
Board Certified, Pediatric Cardiology
15 years in practice
469K people helped
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. Shontae Buffington
Board Certified
12 years in practice
652K people helped
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Dr. Calvin Weisberger
Board Certified, Cardiology
46 years in practice
30M people helped
5

5
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?

Dr. Calvin Weisberger
Board Certified, Cardiology
46 years in practice
30M people helped
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?

Echo: A 2mm echo measurement difference is not really significant, it may not have changed at all. ...Read more

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Dr. Sergio Schabelman
Board Certified, Cardiology
43 years in practice
632K people helped
6

6
Would having 3.7cm dilated ascending aorta, PVC and hypertension stop me from getting pregnant.

Dr. Sergio Schabelman
Board Certified, Cardiology
43 years in practice
632K people helped

Not likely: Not likely if everything is well controlled and under physician supervision. ...Read more

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Dr. Steven Neish
Board Certified, Pediatric Cardiology
33 years in practice
827K 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?

Dr. Steven Neish
Board Certified, Pediatric Cardiology
33 years in practice
827K people helped
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. Amrit Singh
Board Certified, Cardiology
46 years in practice
931K people helped
8

8
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 ?

Dr. Amrit Singh
Board Certified, Cardiology
46 years in practice
931K people helped
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 ?

Survey with ct scan: Every 6 months control BP to the lowest if progression is more than 1cm/ur do surgery or surgery is indicated when Aaa is 5.5 cm in drug addicts it may be considered at 5cm consul closely with a cvs ...Read more

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Dr. Payam Mehranpour
Board Certified, Cardiology
18 years in practice
1M people helped
9

9
What are the causes of widening of the ascending aorta?

Dr. Payam Mehranpour
Board Certified, Cardiology
18 years in practice
1M people helped
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
27 years in practice
564K people helped
10

10
I have a 3.7 CM enlarged ascending aorta, do I have to be concerned?

Dr. Jeffrey Webber
Board Certified, Cardiology
27 years in practice
564K people helped

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. Shontae Buffington
Board Certified,
12 years in practice
652K people helped
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