Doctor insights on:
Mild Aortic Root Dilation
I have "mild aortic dilation" of 26mm (ascending aorta) and 31mm (aortic root.) I am female 5'0" 130 lbs and have normal blood pressure. Concerning?
Does aortic root dilation associated with Ehlers-Danlos syndrome usually develop in childhood? Or can it first show up in adulthood?
Unlikely: Although there are many different subtypes of Ehlers-Danlos syndrome, the overall incidence of aortic rd is less common than in Marfan's where it is thought to be about 80%. The attached paper looked at the hypermotile subtype of EDS and found onset usually before age 14 and this seemed to stabilize in adulthood. ...Read more
Either: You can image the aorta well with ultrasound. It's the first line test for abdominal aortic aneurysms. The root is seen with echocardiograms (ultrasound of the heart). CT may be needed for more detail, for portions that are obscured by lung or bowel gas, or for information about surrounding structures. ...Read more
5.5 cm: Start thinking about it at 5.5 cm. If you have marfan's syndrome, 5 cm. ...Read more
Dilated aortic root:
It is not rare and we see it in various situations. When it is present we follow it with echocardiography usually. See this:
http://www. Ncbi. Nlm. Nih. Gov/pubmed/15502499. ...Read more
Cause?: With echocardiography, this is an increasingly common incidental finding. The issue is alway the cause. It may be benign, but hypertensive disease, heritable or acquired vascular disorders, aortic valvular disease. Serial studies are very important to track stability. Progressive enlargement would be an ominous development requiring consultation. ...Read more
May not be connected: Dilated aortic root issues are frequently genetically driven and not acquired, one important exception being uncontrolled hypertension. In any event, some literature suggests if your root is dilated then isometric exercise may be deleterious; in which case, emphasis should be upon aerobic conditioning. Please make sure your BP is under good control, and have your aortic root reassessed frequently ...Read more
No: If it were, all professional athletes would be at risk and they're not! ...Read more
Yes: Yes, exercise can, depending on how dilated the root is. Exercise increased blood flow through the heart which in turn does to the aortic root. It also increases blood pressure. The combination can affect the dilation of the aortic root. Recommend you see your cardiologist for exercise recommendations and limitations. ...Read more
I am terrified that my heart will stop or my aorta will burst, can't stop this fear, I got bav and 45mm dilated aortic root. Please reassure me.?
Bicuspid AV: Don't be terrified! But do follow-up with a cardiologist on a regular basis. This will require definitive surgical treatment at some point. ...Read more
I have a 4.0cm dialation of the aortic root. I'm told not a anyerism yet do to small size. Will high heart rate from exercise make it grow or high bp?
Aortic dilation: You have listed studies which would possibly inform an answer. Best to discuss with the doc with the most information regarding your status. ...Read more
Bicuspid aortic valve, aortic root dilated at 4.6cm, no stenosis, trivial regurg, cardiologist not worried at all, I'm really anxious, should I be?
No you shouldn't.:
bicuspid aortic valve is very common, affecting 1 to 2% of the general population. In fact, it is the most common congenital heart defect. Most people who have a bucspid aortic valve have a well functioning valve - like you do. The only recommendation is to continue to have follow up visits with your cardiologist and maintain a healthy lifestyle. ...Read more
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
BAV triv regurg with 45-47mm aortic root known for 4 yrs, 32 yo When is it likely I need surgery and what is prognosis & life quality after root surge
Research now: Had genetic testing? Some genetic profiles might dictate repair now. You are getting close to root size 5cm where repair recommended. Now is the time to research surgical options and centers and decide what is best for you. It is much safer and more successful to do this electively than wait for emergency situation to occur ...Read more
Surgery: Open heart surgery is the preferred method. There are criteria for when ascending aorta aneurysms should be operated on that can vary depending upon other factors (e.g. Bicuspid aortic valve, etc.). Talk to a cardiac surgeon. ...Read more
Aortic root measures 42.2x38.9mm and. The ascending aorta measures 38.9x40.1 mm. Should I be concerned?
Those measurements: Are enlarged and concerning however without knowing your full health history that is as far as we can go with advice. You should discuss your concerns with your health care provider who has your full information. ...Read more
Fairly serious: They can lead to other complications. Consult a vascular surgeon. ...Read more
Does your aorta start in the middle of the chest or a little to the right or left? Dissection of aortic root the pain would be in the middle?
Yes: The aortic root in general arise from the the upper part of the heart and goes up and turns toward the back of the chest and goes down the back of the heart and when you have a dissection you will feel pain between the shoulder blade. Depending on where the dissection is determine how high or low the pain is in the upper back. The pain can be quite intense. This is a medical emergency. ...Read more
Do the right test:
Yes, the aortic root can be seen in a few slices of a liver MRI, BUT liver MR should not be considered to be diagnostic for an aortic root problem. The aortic root is usually most easily and cheaply evaluated with echocardiography which is an ultrasound study.
You might get a kick out of the YouTube about how to do your own Liver MR: https://www. Youtube. Com/watch? V=pi2AMtRrt1I ...Read more
I had a ECG and was reading the results. It said Mildly ecatatic aortic root. On my follow visit the dr did not mention it but is this serious?
Unfortunately your: Question does not make any sense. An EKG will not be able to determine anything about the aortic root. If you meant an ECHO then it is possible there would be a comment about the aortic root. In that case it means that it is dilated. If your doctor did not mention it then he/she thinks it is not relevant to your health at this time. It should be reassessed periodically. ...Read more
What is the risk of me dissecting at a 46mm aortic root and bav? Ascending is at 3.7. My cardiologist and 2 others say its very, very low, negligible!
Stay calm: Malteser, you really need to try to move on. You already know that your risk is very low. Let's put things in perspective: your risk of dying is likely much higher driving to work each day. Your risk of dying in a terrorist attack is very low: do you worry about it each day? How about nuclear war? We all live with risk every day. We make our lives miserable focusing on risks - smell the roses! ...Read more
Is the chamber size of the left ventricle supposed to be bigger or smaller that the aortic root diameter? I am just trying to make sense of my echo results.
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