Doctor insights on:
Normal Ascending Aorta Diameter
Is 3.8 CM upper normal limit for mid ascending aorta (in adults) when measured by cardiac MRI and 3.7 CM when measured by echocardiogram?If no, what is
BSA: Those numbers are in the ballpark of the upper limit of normal, but the best answer depends on body surface area. The upper end of normal is different depending on how heavy and how tall a person is. While 3.7 cm may be normal for one person, particularly if they are tall, it may be enlarged for another person, particularly if they are short. ...Read more
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?
What are aortic root (at sinuses of valsalva) and mid ascending aorta MRI upper normal limits sizes for 58 years old men with bsa 2.12 and 6 feet tall?
Normal: Probably normal for you -- taller person has larger aorta but it's still in the normal range. ...Read more
Follow up ? Re diagnosis of mild ectasia (3.8x3.7 cm) on ascending aorta via cardiac ct: have had chest x-rays in past years (2010) with only normal results. Is this something an X-ray could miss?
Yes: The degree of ascending aortic enlargement is small and would no be expected to be picked up on a regular chest x-ray. A ct scan or MRI would be needed to reliably image a mild aortic enlargement of the size you mention. Follow up would be with repeat ct scan in 6 months and then yearly after that if no dramatic enlargement was seen in first 6 months. You should be on a beta blocker (medication). ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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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