Doctor insights on:
Prominent Ascending Aorta
Aorta: A tortuous aorta may have no symptoms. If there are symptoms they generally relate to obstructed blood flow related to the tortuosity. The symptom would depend on what wasn't getting good flow or perhaps some compression caused in adjacent organ by the tortuosity. ...Read moreSee 1 more doctor answer
Arteriosclerotic internal carotid & vertebro basilar arteries predominantly the left vertebrobasilar segment appearing tortuous with slight prominence?
MRI =Mild" thickening of heart muscle not HOCM.Tortuous descending aorta. Aberrant right subclavian artery which courses posterior to the trachea. ??
Mild thickening's OK: See my comment to your previous post regarding the other findings (tortuous aorta, subclavian artery). The mild thickening of the heart muscle is common, and not necessarily from HCM. It could be the effects of long-standing hypertension. Keeping ur BP low with a -pril or a -sartan (Enalapril, Valsartan, etc.) could even reverse the thickening of the heart. Thanks 4 ur question on HealthTap, & GL! ...Read more
Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family history of aneurysm, smoking or htn. Ascending aneurysms and para visceral (upper abdomen) aneurysms are probably the most challenging to repair. ...Read moreSee 1 more doctor answer
Couple of things: Ascending aortic aneurysms occur anywhere from just after the heart to just after the takeoff of the blood brain vessels. In descending aneurysm, the site is any of the remaining aorta. This becomes complicated because one type can also turn into the other. Generally speaking, ascending aneurysms are usually operated on, and descending are usually medically managed. Complicated topic. ...Read moreSee 1 more doctor answer
L ventricle wall mildly increased, ivs thickness mildly increased, aorta root mild dialtion, right coranary artery oblique course? Normal in 14 yo?
My cardiac MRI showed persistent left sided superior vena cava drains into a dilated coronary sinus w/ mild dilation of the main pulmonary artery?
Mostly a normal: Variant. Every fetus has one, but in most it involutes before birth. 0.3% of the general population has one. It is the most common variation of the thoracic venous system. Left svc draining into coronary sinus is expected 90% of the time. Discuss with your doctor the significance in your case of the mild dilation of the pulmonary artery. ...Read moreSee 1 more doctor answer
calcified abd aorta and common iliac arteries, 60% ostial stenosis of coeliac trunk, bloating, abd pain, can't gain weight. Intestinal ischemia?
Yes: From the descriptions on the question I strongly believe you have intestinal ischemia and atherosclerotic vascular disease .Need to to be aggressive ib treatment for reversal of atherosclerosis. Check lipids get on a good regime of cholesterol lowering treatment.See a physician specializing in lipid manangement ...Read more
Largest AAA repaired: You shouldn't think about it as, " is it too big to repair?" many anatomic details as well as a person's overall medical condition go into the decision as to if an aneurysm can be repaired. Its overall size is not a main consideration (though if its still small, they can usually be watched without repair). ...Read moreSee 1 more doctor answer
Severely calcified abdominal aorta & common iliac arteries, a 60% ostial stenosis of the coeliac trunk, stomach ache, abd pain and bloating.Treatment?
Impossible to say: It is impossible to know over the internet whether the vascular and GI issues are related. Speak with a gastroenterologist. ...Read more
On labetelol tambocor (flecainide) diathazide severe PVC hypertension recent angiogram show ascending thoracic aorta prominent with 3.7 CM dilation. Concerned?
Close observation: It sounds like you have a couple different issues that require regular observation. While your aortic root diameter does not suggest that surgery is needed at this time, your blood pressure needs strict control and regular imaging studies can detect enlargement. And if your pvcs are not well controlled on tambocor (flecainide) or if you have more than 10-15, 000 per day, catheter ablation can be a good option. ...Read more
Is abdominal proximal aorta ap ultrasound measurement more accurate than tranverse abdominal proximal aorta ultrasound measurement in men?
Check both: Check both and use the largest measurement as the baseline. ...Read more
The ascending thoracic aorta is mildly ectatic 3.7cm in diameter. The remaining visualized thoracic aorta is within normal limits. Is there any problem?
Not much reason : For concern on the data provided.Get a more detailed answer ›
By echocardiogram?: The 'normal range' of aortic root diameters varies based on (1) the modality used (most commonly used is ultrasound / echocardiogram) and (2) your height. The usual upper estimate is 2.1 cm/m of height. For someone who is 73 in tall (such as yourself), that translates to an upper limit of 3.8 cm, which is exactly what is measured in your case. Anything above that could be considered dilation. TTYD ...Read more
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
Could be.: The average AAOD (asc aorta diameter) by CT scan is about 3 +/- 0.4 cm (i.e., there is variation among people due to genetic factors, body size, & undefined parameters). So 95% of humans have aortic root diameters between 2.6 cm & 3.4 cm. You're certainly in that range. Unless you have symptoms, I would not worry about these detailed results. TTYD who ordered test. Or use HealthTap Prime. ...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
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
Are body weight exercises (eg. Pull-ups, pull Ups) ok to do with a mildly dialated ascending aorta measuring 4.3 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
Aortic root 3.5cm, ascending aorta 3 cm, LVOT diameter 19.cm. 86 year old man (not overweight) are these good numbers?
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
When measuring ascending aorta size(4.5 to 5.0cm above valve)by echo which measurement is more accurate:outer wall to outer wall or inner wall to iner?
The accuracy of the: measurement is not appreciably affected by using the inner vs the outer wall. The accuracy will be the same. The question is which measure is a better predictor of root diameter with regard to clinical outcome. The answer is actually to measure from the leading edge to the leading edge of the root above the valve. In other words, the outer edge of the first seen root to the inner edge of the last ...Read more
Defect: Ulcer of aorta with bleeding into wall creating wall-intramural hematoma-bruise. May heal or go on to leakage and reaction with fluid in chest. Local aortic tear-dissection can do a similar scene! ...Read more
female 58 yrs Small aneurism in ascending aorta and arch; also PFO; high LDL & chol- can't take statins. Willl diet & exercise be enough?
Depends on LDL level: AHA/ACC guidelines =treat based on an assessment of lifetime risk of developing heart disease. Typically, before statins are started, a sincere attempt at lifestyle changes, including avoiding saturated fats& exercising (atleast walking even 10,000 steps/day) ought to be undertaken. Recheck fasting lipids 6 months later. No egg yolks, no shellfish; eat salmon, almond/walnut (Incr. HDL) ...Read more
CT scan last week ascending aorta 4.3 x 4.0 cm. Last year, echo was 4.0, in 2010 was 3.4 cm and in 2008 was 2.9 cm. Should I be worried? 5"7" 234lbs
CT and Echo do not always get same measurement. CT better.
Why are you getting aortic eval in first place. Rare in women your age unless you have + family history, smoke and have had untreated high blood pressure or have Marfan's. Happy to consult to get more information. I WOULD worry about your BMI and work on that. ...Read more
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