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Doctor insights on: Prominent Ascending Aorta

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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

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


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

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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What causes ascending aorta aneurysms?

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

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For a male age 50, 6-1, 162 pounds, is an ascending aorta diameter of 3.8 in the normal range?

For a male age 50, 6-1, 162 pounds, is an ascending aorta diameter of 3.8 in the normal range?

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

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What's the newest surgical procedure for an aneurysm of the ascending aorta?

What's the newest surgical procedure for an aneurysm of the ascending aorta?

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 more

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What is the latest surgical procedure for an aneurysm of your ascending aorta?

What is the latest surgical procedure for an aneurysm of your ascending aorta?

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

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Ascending aorta diameter 2.8cm? Is that normal for 18 year old? Female

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

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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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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

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Are body weight exercises (eg. Pull-ups, pull Ups) ok to do with a mildly dialated ascending aorta measuring 4.3 cm?

Are body weight exercises (eg. Pull-ups, pull Ups) ok to do with a mildly dialated ascending aorta measuring 4.3 cm?

May be --: You need to be cleared by a cardiovascular specialist if you want to do any weight exercise -- including the 'body weight' ...Read more

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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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Aortic root 3.5cm, ascending aorta 3 cm, LVOT diameter 19.cm. 86 year old man (not overweight) are these good numbers?

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

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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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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

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Can a dilation of the ascending aorta be temporary and caused by infection?

Not Temporary: Chagas disease is a tropical parasitic disease caused by the protozoan Trypanosoma cruzi. It can cause aortic dilation aka aneurysm.

Once dilation happens it is not temporary. Close monitoring needed. ...Read more

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Can you please describe intramural hematoma of ascending aorta, pleural effusion etiology?

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

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female 58 yrs Small aneurism in ascending aorta and arch; also PFO; high LDL & chol- can't take statins. Willl diet & exercise be enough?

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

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What does this mean: ascending aorta at the level of the pulmonary artery bifurcation measures 2.5 x 2.3cm ap and transverse? Is this too big?

What does this mean: ascending aorta at the level of the pulmonary artery bifurcation measures 2.5 x 2.3cm ap and transverse? Is this too big?

Not too big.: When is the ascending aorta too big? Depends on the aortic valve, how fast it is growing, underlying connective tissue disorder, symptoms, size of the patient, and, of corse, size of the aorta. Two and a half centimeters is not too big though. ...Read more

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59 y/o f, 5'8 145lbs. Bi-cus. A/v w/3.6 CM aneur in ascending aorta. Controlled high BP & chol w/meds. Dad died of dissection age 51. Get ann. Echo, but it doesn't show the aneur. Shd I ask for tee?

Yes: Bicuspid aortic valve and aortic aneurysm, and a family history of aortic dissection is enough to be extremely diligent in routine monitoring of the valve and aorta. Tee is a good test and should also consider ct angiogram to assess the entire aorta and arch as well as the area around the coronary artery ostia. ...Read more

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Can you see a dissection of the aortic root arch or ascending aorta on a echocardiography? Which other tests can detect?

Echo and Aorta: The best test is a CTA... an echo may be an initial study but not the best and most diagnostic ...Read more

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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

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

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Recently diagnosed w/ bicuspid aortic valve w/ mild regurgitation. But also ascending aorta "mildly dilated at 3.8cm".What is this? Surgery soon?

Bicuspid aortic valve: Your structural abnormality may well lead to a need for intervention sometime in the coming decades. Ask for guidance regarding hygienic measures you could take now to avoid illness. Remember you have had this for 30 years. ...Read more

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I had a chest CT it says fusiform actasia ascending aorta 3.1 and calcified right hilar nodes can you please explain?

CT: These findings should be discussed with your Doc so you can get a clearer explanation than the limited space here allows. In short it says your aorta is a bit enlarged and there are some calcified lymph nodes in your chest. Your doctor can explain these findings in detail to you and their possible meanings. ...Read more

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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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I have Ehlers Danlos. My last thorax CT show ascending aorta of 2.8cm, descending of 1.8cm. Not seen in heart MR from last year. Worrying?

Normal: There are 6 forms of Ehlers Danlos & only Type IV causes the vascular complications. Your ascending and descending aorta sizes are normal. At your age (42), they wouldn't be if you had Type IV. You have nothing to worry about. ...Read more

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Ascending aorta size:01/17echo 3.8cm;05/17 CT (calcium scoring 0)4.0cm;11/17 MRI/MRA 3.3 x3.5 cm. Which of the above 3 measurements is most accurate?

Mri/mra: Would go by mri/mra finding. If there was no significant aortic insuficiency or aortic valvular heart disease on the echo. would just repeat the echo in 1-2 years to see if ascending aorta increases in size. ...Read more

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When measuring ascending aorta size (horiz)from sinotobular junction to innominate artery is cardiac mri/mra for morphology more accurate test than cta?

When measuring ascending aorta size (horiz)from sinotobular junction to innominate artery is cardiac mri/mra for morphology more accurate test than cta?

Depends: Done properly, ideally with ECG gating, an aortic MRA is equivalent to an aortic CTA. The opinion from some vascular docs is an overestimation on MRA. This was probably from movement artifact and older scanners. The benefit of MRA is the lack of iodinated contrast and lack of radiation. It is in routine use at many large medical facilities to periodically track aortic enlargement- kids/adults ...Read more

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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 more

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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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No symptoms. Healthy. Heart disease in family. Had CT heart scan to calc my calcium score of 83. Thoracic aorta ascending aorta was 3.8 cm, atherosclerosis. What does that mean? Age 50, 162lbs, BP 130/80, male, 6-1 height. No meds. Aspirin daily

No symptoms. Healthy. Heart disease in family. Had CT heart scan to calc my calcium score of 83. Thoracic aorta ascending aorta was 3.8 cm, atherosclerosis. What does that mean? Age 50, 162lbs, BP 130/80, male, 6-1 height. No meds. Aspirin daily

Heart: Http://www. Umm. Edu/programs/diagnosticrad/services/technology/ct/cardiac-calcium-scoring

BMI OK. Calcium score 83 is mild. Watch lifestyle, check lipids, repeat in 3-5 yrs - progression is more indicative of risk. Aorta is upper limits repeat in 1 year. Also check abdominal aorta size. You are OK but are in the category of follow up and monitor healthy lifestyle. Don't worry f/w/u w/doc ...Read more

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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

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My CT scan showed slightly prominent at 3.7 CM in my ascending aortic valve doctor tells me it's of no concern but I'm nervous should I be concerned?

Borderline: 3.7 is at the upper limits of normal depending on size. Probably does not need repeat unless there is a family history, high blood pressure or history of smoking. ...Read more