My husband has a 4.2 CM ascending thoracic aortic aneurysm. Is it best to consult with a vascular surgeon or a cardiologist?
Close monitoring. Indications for surgical intervention are: symptomatic, larger than 5.5 cm, growth rate of greater than 0.5 cm in 6 months, or if you developed aortic valve disease ("leaky valve" or stenotic valve) or if greater than 5 cm and having open heart procedure for another reason. It sounds like you do not meet the criteria at this time but close monitoring is required. Ct and echo should be done.
Aneurysm. Either of those specialists would be appropriate. At 4.2cm there is some time likely before the aorta would likely need surgery so either would be ok.
Cardio thoracic . Actually, your husband will need to see a cardiac surgeon. Vascular surgeons deal with descending thoracic aneurysms. Due to the close proximity of the ascending aneurysm and the heart, many times surgical repair requires cardio pulmonary bypass. Usually ascending aneurysms are not repaired until 6cm. It is likely that routine ct scan surveillance at yearly intervals will be recommended.
Cardiothoracic. Sometimes the ascending and descending aorta are involved and collaboration of specialties is required. At 4.2 regular follow up with ct at 6 months is suggested. An echo of the heart with the aortic valve is a good baseline. If there is family history of marfan' s or other aneurysms you may want children evaluated early.
Cardiac surgeon. Ascending aortic aneurysms are treated by cardiothoracic surgeons. But a vascular surgeon may be involved if the aneurysm involves the abdominal aorta. Your husband may need to see the cardiologist for his coronary arteries as well. The rate of growth of his aneurysm will need to be followed and a detailed family history.
No. Echocardiography is cheaper, has no radiation, and is accurate. I routinely follow patients with thoracic aortic aneurysms with annual echos. Read more...
Sometimes. Probably the most important thing is controlling hypertension in patients with thoracic aortic aneurysm. Beta blockers are often helpful. However, there are many other causes, such as connective tissue disease, and even infections and inflammatory diseases which can cause taa. It is conceivable that a taa could contribute to dizziness if the great vessels are involved, but unlikely. Read more...
Generally later in. Life unless related to coarctation. Read more...