How serious Is A Dilated Ascending Aorta?

This video discusses the topic of dilated ascending aorta and aortic root aneurysm and whether they are dangerous. The video starts by introducing the anatomy of the aorta and its importance in carrying blood around the body. Mr Birdi, Top Heart Surgeon, explains the difference between normal and abnormal aortic roots and why the latter can cause severe complications like aortic dissection or rupture. The video goes on to talk about how doctors decide when it is time for surgery, and the guidelines they follow to decide whether to replace the aorta with a man-made tube or homograft. Mr Birdi then discusses the two key numbers that patients need to remember to understand when the time has come for their dilated ascending aorta or aortic root aneurysm to require an operation. Additionally, the video highlights some other important factors such as the type of aortic valve and family history that doctors consider when deciding whether to operate.
If any of the following topics are of interest to you, then this video will be useful: dilated ascending aorta, dilated aortic root aneurysm, aortic dissection, aortic rupture, surgery, guidelines, bicuspid aortic valve, normal trileaflet valve, homograft, and family history.
REFERENCES
2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines
www.ahajournal...
Height alone, rather than body surface area, suffices for risk
estimation in ascending aortic aneurysm
www.jtcvs.org/...
The information provided in this video is for information only and does not replace advice given to you by your doctor.
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[@MiThreeSunz]

A very informative and helpful video Dr. Birdi. I’m a 64 year old male recently diagnosed with an ascending aortic aneurysm with a dilation of 40 mm.

[@apurbaghosh5046]

How is your health now ?

[@rubychoudhary1694]

How to diagnose

[@marcus9938]

You have no aneurysm then!the aorta Has to be 50 % procent enlarged ,then you can say you have an aneurysm

[@markstuart5797]

Very informative for personal deicision making

[@cliffg4437]

Hi, nice video. Hopefully you've seen the updates Elefteriades' team have issued papers on in the past two months. Not made it to guidelines yet, but clear that if you can get fixed in a high-volume centre where the surgical risk is lower, you should be looking at intervention in tricuspid non-CTD non-familial at 5.0 cm, or even less. One of the papers has an interesting age-based nomogram. Vital to get your BP down immediately and effectively, below 120/80, and not the NICE/NHS figure of not treating until 140/90.

[@Thekeyholeheartclinic]

Absolutely and we are most grateful for you Valuable contribution.

[@sumitchourasia9006]

Last year my father died after operating surgery. He had server aortic reguration and bulging descending aorta. His age was 62. We hoped that after surgery hw will be fine but unfortunately the operation resulted many side effects from stroke to blood clotting to infection all this took his life 😢.

[@Thekeyholeheartclinic]

I am sorry to hear this. Please accept my sincere condolences.

[@SeattleMartin]

I'm sorry to hear about this. This is the worst outcome I can imagine.

[@PankajKumar-ub2bo]

Aap india se ho

[@ianharper6015]

Thanks for a useful video.

[@leemartin9556]

My aorta is 4.6cm I've been under the freeman hospital England for 30 yrs

[@kikiob3628]

Last year I had a cardiac score test performed. Not needed, the local hospital had a special for heart month, and I just wanted to see how I scored. It was perfect! They did notice that my ascending aorta was dilated at 4.4 cm. My doctor said it wasn't of concern. At this years physical I reminded my doctor so she decided to send me for another scan to see if there were any changes. I just got my results back today and the number has not changed. Still 4.4 cm. I haven't spoken to my doctor yet about the results, but when she gave me the scan referral earlier this year, she said I could have been born with this. Is this true? Can people be born with this condition? For reference I'm a 48 y/o female. No family history of heart conditions.

[@Thekeyholeheartclinic]

What is your aortic valve anatomy: bicuspid or tricuspid

[@alettatheron1263]

Thank you !

[@englelisa45]

The study was technically limited. • Heart Rhythm: sinus rhythm. • Normal chamber sizes. • The left ventricular global systolic function is normal. No left ventricular segmental wall motion abnormalities identified, but endocardial definition is suboptimal. • Valves poorly visualized, by color/ Doppler, no obvious significant abnormalitites • The aortic root is grossly normal in size at the sinuses of Valsalva. The ascending aorta is mildly dilated. Ascending aorta measures 4.1 cm@ 3.1 cm distal to STJ • The inferior vena cava is not well visualized, probably at least mildly dilated • Compared with prior report dated 1/28/2022: ascending aorta was not visualized on prior study I am a 56 year old woman with a bmi that is 66. Do you think it would be safe to have weight loss surgery?

[@fredericktinnin733]

My wife was just diagnosed as having mild leaky mitro valve. The doctor she saw for the first time said it's nothing to worry about. That the heart murmurs are fine. Should we worry? What can we do. I've been following you for 7yrs.

[@Thekeyholeheartclinic]

Thank you for your question and for following us here. Mild mitral valve leak simply requires observation periodically perhaps with yearly echo. If moderate then stress echo is advised to see if it becomes severe during exercise or medically induced stress. So for now it sounds like you need not worry.

[@stanleywheeler404]

Always get a 2nd opinion from a REPUTABLE cardiologist

[@byLizzDevine]

We Thank You Doc

[@hezebelbeing]

just got my results today and the dilation is 4.5 cm. the pain in my top middle back I describe as a deep very painful toothache, it never goes away. I am 57. My Dad and my Mom's sister (my Aunt) have both had open heart surgery, but I don't know the original reasons. I am a little frightened. I am stoic tho.

[@Thekeyholeheartclinic]

Keep under surveillance 🙏

[@eriksossa5297]

I had open heart surgery to repair a dilation was 5.4. Had the valve replaced also. Was 60 at the time and am doing very well. It’s a scary surgery but ensure you have a trusted hospital and surgeon and you should get through it well.

[@elenmalone9333]

@@eriksossa5297: What is your trusted hospital, please?

[@kchilz32]

Found out last year I have Marfan syndrome and have a mild dilation of the aortic root at 3.9cm it’s an even dilation circumference wise. it’s been stable the past year and a half a bit nervous but hoping it doesn’t grow anymore. My father passed away at 44 years old from an aortic root dissection.

[@amouageinterlude9751]

Hi, nice Video. My Cardiologist told me i have a ascending aorta between 40 to 42mm. Im very tall (6 feet 7) and ive been doing weightlifting for the past 10 years. BSA is 2.45. My Cardiologist told me i can continue weightlifting and its not as bad as it sounds. Do you agree? Best regards from Germany.

[@Thekeyholeheartclinic]

This sounds reasonable. I presume He may wish to monitor? Is your aortic valve normal? Or bicuspid

[@amouageinterlude9751]

@@Thekeyholeheartclinic my cardiologist said 3 sails but functional bicuspid. CT said tricuspid. Yes, he wish to Monitor every 6 months. Is the risk of a dissection low when i continue weightlifting?

[@bobbitaylor-cheng6416]

The caption is blocking the diagram.

[@jillrossiter8757]

Helpful

[@ΙωάννηςΚώσταλος]

i am 39. 1.75 m tall. 102 kilos. 4.9 ascending artic aneyrysm in august(from 4.8 in april) and moderate bicuspid valve insufficiency. Whats my risk? i honestly dont understand the table. what should i do? is it time for surgery?

[@Thekeyholeheartclinic]

You need surgery with valve preserving root replacement if possible. Long term Prognosis excellent

[@ΙωάννηςΚώσταλος]

@@Thekeyholeheartclinic what is my risk of dissection etc?

[@sashikumar4454]

Thoracic aorta: Mild atherosclerotic changes seen in form of irregular wall thickening and calcifications without significant luminal stenosis. There is saccular outpouching measuring 4.9 x 5.7 x 5.5 cm, noted arising froma nterior wall of mid to distal aortic arch extending into anterior mediastinum and lefthemithorax, with large filling defect at sac and peripheral calcifications - of concern for thrombosed aneurysm. There is mild mass effect in the form ofcompressive atelectasis in anterior segment left upper lobe. Arch branches and coronary arteries: Left aortic arch . The branch vessels are normal in caliber with no aneurysm or dissection. Conventional coronary anatomy. Abdominal aorta and iliac arteries: There is irregular wall thickening with calcification for length of 3.0 cm noted in infrarenal aorta causing upt0 50% luminal stenosis. Mild irregular wall thickening with calcificationsuprarenal and renal segments of the abdominal aorta. The iliac and femoral vessels are of normal caliber. Mesenteric arteries: The celiac artery and its branches, the common hepatic and splenic arteries are of normal caliber without significant luminal stenosis. The SMA is normal in caliber without significant luminal stenosis. There is no bowel infarction. The inferior mesenteric artery is normal. Renal arteries: Dual right renal arteries noted , accessory renal artery is supplying upper pole of right kidney. Pag

[@sashikumar4454]

Please give a clear details what to do ????

[@Thekeyholeheartclinic]

Sir you need to be reviewed by a specialist cardiovascular team. Presumably this is the case?

[@sashikumar4454]

Sir they are telling to do arotic arch replacement whether it's serious case

[@sashikumar4454]

It's 3.0cm noted wheather there is any guide line to do all are telling to do it's to be operated

[@ldhpc]

Thank you for this informational video. I just got news today after having a heart scan done to see if I have blocked arteries and was told that I have a mild dilation in my ascending aorta. I am a 68 years old woman. I was not sure what it meant so I researched it online and came to your video. My mother died suddenly at the age of 79 from a ruptured aorta. She knew she had an aneurysm but surgery was too risky for her. I read that the dilated aorta is the precursor to her condition. Since I recently had a scan done, is there any other actions my cardiologist should do now or do we just wait 6 months or more to see if it grows? He didn't order the heart scan, my primary doctor did. I have a regular visit scheduled May of next year.

[@Thekeyholeheartclinic]

Thanks for sharing: was your heart scan an echo or a CT scan ? Is your aortic valve bicuspid or trileaflet?

[@riasgremory2483]

​​​@@ThekeyholeheartclinicHello doctor, my(20y, male) echo report says the AO diam is 17mm, should I be worried? I am getting ectopics too. Please reply I'm so anxious. Do I have aortic hypoplasia? The echo report mentioned that the Aorta artery is normal.

[@KrazyKramer]

Part of my report. I'm a runner. Been running for 20 years. Can this be normal for aortic root size or am i looking at problems on the horizon? Thanks for your time i have trileaflets Systemic arteries: Mild to moderate dilataion of aortic root (The end-diastolic aortic root diameter is 4.4cm-re-measured), ascending aorta is upper limits of normal (4cm) - Mitral valve: There is mild regurgitation. - Left atrium: The atrium is dilated. - Right atrium: The atrium is dilated. - Inferior vena cava: The IVC is normal-sized. The IVC is dilated. Respirophasic diameter changes are in the normal range (> 50%), mildly elevated central venous pressure. - Compared with previous study, there has been progression of aortic root diameter.

[@williamdaye7930]

Iam 65 and run also need to stay in shape iam at 4 right now I also lift weights and train regularly and am concerned

[@dianaaros]

Hi I have question can Dilation of Aorta be seen on an Xray ? Also are there any Symptoms with Dilation ?

[@kimberlyholli1069]

Hej, I'm a 59 yr old female, 5'8”, 165 lbs, bicuspid, with an ascending thoracic aorta of 4.3 cm. Is it safe to assume I'm in no need of surgery until it reaches 5.0 & above - as long as there are no other symptoms. Where is the best place to have the necessary surgery?

[@CP-ww1nj]

I am the same!

[@Thekeyholeheartclinic]

video indicates guidelines quite accurately. Hope it helps.

[@AnneWithAnE-ve8jw]

I am diagnosed with thoracic ascending ectasia 4.5 cm in 2022. Is it safe to fly with this condition?

[@Thekeyholeheartclinic]

Do you gave a normal aortic valve? Are you asymptomatic?

[@AnneWithAnE-ve8jw]

Yes, I am asymptomatic. The valve is trileaflet. Tricuspid valve: Structurally normal valve. Leaflet separation is normal .Doppler: Trivial regurgitation. Thank you @@Thekeyholeheartclinic

[@brujahdon]

I've already had open heart surgery to repair an ascending aortic aneurysm and a myocardial bridge, and I have a bicuspid valve. When doing that surgery 2 years ago, they noted a 3.1 dilation on my aortic arch. Now it's at 4.3. I can't understand why they didn't replace my valve during the 1st surgery.. I feel like it plays in to the aneurysm I currently have. Either way, UAB has done a R/L cath, TEE, echo, and I go for a CT next week. Hopefully they can tell me what I'm dealing with, and come up with a plan of action.

[@SeattleMartin]

Have you found out anything new since you posted this?

[@amijachourasiya]

Hello doctor! I am 33 years old has diagnosed with acyanotic CHD Bicuspid aortic valve and Aneuryomal ascending aorta AV annulus - 25mm Aortic root-36mm Ascending aorta -55mm Isthmus - 36mm Descending aorta- 30mm Is it treatable without open heart surgery What is the life expectancy after treatment please suggest me I am very afraid needs a urgent guidance

[@Thekeyholeheartclinic]

Hello Sir If the facts are as you indicate then surgery may be required. This can be performed by mini breastbone in skilled hands. You are young and the treatment is associated with good outcomes.

[@amijachourasiya]

Thank You sir ❤

[@amijachourasiya]

Sir after surgery can we do all types of work or not? Is this surgery is risky ?

[@Thekeyholeheartclinic]

@@amijachourasiya yes relatively normal life (though if the valve need replacing you may need warfarin if you choose mechanical valve) There is risk but usually less than 5%

[@winp3175]

@amijachourasiya hi how r u doing now? I have same bicuspid and ascending aorta 50mm, my surgeon said need surgery when above 55mm but i still worried so much everyday

[@robertm3021]

Hello Dr. Thank you so much for this video. I found out about 2 years ago I had a dilated root (4.1 cm) and dilated ascending aorta (3.3). I've done a ton of research and have been very impressed with the keyhole technique. A couple of questions, why has this not caught on in the US? Do you anticipate that this technique will soon be more common here as well? Also, regarding my measurements... Finding out I had this dilation turned our lives upside down. Since my initial measurements I have not had any further dilation. I don't smoke, good blood pressure, tricuspid valve, and am in general good health. I've lifted weights forever. I'm wondering if my measurements are just the result of remodeling due to my athletic endeavors. Could having an aortic root of 4.1 cm (which has not grown in the last 2 years) just be a normal thing for some people? Especially those that have a long history of working out. I am male, 5'-10", 195 lbs, and 43 years old. Thanks so much!

[@Lisachelle]

Did you do a cat scan or echo? Mine was way off in a echo

[@robertm3021]

@Lisachelle I did both a CT and an Echo. After numerous echos and CT's, they have all been very close to each other. I have heard that depending on where the dilation is, you could have different readings.

[@Lisachelle]

Mine echo was 4.7 and cat scan w contrast was 3.9 mid ascending.. way off to me.. a high normal

[@tomcrell]

I am 36 and have Bicuspid Aortic Valve with Predominant Regurgitation and Aortic Root Dilation 53mm

[@duparol6159]

What cardiolog said ? Are you training a lot ?

[@tomcrell]

Diffusion Surgery witch is scary 😢

[@duparol6159]

@@tomcrell I'm 25 years old and have 47 mm and it's already stressing me out

[@duparol6159]

What you do with it ? What doctor said?

[@PankajKumar-ub2bo]

Same problem Brother how are you

[@elenmalone9333]

I just had a CTA scan showing 44 mm AA dilation, PFO, normal coronary arteries.Earlier diagnosed with bradycardia, mild fibrotic thickening of all tree leaflets of a tri commissar AV with lack of central diastolic coaptation. App.AV regurgitate orifice area= 10 sq mm. No stenosis, plaque. How bad does it sound to you, Doctor? Thank you!

[@Marcus.a271]

I have a bicuspid aortic valve and 48,5 mm aorta. Am 41 years old. İ think surgery is coming. :/

[@christospip5312]

I have bicuspid valve with 3.9 cm aorta . I’m 6ft 2 and I’m lifting weights 14 years. Will weight training impacts negatively the aorta ?

[@Thekeyholeheartclinic]

The connection between aortic enlargement in weight trainers is circumstantial but is hard to ignore. How was aortic size measured in you (Echo CT or MRI)? I advise periodic CT to measure aortic size change and Bp monitoring to control if high. Curtailing weights may also need consideration and I advise close scrutiny under the guidance of your local team of doctors.

[@christospip5312]

@@Thekeyholeheartclinic thank you for the respond . My aortic size was calculated by echo Ct. Do you believe than MRI could show more reliable results ?

[@serf6355]

@@christospip5312I have the same situation as you. Im told that only a CT scan w/ dye will reveal the actual size. The echo is just a high level view

[@formulaone07]

@@Thekeyholeheartclinic A CT to measure aortic size is approximately 6 mSv. Is there a way to get the aortic size periodically measured at doses much lower than 6 mSv with CT like is done for lung cancer screening (1.5 mSv)? Also, why are MRI exams and echos inferior options for measurement?

[@englelisa45]

I have a 4.1 mm ascending aorta, and I am in the works of getting Sadie weight loss surgery. I see a cardiologist in a couple of weeks, but do you think it would be safe for me to have weight loss surgery right now? Wouldn't it be better for me too lose weight before they had to do heart surgery? My BMI is 67 I'm a 56 year old woman.

[@Thekeyholeheartclinic]

Keeping ideal Body weight is always important. There are many ways to do this

[@ashutoshmahajan4864]

Can Tuberculosis cause Unfolding of Aorta or Aortitis?

[@JonathanFederico-b8g]

thanks for your video. I have an aortic anuresym at 4.2cm with a bicuspid aortic valve the valve has a tiny leak but its been like that for years and the valve itself hasnt got worse. My question is is there a chance that I can live with this with out surgery im only 33 if I do need surgery can I live a normal life afterwards.

[@amouageinterlude9751]

I have the exact same. 42mm ascending aorta and a functional bicuspid aortic valve. Im 34 years old. Im 6ft7. Ive been doing weightlifting since 2014. I was wondering if ive been able to continue weightlifting. Best regards from Germany

[@Thekeyholeheartclinic]

It needs monitoring. Sometines PEARS procedure can be considered before aortic enlarges too much ..... genetic testing for aortopathy is required for this

[@aliali-qz3nx]

​@@Thekeyholeheartclinichello doc im a pilot from MEA , how can i contact you !?

[@NathanOverbey]

What was the reason for the scan, and dwere you ever a smoker

[@bahiagoumez4282]

My mom is 56 years old just diagnosed with a dilated ascending aorta of 4.95, my world just collapsed I didn’t see her since 5 years I am living in another country I don’t know what to think what to do 😢

[@Thekeyholeheartclinic]

Good that she knows as if something needs doing treatment can change her prognosis. How was it measured? Is her aortic valve normal? Is she being offered surgery?

[@clintonyoung9813]

Greetings In 2021 i was diagnosed with a 3.5 Aorta Aneurysm. Can I take the supplements Creatine, L- Arginine, L- Citruline, and Taurine?

[@Thekeyholeheartclinic]

Age, height, and genetic history/family history of aneurysm play a role here. is your blood pressure monitored?

[@clintonyoung9813]

@@Thekeyholeheartclinic Yes!

[@ryanleiderman9622]

have you found out any info on those supplements you can share?

[@amandajeanmich]

Hello thank you for your knowledge and time, unsure if I need second opinion they did multiple tests and this is what was determined. Would like to note this was found in occasional testing for something else.. Mildly enlarged mid ascending aorta diameter of 36mm. Everything else was normal on echo when later checked. I am 31, 5'9". Healthy but slightly on the heavier side 180lbs. Was told it could be due to biking? And was told to continue my normal exercise? Anything else it could be? Was told to check it again in a year or two.

[@Thekeyholeheartclinic]

36mm aorta is likely normal but worth a repeat measurement in 2-3 years to ensure no growth. Is the aortic valve normal and trileaflet?

[@billcastrodale4793]

Hey i have bicuspid valve seeing a surgeon in two weekds i have sever regirtitation moderate stenosis with a 4.5 centimeter acending aorta and normal decending aorta thiught on when u think i need surgery and will i be ok up until then I have no symptoms yet amd i workout all the time Thoughts im stressed iut about it My aorta wont rupture at this point right i have a couple months being ok hopefully?? Thanks

[@slmpleshots]

Hello, I recently had surgery on my ascending aorta with a graft replacement. What are the risks of weightlifting after doing this, and will I ever be able to do weightlifting again?

[@Thekeyholeheartclinic]

Once you are all healed up you should be able to. Just make sure your dr is happy with the result of the surgery and the rest of your aorta was healthy on your preop tests. Also keep an eye on your Blood pressure through life

[@slmpleshots]

@@Thekeyholeheartclinic I forgot to mention I have a bicuspid aortic valve, would that make weightlifting impossible for me?

[@sashikumar4454]

Left single renal artery are seen with no significant stenosis. Abdominal Viscera: The liver, spleen, pancreas and intestines are normal. There is no significant mesenteric / retroperitoneal lymphadenopathy. There is no free or loculated fluid collection in the abdomen. Bilateral kidneys are of normal size and attenuation with normal cortical enhancement. Multiple bilateral renal cortical cysts are seen, largest in right kidney measuring 10 x 11 mm. Urinary bladder is partially distended. Chest and Mediastinum: The cardiac size is normal. No pericardial effusion. There is no significant mediastinal lymphadenopathy. The lungs and pleural spaces are clear. Ancillary findings - Small hiatus hernia noted. Mild degenerative changes are noted in the spine. The aortic measurements at various levels are as follows: P

[@82aarow]

I had a complete aorta dissection that went to my legs I lived without surgery if you are at risk of a dissection and have one fight don't listen to them when they say you are going to die you can survive it. Also if you know you are at risk mmm and reverastrol

[@Maddog494]

My mom has this condition. They said it’s nearly fatal and I’m scared

[@ryanleiderman9622]

what is mmm?

[@The31st]

My mum has had a ct scan and they've said here ascending aorta is roughly 4cm. It's the first we've heard about it so we don't know how long it's been dilated. She's 65, 45kg maybe 155-160cm. From what I've seen 4cm dilation isn't anything we need to be immediately worried about, even for someone of her size. A cardiovascular specialist has been sent the scan but not heard from them in a week. From my understanding is at this stage all they can do is observe and see if it grows. Is there anything we need to worry about?

[@Thekeyholeheartclinic]

Is her aortic valve normal?

[@The31st]

@@Thekeyholeheartclinic Yes as far as we know. She's had ECGs before and now the CT scan and at no point have they had they believe she has a bicuspid aortic valve

[@AdirondackSeasons]

Hello, I just found out my ascending aorta is enlarged after a recent ultrasound/echocardiogram and has grown from 4.3 cm, ultrasound done August 30, to 5.3 cm as of November 30. Previously I had been diagnosed with an enlarged aortic root which is 5.2 cm as of my last ultrasound. The aortic root has been growing slowly, about 1 cm over this last year. Should I be concerned? Should I be talking to my cardiologist about being referred to a surgeon? I haven’t heard from my cardiologist after my most recent ultrasound. (I’m 52, male, 6’6” tall, weighing 400 pounds, history of high blood pressure, mild arterial plaque, daily chest pain) Thank you for your time…

[@Thekeyholeheartclinic]

Have you had a gated CT scan? These size changes seem to be quite significantly different and echo is not the most accurate modality. You need further analysis soon.

[@AdirondackSeasons]

I haven’t had the ct scan yet. Thank you for the advice!!!

[@Lovesuelee]

Hi Dr, Thank you for posting these videos and the way your explaining things in it. I just have a qustion can somone 58 years old men has 15% ejection fraction? as they put on the test not sure if even true, he has no symptoms of anything at all very healthy all the blood test comes good everything normal rang ,no blood pressure or diabetes,,not smoker or drinker and not on any medication . Thank you

[@Thekeyholeheartclinic]

I would be surprised if he feels well with such a poor EF

[@Lovesuelee]

@@Thekeyholeheartclinic HI Dr, hope your doing well ,thank for replaying back to me I really appreciate that.He doing very good 👍.He walk for miles with out taking a break and had no issue he work from morning around 8 am tell 10.30 pm in our party store like small grocery store. He even stand all day long with out getting tired, I get tired before him .I don't even know how the drs are saying that ,they even perform cardiac catherazation to see If have any blockeg but thank god he has nothing. I am really not sure if these test are acurt ,bcs that's impossible. I was wondering if his heart 15% and he is very healthy no complaints or any chest pain ,how much my EF then all these people .I find out some people they die when there EF 30% or 25% and they feel very bad . By the way his EF was 56% in 2016 from stress test they did on him . Can the EF goes down that much suddenly? and he has no stroke or heart attack either.

[@WALIANTLEATHERINDUSTRIES]

my uncle diagnosed with ascending aortic aneurysm and doctor advised to repair but he is very worried if the operation is going to be successful or not. Dilation mentioned on report is 55*56mm. should we go ahead with the operate? is the condition bad with that much of dilation ? and how successful is the operate ? he also have diabetes and high blood pressure issue.

[@Thekeyholeheartclinic]

Follow the surgeon’s advice

[@gamergirlmars]

I have Marfan Syndrome, it is very dangerous to have a dilated aorta even moreso for me. I've got a dilated aorta, mitral valve prolapse, hypertrophic cardiomyopathy, and a reoccurring bigeminy arrythmia that skips every 2nd beat that I was born with. I am very fearful of a dissection happening with everything I have going on. And to top it off I have a Pectus Excavatum deformity hindering my heart and lung function. I was diagnosed late but my son who is 8 years old also has Marfan Syndrome, but I know actually stands a chance at a better outcome than me, since he was diagnosed as an infant. All of these gives me symptoms of POTS very heavily. Is there any promising new research for connective tissue diseases like Marfans or vEDS?

[@Thekeyholeheartclinic]

Thank you for your comments. Currently the treatments required to correct your cardiac issues have advanced considerably and in the right hands at the right time you will do well. Do you monitor your blood pressure ? This is a good idea.

[@robertburbach]

I had Dr. Kimbell in Grand Rapids, Mi do my Aortic Aneurysm in which he put in 10 stents in. just had the Aortic Value replaced on Feb 1, 2024 . Now I am part pig. oink,oink

[@rokonuzzaman928]

Good morning doctor, I am 34 year old, my heart bicuspid aortic, my assenting aortic 34 mm, aortic sinus 31 mm,aortic annulus 20 mm, sinitubular juction 28 mm, plz suggest me

[@Thekeyholeheartclinic]

Thanks for your question. Surveillance CT and echo should be performed through your life.

[@jamesrae8884]

Had this op 3 weeks ago at 5cm

[@debbieb2152]

How are you doing since your surgery?

[@jamesrae8884]

@@debbieb2152 nearly 6 weeks now...getting there slowly.

[@vijayakumarrp9398]

Hi, Thanks for the video. My Echo mentions Ascending Aortic Dilatation of 46 mm.Aortic Root @ 38mm and Aortic Sclerosis.Prescribed Betablocker + Statin+Aspirin and suggested CT scan after 6 months. Is this a significant finding or normal age related.( 51 years ). I was under treatment for hypertension since 10+years.

[@Thekeyholeheartclinic]

Early CT is advisable. Is AV bicuspid? Do you have family history of aorta aneurysm?

[@vijayakumarrp9398]

@@Thekeyholeheartclinic Hi, Thanks for reply. No family history of aor.aneurysm. Is Statin + low-dose Aspirin essential in this stage.

[@Thekeyholeheartclinic]

@@vijayakumarrp9398 not unless there is evidence of atherosclerosis on CT

[@mikegreer9041]

I have a feeling the guidelines are made by the insurance companies.

[@SeattleMartin]

I feel that way too!

[@anniedesrosiers194]

Hi there, just found out my Aortic Root is 3.7cm. 49 yr old female Aorta Diameter is 3.4cm. Mild aortic regurgitation. Trace pulmonic valvular regurgitation. Trace bicuspid regurgitation. Borderline dilated aortic root 37mm. What does this all mean?

[@Thekeyholeheartclinic]

Thank you for sharing. This will need monitoring If you have a truly bicuspid valve with serial echo and CT scan. Also genetic testing for aortopathy is useful especially in presence of family history.

[@anniedesrosiers194]

Thank you so much for your reply, I will look more into this matter. Aortic valve is trileaflet. Tricuspid valve normal. Only time it mentions bicuspid is when they mention Trace bicuspid regurgitation. Quite confusing.

[@ryan041984]

I’m 39 with a dilated aortic root of 43mm confirmed by cta 2 weeks ago. This was first discovered about 8 years ago when it was 38mm. No valve abnormalities. My background- 6’3” male with hx of controlled hypertension with metoprolol and losarta for about 12 years. I am a smoker of approximately 25 years (quitting) Despite my being tall, I’m told I don’t have typical features that of marfans. No genetic testing has been completed, aside from an at home dna test which did not detect fb1 abnormalitie or ehlers danlos. Given my height, could it be that may be why my root is larger? It’s only ever been referred to as dilated or ectactic and never aneurysmal. My ascending is 34mm, descending 25mm. My cardiologist just seems to shrug things off with my yearly visit and is always hesitant to provide clear cut answers, but was quick to prescribe lipitor 10mg even though I’m vegan and have been for 30 years. Said this will help in the long run? Is surgery always inevitable?

[@wesbravo8251]

My aortic root is 40mm I'm 32 I've seen two heart docs and they've both been pretty dismissive towards it. They haven't prescribed me anything for it and just recommend an echocardiogram every couple years. I've also wondered if my body size is why my aortic root is so large. I'm 6' tall 190lbs and have a very long torso. I really don't think i have marfans. Best of luck to you in your health journey brother.

[@katosich4359]

A mutation in the ACTA2 gene is associated with various medical conditions, including Familial Aortic Aneurysm Syndrome (FAA). FAA is an inherited disorder that affects blood vessels. The ACTA2 gene provides instructions for producing a protein called alpha-2 actin, which plays a crucial role in muscle contraction and the structure of blood vessels. Mutation in the ACTA2 gene can lead to abnormalities in the walls of blood vessels, resulting in a range of medical complications such as aneurysms, narrowing of blood vessels (stenosis), and other cardiovascular conditions. Symptoms may vary but often include issues like high blood pressure, chest pain, and other vascular-related problems.

[@Thekeyholeheartclinic]

Do you have a bicuspid aortic valve?

[@ryan041984]

⁠@@Thekeyholeheartclinic. No Normal trifleaflet. Genetic testing confirmed no known connective tissues diseases, but did detect COL4A1 (2 variants) abnormalities, but this variant is supposedly only associated with smaller vessel abnormalities

[@SanthoshKumar-wp3xe]

Hello doctor good evening... Doctor,, today I went to heart clinic.. They took echo.... They said to me... Heart is normal.... I got the report... Please tell me.. Is my heart is normal or need to any surgery... Report is...... M MODE&2D PARAMETERS Aortic root delated Mild concentric LVH Normal cardiac champer dimensions No RWMA Normal LV systolic function (EF=65%) Normal RV systolic function IAS:INTACT IVS : INTACT IVC - normal inspiratory collapse No clot No pericardial effusion Valves are structurally normal DOPPLER PARAMETERS Grade | systolic difunction No mitral valves stenosis /regurgitation Aortic valve is trileaflet No aortic valve stenosis /regurgitation No tricuspid valve stenosis / regurgitation No pulmonary valve stenosis / regurgitation No pulmonary artery hypertension IMPRESION Mild concentric LVH Normal LV SYSTOLIC FUNCTION Doctor please suggest me.. What to do... My weight is 114

[@Thekeyholeheartclinic]

Sir…. We are unable to interpret outside of clinical context and review. Apologies.

[@SanthoshKumar-wp3xe]

@@Thekeyholeheartclinic sir I from India... I'm unable to come there,,, but I know you sir through channel.. So thought of getting some suggestions from you... Sorry sir

[@kalaella]

Hi, Can someone Please help me. I recently had a test and it came back and said "VESSELS: Atherosclerotic changes throughout abdominal aorta, no aneurysmal dilation. Can someone please tell me is this bad or good. I can not seem to find the answer online. Thank You!

[@Thekeyholeheartclinic]

This is furring up of the vessels and is a sign of generalized artery disease. This is not a good sign and requires risk factor control: blood pressure, blood sugar, cholesterol, diet etc

[@kalaella]

Thank You very much for the quick reply, it is very much appreciated. @@Thekeyholeheartclinic ♥

[@prashantjain6927]

Hello Doctor, My father is 69years( 135 kg, 6ft height). He has bicupid valve and has ascending arota is 5.5cm. Should he go for TAVR or Bantall Procedure.

[@Thekeyholeheartclinic]

Thanks…. No question here: aortic root surgery. TAVI will not deal with enlarged aorta pipe.

[@Poeticpersonality]

Hello. I have an enlarged aortic root. I want to be a police officer but they need to get tased. Would I be at risk if I chose to go through with it?

[@Thekeyholeheartclinic]

How big is the aorta, how was it measured (eg CT) and is your aortic valve normal?

[@kaazooyii]

@@Thekeyholeheartclinichi. I’m just got routine echo. Report reveal dilated aortic root at 41mm. I’m 40 year old healthy with no medical problem. Im trying to not freak out about it. My GP is very dismissive about it as I have no actually symptoms. No high blood pressure or high cholesterol. My question is how sensitive and specifics is ECHO on aortic root dilation. Would CTA be reasonable next step is determine where and how much dilation there is? I am 5”6 and definitely has no strait of Marfan or ehler danos syndrome. With a report like this. I’m pretty concern

[@MrandMrsSmith2014]

Hi , it’s probably a silly question but I’m confused. Please enlighten me. I’m worried about my husband. He is 180cm in height. Had surgery for bladder and prostate cancer 7 months ago and was incidentally found with ct scan for his cancer 12 months ago that he’s got 3.9 cm dilated aortic root. This time it was found that he’s got 5cm ascending aorta dilation. Is ascending aorta and aortic root the same? If it is then it seems like the increase of dilation is fast. The doctors don’t seem to worry and said it is “stable”…

[@RobertEskew]

The aortic root and the ascending aorta are different parts of the aorta, thus you can legitimately compare the 3.9cm and 5cm measurements.

[@mikerod76]

Hello, I recently did a CT scan and there was a classification of mild aortic root at 4.1 cm. I'm 47 and I also happen to have another condition called the right bundle branch block. Should I be concerned about this?

[@Thekeyholeheartclinic]

Have you had an echo scan to look at your heart valves?

[@toyalasha5421]

I'm 44 . I had a heart attack 6/16/23. My aorta indexed diameter is 4.5 cm

[@Thekeyholeheartclinic]

Aortic valve normal?

[@toyalasha5421]

@@Thekeyholeheartclinic yes