Ascending Aortic Aneurism

[KathyMack]

I am 50 years old & was diagnosed 4 mos ago with a 4.1-4.5 ascending aortic aneurism by CT & TEE after having persistent chest/back pain, cough and hoarseness.  Had a normal appearing aorta per CXR 6 mos before diagnosis.  Have ruled out for Marfan's but have wound healing difficulties suggestive of Ehlers-Danlos.  No family hx of aneurisms.  Had rheumatic fever at age 13--now have mild mitral valve insufficiency.  BP 130's/70's on Toprol, Diovan & HCTZ.  Cholesterol & triglycerides slightly over 200--not being treated.  Ht 66 inches, wt 125 lbs, good physical condition.  Have been told by a cardiologist that I have no physical restrictions because of this condition, that I can continue to lift light weights (no definition of light) and to have a follow-up CT in 2 mos.  I am somewhat concerned that I am being under-treated for this aneurism, and would appreciate hearing what your treatment suggestions would be if I were a pt at the Cleveland Clinic.

Sorry this is so lengthy.  Thanks for your service.

[Wanda1946]

A related discussion, second accending  aortic aneurism was started.

[CCF CARDIO MD JMF]

Dear Larry,

Thanks you for your comments.  As you suggest, once an aneurysm gets to 5 it becomes important to consider repair.

[Larry]

Kathy Feb 5, 1999 had the very same thing as you have, only mine was 5.0 and was sent to Mayo immediately for removal and repair, seven days later was released and Iam still here to enjoy life, only with a mechanical valve and a Dacron graft.  Any questions or concerns please dont hesitate to ask on this forum, its excellent and the people are always willing to help. ***@****

[CCF CARDIO MD JMF]

Dear Kathy,
these aneurysms are followed with TEE, CT or mri and followed at this point.  Blood pressure control is key.  I might not recommend continuing weight lifting if you develope high BP with these lifting maneuvers. Very little would be different here at CCF at this point.  Please keep us posted on your progress.