Heart Disease Community
Dilated Aortic Root
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Dilated Aortic Root

I was recently diagnosed with having a dilated aortic root at 4.5cm.  Previous MRI said it was a dilated ascending thoracic aorta at 4.2cm.  I was also told I have aortic insufficiency.  I would like to know why two different descriptions and measurements?  Also, I have uncontrolled HBP (170/110) I try taking medication but I end up feeling sick.  When I don't take them I feel fine.  However for the past few months, I keep getting this burning kind of pain in my chest and shoulder/neck pain, accompanied by headache and nausea.  Anything I do around the house causes me to get lightheaded and very tired.  Is this all related? My stress test said something about ischemia.  I really don't understand all of this.  My legs and ankles get very swollen especially at night. I am very unruly and chances are I wont go back to see the cardiologist for a while.  Is this serious?
Related Discussions
6 Comments Post a Comment
Blank
367994_tn?1304957193
An aortic root greater than 4.0 cm is considered an aneurysm, and if and when it reaches 5.0 cm there begins an assessment whether to operate or not.  The risk is a rupture.  Marfan disorder is a connective tissue condition that often effects the aorta valve (bicuspid) as well as the ascending aorta. The difference for root and ascending aorta are two different locations.  The root is close to the valve and the ascending aorta follows.

For a perspective:
•5 cm in non-Marfan patient
•4.5 cm in Marfan or other connective tissue disorder (Ehlers-Danlos or bicuspid aortic disease with severe aortic insufficiency)

•5.0 to 5.5 cm is the accepted range presently, in an average risk patient with no connective tissue disorder
•4.5 to 5.0 cm when severe connective tissue disorder is present
•5.0 cm when chronic Type B dissection is present
•6.0 cm in a high risk, morbid patient
Blank
Avatar_n_tn
Time to get your unruliness in check.  You have serious problems.  You need to see your cardiologist, pronto.  

You have two different measurements but sometimes the "ascending aorta" can also be a synonym for the aortic root.  So, like kenkeith said, the tests may be talking about two different points, which would explain why measurements are different.  But they could be talking about the aortic root, and if that's the case, then a difference of 0.3cm is not a big difference between tests - normal variation.

Read some of my old posts by clicking on my screenname (about aortic root dilatation and ARB medication).  Hopefully you are not allergic to these drugs and they may be of some help to you in reducing the size of your aortic root without surgery.  If you want to know more from me, post a note to me.

Blank
Avatar_n_tn
If surgery is needed for aortic stem dilation, is it oen chest as it was when my aortic valve was replaced?  Does the artificial valve aggravate the issue?
Blank
Avatar_f_tn
Yes, it is open chest surgery.  If the surgeon has to work on the area where the valve is seated, he almost certainly will put in a new valve as part of the operation.  But these are questions that relate to the surgical plan, and they really should be addressed to the surgeon.  Only he can tell you exactly how he plans to repair your aneurysm.  Good luck.
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_m_tn
Blank
Occupant
IL
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar_m_tn
Blank
Paxiled commented on How much arsenic is i...
7 mins ago
11574110_tn?1419509307
Blank
IDev commented on photo
3 hrs ago
1806721_tn?1388096157
Blank
Pregnancy journal (14 weeks)
Dec 24 by Annie_777
Heart Disease Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
329165_tn?1412685860
Blank
Smiley2000
Australia
Avatar_m_tn
Blank
Occupant
IL