aortic root aneurysm after EECP

[al1953]

55 y/o WM 5’11” 205lbs. 10/07 echo Mayo: aortic annulus 28 mm, sinus of valsalva 42 mm, prox ascending AO 33 mm, distal ascending AO 34mm. mild MVR, aortic valve sclerosis no stenosis no regurg. 5/08: MDCT cardiac scan showed “normal ascending aorta” patent coronaries. 06/08: underwent EECP with diagnosis microvascular ischemia. 09/08; echo stress test was excellent with no ischemia and I went 11 minutes. 12/08: echo with local cardiologist showed aortic root aneurysm of 4.4 cm. 12/18/08 abdominal ultrasound: 3.03 cm. ectasia. 12/22/08: return to Mayo Jacksonville. EKG, blood work  and CT w/o contrast of chest to evaluate aneurysm. F/U visit Mayo 01/05/09 for results. Are sinus of valsalva finding of 42mm in 10/07 and aortic root aneurysm of 44 mm in 12/08 referring to the same thing? Could EECP have contributed to the development of these findings? Will CT w/o contrast be good enough to reveal the aortic root dimensions. (have had mild rxn to dye in the past). Should I have a MRA? Should I repeat the echo at Mayo? The echos done locally are not well done. I am a jogger of 3.5 miles/day. Can I continue to run? BP controlled on Diovan 160 mg qd. Why did this not show up on MDCT in 5/08? What do you recommend? Thanks.

[kenkeith]

Al you may want to post that question on the doctors' forum.  They are associated with the Cleveland Clinic.