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Heart & Cardiology/Thoracic aortic aneurysm


Would you recommend surgery to at this point to relieve the aneurysm? The ascending aorta is dilated to 4.7cm . The anterior aortic arch measures 3.9cm . More focal dilatation of the posterior aortic to 5.15cm tapering rapidly to a diameter of 3.5cm at the superior descending aorta and 2.5 cm distal thoracic aorta. Aneurysm of proximal subclavian artery having a maximum diameter of 3.26cm . No dissection . Prostatic aortic valve . Rounded apparent filling defect involving the junction of Ivc and right atrium having a diameter of 2.5cm .This could relate to thrombus or flow of contrast versus postoperative change. May consider cardiac ultrasound evaluation . This is just beneath the aortic valve. Normal pulmonary arteries. Aortic valve replacement in sept.04, mechanical valve , blood thinner taken daily.


This is a question that would require a lot more information to answer, are you asking as a second opinion or as a first one, also i would need to see the ct scan, assess the measurements, see the nature of the focal dilatation,  and understand your clinical picture better to make a true determination and offer decent advice. A lot also depends on the difference between dimensions on serial scans. What was the opinion of the surgeon you saw, i may be able to help you with what questions to ask,

hope that was helpful,  

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Mustafa Ahmed MD


Cardiology, Interventional Cardiology, Cardiac Surgery, Hypertension, Pulmonary Embolism, Structural and Valve Disease


Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology


Multiple Publications In High Quality Peer Reviewed Journals. Internationally Recognized.

MD from The Royal Victoria University of Manchester, England Medicine, Cardiology, Interventional Cardiology, Research Training - University of Alabama

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