You are here:

Heart & Cardiology/Thoracic aortic aneurysm

Advertisement


Question
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.

Answer
Hi,

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,  

Heart & Cardiology

All Answers


Answers by Expert:


Ask Experts

Volunteer


Mustafa Ahmed MD

Expertise

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

Experience

Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology

Organizations
http://blog.myheart.net

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

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

©2016 About.com. All rights reserved.