1. < Aortic Aneurysms

Help Understanding First/One-year Size Monitoring Scan

Posted by bitsygirl @bitsygirl, Apr 12 12:51pm

I am looking for some input on the measurement of an ascending aortic dilation/aneurysm. Long story short of the measurements:

First measurement was a calcium CT. 4.5 cm
Second measurement was coronary CT angiogram (for other reasons): 4.3 cm (just a couple of months after the calcium CT)
First follow up scan almost exactly one year after the calcium CT: 4.7 w/o contrast. 4.5 w/contrast.

I know there is some error in the scans. I am a little overwhelmed trying to pin it down. Does anyone know if there's any chance this thing has not grown or is under 4.5cm?

Thanks!

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fjc1962 | @fjc1962 | Apr 23 7:15am
In reply to @smarsili "I had a sinus of valsalva aneurysm, between where the aorta meets the heart and just..." + (show)
@smarsili

I had a sinus of valsalva aneurysm, between where the aorta meets the heart and just below the coronary artery.
It measured 5.2cm for over a year with no change. I elected to have surgery because there were 2 threats, rupture and if it grew any it may pinch the coronary artery and cause a heart attack.
Once in to correct the problem the surgeon noted it was larger than originally discussed.
It has been 5+ weeks now and I am starting to get back to my normal routine, feeling better and stronger everyday.
It is a process, but I am very happy that I did this.

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Congratulations on your successful surgery. What a relief that must be for you. I can only pray for that outcome. Where did you choose to have your surgery performed? God bless!

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1 reply
mdw100 | @mdw100 | Apr 23 12:07pm

My doctor said that 2to 3 cm is not a big deal in margins error with the scans or tests. I have had the same for many years, lost count and started at 4:2 and now it’s at 4:5 in last check but not worrying. My momma has had an aneurysm in her brain started when she was in her 70s now she’s 93 and still alive. Just love life and leave the rest to God. “All the days ordained for you was written in His book before one of them came into being”. Psalm 139:16

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smarsili | @smarsili | Apr 23 2:35pm
In reply to @fjc1962 "Congratulations on your successful surgery. What a relief that must be for you. I can only..." + (show)
@fjc1962

Congratulations on your successful surgery. What a relief that must be for you. I can only pray for that outcome. Where did you choose to have your surgery performed? God bless!

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I had my surgery done at Mayo Clinic in Phoenix. Very thorough, and very professional

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fjc1962 | @fjc1962 | Apr 23 2:55pm

Thanks for sharing that information. So good to hear. I’m seeing a surgeon at Mayo Clinic in Florida. But, I was wondering if I should have a consultation at Cleveland Clinic before I have to make the decision.

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