What Your EP never told you: AF and TAA (Thoracic Aortic Aneurysm)

Posted by thisnthat @thisnthat, May 4 5:26pm

I’m going to bet your EP never warned you about a hidden risk you have as an AF patient: an elevated risk for developing a dilatation of your thoracic aorta. And as a result, a higher incidence of it also occurring in the aortic arch. The danger lies in the possibility of the aorta enlarging to the point where it my rupture or dissect, with catastrophic results.
Although I had a successful catheter ablation in 2020, a recent lung CT revealed the growth of my ascending thoracic aorta from 3.5 cm (2020/2021) to 3.8 cm (2022/2023), and now 4.1 cm. It seems there is a common pathway for the development of atrial fibrillation and a tendency to develop an enlargement of the thoracic aorta. Although my AF is in check, apparently the underlying issues continue unabated.
Right now the dilatation is considered ectatic, and not yet aneurysmal, but once it hits 4.5 cm, it is a TAA. There are specific guidelines as to when to intervene, depending on various factors, such as underlying connective tissue disorders, family history, other health issues, and rate of growth. (I believe growth more than .5 cm/year or .3 cm/more in consecutive years are red flags.)
I am not a medical professional. I just found this out on my own, researching the possible links between AF and TAAs.
Worth a talk with your cardiologist.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

https://academic.oup.com/cardiovascres/article/118/4/e32/6550217
What I get from this is that the AF must be a current, ongoing, and possibly co-adjunct disorder or disease with at least valve disease and/or atherosclerosis. So, the cited reference says more must be done in the way of research to establish the relationship.

To me, the risk of all kinds of subsequent disorders and conditions falls when the AF is controlled, either by drugs or by catheter ablation. What people should take from this is that, once you have AF, it's likely to progress, but it's also likely to bring on other undesired conditions. If you'd like to minimize your personal risks of such evolution, seek medical intervention EARLY! AF is more intractable the more it is left untreated. Get medical intervention before it progresses to more advanced forms and before it compromises the rest of the heart.

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Can someone tell me how to edit the title of my post? It should read: …”(Thoracic Aorta Aneurysm)”, NOT …“(Thoracic Ascending Aneurysm)”. Sorry for the mistake!

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@gloaming

https://academic.oup.com/cardiovascres/article/118/4/e32/6550217
What I get from this is that the AF must be a current, ongoing, and possibly co-adjunct disorder or disease with at least valve disease and/or atherosclerosis. So, the cited reference says more must be done in the way of research to establish the relationship.

To me, the risk of all kinds of subsequent disorders and conditions falls when the AF is controlled, either by drugs or by catheter ablation. What people should take from this is that, once you have AF, it's likely to progress, but it's also likely to bring on other undesired conditions. If you'd like to minimize your personal risks of such evolution, seek medical intervention EARLY! AF is more intractable the more it is left untreated. Get medical intervention before it progresses to more advanced forms and before it compromises the rest of the heart.

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Thank you, gloaming, for your excellent summary! The linked article is one which I had also read. I would like to point out that I had my ablation within 5 months of diagnosis of PAF and AFL, and did not have most of the traditional markers that predispose one to AF. I did pretty much all the right things, and still the underlying problems seem to have progressed! ☹️

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I suspect they'll find a hidden genetic component in time, maybe not leading to an aneurysm, but that can expedite one if there are other cardiac comorbidities. We keep finding, as time goes on, that few factors are in-and-of-themselves sufficient to cause an undesired condition. Instead, there is at least one other co-factor, sometimes two or more. Diabetes is one such impairment. COPD factors often....too often. And so on...

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@thisnthat

Can someone tell me how to edit the title of my post? It should read: …”(Thoracic Aorta Aneurysm)”, NOT …“(Thoracic Ascending Aneurysm)”. Sorry for the mistake!

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At the bottom right hand corner of your post there are 3 little dots ...
If you put your cursor over that it will give you drop down menu with and "edit this post" option. Click on that and it gives you a "live" post which you can edit.

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Thanks, harveyw. I dd try that yesterday, and just now. When I click on the three dots, all that pops up are:

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No “edit this post” option.
Computer glitch — or am I still doing something wrong?

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On most forum platforms across the www, you are not permitted to edit any part of your post once at least one other person has replied to it. So, I post, someone comes along and clicks 'Reply' directly under my post, and the server/software automatically precludes me from going back after that reply and changing anything. If nothing else, it saves accusations on both sides during a testy exchange of some judicious...ummm....fudging.

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Thanks, gloaming! It pays to recheck one’s post, I guess!!! Live & learn!

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Been there, friend. Been there. LOL!

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@thisnthat

Thanks, gloaming! It pays to recheck one’s post, I guess!!! Live & learn!

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Hello @thisnthat, I updated your discussion title. @gloaming is correct that after a brief window, you are not able to edit your posts. It is for continuity and keeping an accurate history.

However, if you make a mistake and realize it later, you can report a comment to the moderators by clicking on the three dots in the bottom right corner of the post, then "report comment" and you can add a note to the report.

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