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Aortic Root Aneurysm treatment/ advice

Posted by trki @trki, Jan 19 8:01pm

I’m posting on my husband’s behalf. He is currently being treated for aggressive prostate cancer.

( had radiation and now on ADT medication) Age 74

He has been monitored by a local cardiologist since 2019, and more recently, this month , is being evaluated by a Cardio Oncology Specialist at Mayo, Arizona. ( where he is also being treated for his prostate cancer)

Echo 12/23/2019, Aortic root 3.9 cm

Echo, 02/03/2023 Aortic Root 4.0 cm

Echo, 08/21/2024, Aortic Root 4.6 cm

CT Chest, 08/27/2024, Aortic Root 4.5-4.6

Echo, 12/02/2024, Aortic Root 4.7 cm

Echo, 01/10/2025, Aortic Root 5.1 cm, also moderate to severe aortic valve regurgitation

CT Angiogram, 01/17/2025 Aortic Root 4.9 cm

He was put on Losartan 25 mg in August 2024, 1x daily, which was increased to 25 mg twice a day on 01/10/2025

His BP is still unstable, Systolic in the mid 130’s most of the time.

The new specialist has referred him for a genetic and vascular consults. Have not heard from scheduling yet. ( will call scheduling next week)
What else should we be doing , asking for?
The aneurysm has been expanding fairly quickly. We are very anxious

Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.

chrisn61 | @chrisn61 | 6 days ago
In reply to @trki "Thanks for responding. Are you comfortable sharing what Mayo has recommended so far?" + (show)
@trki

Thanks for responding. Are you comfortable sharing what Mayo has recommended so far?

Jump to this post

Yes. They are monitoring mine and will decide after my next measurement on next steps. It's 4.8 at the sinus of valsalva (aortic root) , 4.3 at the sinotubular junction, and 4.1 at my ascending aorta. They will consider surgery if mine reaches 5.0 because it may be something that runs in my family. My genetic test came back with none of the markers that they know about. However, I have an uncle, brother and first cousin who died prematurely and expectedly- no autopsies were performed so we don't know the exact cause of death. 2 were heart failures of some type, and my cousin was estranged so all we know is that he died at 61 suddenly and unexpectedly. Everything else about my heart is typical - and I have very good blood pressure. So they feel it's like something that is genetic rather than. because of stresses on my heart.

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trki | @trki | 6 days ago
In reply to @chrisn61 "Yes. They are monitoring mine and will decide after my next measurement on next steps. It's..." + (show)
@chrisn61

Yes. They are monitoring mine and will decide after my next measurement on next steps. It's 4.8 at the sinus of valsalva (aortic root) , 4.3 at the sinotubular junction, and 4.1 at my ascending aorta. They will consider surgery if mine reaches 5.0 because it may be something that runs in my family. My genetic test came back with none of the markers that they know about. However, I have an uncle, brother and first cousin who died prematurely and expectedly- no autopsies were performed so we don't know the exact cause of death. 2 were heart failures of some type, and my cousin was estranged so all we know is that he died at 61 suddenly and unexpectedly. Everything else about my heart is typical - and I have very good blood pressure. So they feel it's like something that is genetic rather than. because of stresses on my heart.

Jump to this post

Thanks for sharing.
We don’t know yet for sure from MAYO at what diameter they would recommend surgery. We just asked for a surgical consult.
I would guess though, since his aortic root aneurysm is 4.9 ( January 2025)and was 4.0 in 2023, that they would discuss surgery at 5.0 due to the fairly quick growth, and the moderate to severe aortic valve regurgitation .

His family history of heart disease is not complete, since his father was adopted….his dad did have a heart attack though.

His blood pressure has been pretty unstable since 2023 after he started treatment for aggressive prostate cancer…just recently has been more stable with two meds.

It will be interesting to hear what Cleveland Clinic recommends for you!

Best of luck!

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