← Return to Exercise, Lifestyle and Life Experience with Dilated Aorta?

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Just some experience to share on athletic activity:
I have, for most of my adult life been a bicyclist. My ability to stay active varied over the years depending on other pressing issues in life.

After Covid came along in 2020, I started to focus on it again. So in the summer of 2022 following what I believed was an uneventful stress test, I had a call from my cardiologist urging me to come in promptly for an exam and what he described was ‘probably a stent’.
Instead he found a badly calcified bicuspid aortic valve…. Accompanied by what he described as ‘mild dilation’ (4.9 cm) of the aorta at the ascending arch.
Given the … apparent lack of concern over the dilation. I thought a TAVR to fix the valve looked really far preferable to open heart surgery.
An older surgeon saw me first and wanted to repair the artery.
A younger surgeon who had a lot of experience with TAVR’s felt the dilation (or aneurysm if you want to call it that) thought it was manageable. I did the TAVR on Friday and was driving and doing errands on the following Tuesday.
We agreed I would have regular exams on the condition of my aorta on at least an annual basis.
Although I felt fine, I was nervous going back to cycling.
I resumed it after about six months. At the annual exam, my aorta had actually shrunk (only a tiny amount to 4.8, but any is good). At two years, it was 4.6. After the second year of good measirements, I really have started putting my heart into cycling… no pun intended. I sprint and climb mountains… and my cardiologist cheers me on. At three years, my cardiologist thinks there was a measurement error… at 4.1. cm. Maybe so, but it certainly doesn’t seem to be getting worse.

I have, for the most part, quit worrying about exercising and the aneurysm at this point. I have some concern about how long my artificial valve will last… hammering it as I do. They are, however stackable.
My cardiologist says that keeping the heart strong by exercise improves the chances of surviving an event (I.e., heart attack) because the coronary arteries become cross-connected from athletic activity.

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Replies to "Just some experience to share on athletic activity: I have, for most of my adult life..."

@leonh That is amazing! Glad you can remain active. Were these measurements taken by echo? From all I’ve read there can be differences in measurement between echos if being read by different people. Your’s seems to definitely indicate a downward trend. Have you had a CT? I am glad you are hitting it. I have reduced my weightlifting dramatically, no running, and biking somewhat, but keeping myself in zone two until I see a cardiologist. My root is 4.3 cm. Second measurement by echo, the first being 4.0 in 2018 and this recent one last month.