What is the correct cm in thoracic aorta ansersym to have surgery

Posted by steffe @steffe, Mar 24, 2025

Hello I'm 55 was diagnosed with a thoracic aorta ansersym 3years ago. I don't know how I got it. I don't smoke. When going to a cardiologist at a good hospital he said 6cm was surgery and I am 5.5cms . I have read several websites on surgery they say the cms I am now I should have had surgery . But the Dr says don't worry come back in another 2years. Well I decided to find another opinion. What do you think I'm lost on this I don't have any family left to help me with decisions.

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Profile picture for raymond65 @raymond65

@jdfiii mine was found at 4.2 and I was told I could continue weight lifting as usual with annual monitoring. That was two years ago and I am now at 4.5 and I’m waiting to find out if I can continue to weight train or not. I’m really hoping I can because I have loved it my whole adult life and not getting to weight train is going to be tough on my psyche. I just turned 60.

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Profile picture for houston13 @houston13

@raymond65 of course, my cardiologist is Dr Siddharth Prakash (look at the video I posted earlier in this thread) who is a well known authority in aortic diseases, all his research is related to aortic diseases, aneurysms, etc. I feel lucky to have him as my cardiologist. My surgeon was Dr Anthony Estrera, also one of the best cardiothoracic surgeons in Houston, a fantastic surgeon and person, both are part of UT Physicians.

At 4.5 I would get with Dr Prakash first since you’re still not near critical size.

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@houston13 thank you 🙏

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I was ar Mayo for a prostatectomy and with a newly diagnosed 4.5 cm ascending aorta I was advised to monitor ever 6 months to establish a growth rate.

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