Ascending aortic aneurysm with connective tissue disorder

Posted by wyomingmiller208 @wyomingmiller208, Dec 25, 2022

I recently decided to go in for a physical to see if staying off my meds was a good decision.

I am 56 year male who has had 8 operations for torn tendons and ligaments from head to toe, in the last 16 years and have two more surgeries that need to be done. I tore my anterior tibial tendon walking on a treadmill. Typical an NFL type injury not something done when walking.

It turns out that my BP while in the office was 175 over 144. She wouldn’t let me leave until meds brought it down. My doctor sent me for an echo and it showed an LVEF of 65 along with an ascending aortic aneurysm of 4.5. My cardiologist sent me for a nuclear stress test which showed blockage of unknown degree in lower heart. I am currently doing a 2 week heart monitor and am scheduled for a CT this week and a heart cath the week after.

I am not overwhelmed but this has all come out of the blue. I am concerned about the potential of my connective tissue disorder with the potential of the aneurysm dissection.

Share with me any experiences that I should be aware & things to avoid. I have noticed that much stress at all can give me mild chest discomfort. Thanks for any advice you wish to share.

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

Profile picture for wyomingmiller208 @wyomingmiller208

Recovering well from heart cath to address the blockage in lower heart. Main arteries clear but small vessel disease is fairly wide spread. Three branches are between 60-90% blocked and one in addition to blockage had second aneurism. The blockage is at the junction of small vessels and main arteries, so it will require open heart surgery at some point. The aortic aneurism now measures 47 mm up almost three millimeters since first echo two months ago. Hopefully just more accurate measurements and not growing that fast.

I find myself doing the same things that have been mentioned. Every time my chest hurts or I have pains in belly or upper back I get nervous. I am at a loss as to what to do. My kids are being brave but are constantly watching me and listening to see how my breathing is and if I sound winded. It seems as though I now have two problems. The aneurism and the blockage which can’t be fixed with stents. So I wait to have a heart attack or the dissection of either aneurism. Live life like you were dying is more truth than ever. I love my life and know that Jesus Christ is the Savior of all. In the end those are the real things that matter, love of God and loving others.

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@wyomingmiller208 Looks like it’s been more than 3 years since you posted. Hopefully you got good answers and are doing well. Here’s my story. I’m a 63 year old woman. I started having spontaneous partial pneumothoraxes in 2005 that I thought was just a pinched nerve or a rib out of place. Imaging for the pneumothorax (someone finally listened to my lungs) in 2008 uncovered the ascending aortic aneurysm. Eventually I had a pleurodesis to “fix” the lung in 2009 after I had a particularly bad collapse. I’ve also had 3 hernia operations, a retinal tear, scoliosis, nearsightedness, sunken chest, and non-pregnancy related stretch marks. The neuroimaging of my spine was normal. I was sent to the University of Colorado Adult Medical Genetics Clinic for consultation in 2008 where I was evaluated for Marfans. The conclusion was that I had an “underlying connective tissue disease not otherwise specified” so I didn’t fit neatly into a box. The aneurysm had been stable at 3.8 cm since it was discovered. However, my most recent Echo shows it has grown larger to 4.1 cm. Originally I was told the magic number for me was 4.0 cm with the connective tissue disorder. I’m having a CT scan Friday to gather more precise measurements. It’s been a while since I’ve had one with contrast as I’m allergic so need to premedicate (steroids and Benadryl) to prevent a reaction. Not sure if size limits have changed in the last 18 years so I’m on pins and needles. Glad I found this support group. 🙂

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Profile picture for reavisco @reavisco

@wyomingmiller208 Looks like it’s been more than 3 years since you posted. Hopefully you got good answers and are doing well. Here’s my story. I’m a 63 year old woman. I started having spontaneous partial pneumothoraxes in 2005 that I thought was just a pinched nerve or a rib out of place. Imaging for the pneumothorax (someone finally listened to my lungs) in 2008 uncovered the ascending aortic aneurysm. Eventually I had a pleurodesis to “fix” the lung in 2009 after I had a particularly bad collapse. I’ve also had 3 hernia operations, a retinal tear, scoliosis, nearsightedness, sunken chest, and non-pregnancy related stretch marks. The neuroimaging of my spine was normal. I was sent to the University of Colorado Adult Medical Genetics Clinic for consultation in 2008 where I was evaluated for Marfans. The conclusion was that I had an “underlying connective tissue disease not otherwise specified” so I didn’t fit neatly into a box. The aneurysm had been stable at 3.8 cm since it was discovered. However, my most recent Echo shows it has grown larger to 4.1 cm. Originally I was told the magic number for me was 4.0 cm with the connective tissue disorder. I’m having a CT scan Friday to gather more precise measurements. It’s been a while since I’ve had one with contrast as I’m allergic so need to premedicate (steroids and Benadryl) to prevent a reaction. Not sure if size limits have changed in the last 18 years so I’m on pins and needles. Glad I found this support group. 🙂

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@reavisco I am well. I still get the emails with comments but have not made any for a while. First question who gave you the diagnosis of connective tissue disorder. I would desperately like to know what which field of medicine I would look to for that and what tests they would run. I have it but haven’t been diagnosed.

My aneurism has grown this year from a 4.7 to 4.9. I am having more trouble with the small vessels which I fear may be blocked worse. I take nitro more frequently than before.

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@wyomingmiller208 The CT scan yesterday showed no change in dimensions so big sigh of relief. With my frequent partial lung collapses, I was sent by my PCP to the University of Colorado Hospital in Denver in 2008 where I met several times with Dr. Michael Taylor, the Director of Adult Clinical Genetics. I was sent out for additional evaluation of my eyes and my spine to look for other characteristics know to be associated with Marfans. There was a lot of collection of family medical history. My two children had EKGs and Echocardiograms to rule out familial thoracic aortic aneurism syndrome. Hope this helps a little. With you being in Wyoming, a trip to Denver would be feasible?

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Profile picture for reavisco @reavisco

@wyomingmiller208 The CT scan yesterday showed no change in dimensions so big sigh of relief. With my frequent partial lung collapses, I was sent by my PCP to the University of Colorado Hospital in Denver in 2008 where I met several times with Dr. Michael Taylor, the Director of Adult Clinical Genetics. I was sent out for additional evaluation of my eyes and my spine to look for other characteristics know to be associated with Marfans. There was a lot of collection of family medical history. My two children had EKGs and Echocardiograms to rule out familial thoracic aortic aneurism syndrome. Hope this helps a little. With you being in Wyoming, a trip to Denver would be feasible?

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@reavisco
Sadly we have moved and are in Washington state. I would hate to have to go to Seattle. Too many drugs and literally marijuana everywhere.

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