5.8cm thoracic aorta aneurysm

Posted by komara @komara, Nov 3, 2025

Hi I have 5.8cm thoracic aorta aneurysm and I haven't to see cardiologist again for 1 year ,he didn't mention if I will be getting it monitored

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Profile picture for jdssunflower @jdssunflower

@houston13
Thank you. Im still waiting for a CTA in 6wks. Then will have to find a good thoracic surgeon.
Im having a problem with me BP being high every morning. Usually 185/92. I take Losartan 50mg at bedtime and 50mg in am. It does go down in daytime to 135/83. Just wonder if Amlodipine would keep it down overnight?

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@jdssunflower I am on amolodipine/valsarton 160/5mg works very well ask your cardiologist

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My PC said I can't take Amlodipine because I'm on Diltiazem 240mg. Can't use together I guess. She wants me to try taking the 100mg of Losartan at night and my Diltiazem in the morning. Hope that'll work.

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My husband has a 4.7 aaa and is monitored every 5 months. If it reaches 5 then something will be done . His vascular dr( surgeon)
Also suggested he take a cholesterol pill even though his cholesterol is fine. He says it takes the strain off the arteries. He explained in dept but i cant remember his exact words.
I would ask more questions. In my opinion your 5.8 should be monitored much more closely.
God Bless

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I strongly recommend getting making an appointment with another cardiologist ASAP. All aneurysms require monitoring.

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Komara.
That was 10 months ago. Are you still with us? How about an update. Am anxious to hear if you have found a new cardiologist. The one who you described sounds like he knows little or almost nothing about cardothoracic aorta's. With a 5.8 cm ascending thoracic aorta aneurysm you should definitely be seeking a thoracic aorta surgical specialist or a cardiovascular surgeon. You did not mention whether your aneurysm was ascending or descending. It makes a huge difference. A descending aorta or a abdominal aneurysm is usually smaller when the surgeons want to intervene with surgery. Insist on a CTA or Cat Scan with iodine contrast. I was diagnosed with a 4.2 ATAA and a Root at 4.5cm with imagine of an ultrasound. They are not accurate. Today, after a Cat Scan with contrast, the imaging doctor's report stated that my aorta is mildly dilated and far from an aneurysm. Good luck.

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Profile picture for houston13 @houston13

@jdssunflower with a 5.8 cm aneurysm controlling your BP should be a priority, I recommend you get your cardiologist to address it ASAP, a cardiologist should be able to work with you and recommend the right combination of medications that will get you there, everyone is different so getting medication recommendations form this forum should be taken with a grain of salt, you need a Dr that knows your whole physical condition, your average should be around 130 or less systolic.

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@houston13 believe I've got the BP under control. Dr. Switched the nighttime dose to Losartan 100mg. My new problem is an ultrasound showed a blood clot in the radial artery of my wrist. Wouldn't blood thinner s be contraindicated because of the aneurysm?

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Profile picture for jdssunflower @jdssunflower

@houston13 believe I've got the BP under control. Dr. Switched the nighttime dose to Losartan 100mg. My new problem is an ultrasound showed a blood clot in the radial artery of my wrist. Wouldn't blood thinner s be contraindicated because of the aneurysm?

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@jdssunflower I’m not a Dr but in my mind a blood thinner would be a problem if you have a dissection/rupture and at that point with or without the blood thinner, the situation is dire. Controlling your BP helps protect your aneurysm up to a point. But the clot is an immediate problem that can turn critical so whatever it takes to solve that issue. Again a good experienced cardiologist should be able to help you get answers and the right treatment and priorities based on all those factors.

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