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Ascending Aortic Dilation - Ascending Aortic Aneurysm

Aortic Aneurysms | Last Active: May 21 3:32am | Replies (261)

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@bryanfox

I was diagnosed in August 2019 with an ascending aortic aneurysm, measured at 4.2-4.3cm via CT scan and confirmed by a vascular surgeon and two cardiologists. Last week, I went back to recheck and see if there had been any growth. I opted for an MRA to avoid the radiation, and because the cardiologist said it would provide the same accuracy. The imaging showed that the aneurysm was/is now 3.9cm, which is great news, but also somewhat implausible, because everything I've read and heard from doctors is that these do not shrink on their own. I did start medication for hypertension after the initial diagnosis (olmesartan) last year, and my BP is now normal, but it wasn't dangerously high before (peaking at 140/90 last year). That's the only medication I am on, and there haven't been any other major lifestyle changes.

Is there a possible reason for this disparity in imaging results? I'm cautiously optimistic, but also confused.

Thanks

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Replies to "I was diagnosed in August 2019 with an ascending aortic aneurysm, measured at 4.2-4.3cm via CT..."

Hi, I think you are right about the aneurysm not shrinking. However, the measurements you have had are all pretty close and the different tests and different technicians can result in different numbers. The most important factor is to determine if the aneurysm is growing and if so, at what rate. My ascending aortic aneurysm has been at about 3.9 - 4.1, depending on the test, for years and years. I am hopeful I will never need surgery. The aneurysm no longer controls my life but I am careful about what kind of exercise I do and how much I lift. I too have high blood pressure, controlled with meds. I wish you good health and a stable aneurysm.

Donna

Hi, @bryanfox - I wanted to let you know I have moved your post here to this discussion called "Ascending Aortic Dilation - Ascending Aortic Aneurysm" so that you can talk with others who have had a similar situation. Hoping that @cobweb @hopeful33250 @dixitworld @rory and others will return to this discussion to respond to your question about MRA vs. CT scan in measuring ascending aortic aneurysm.

Have you gotten the chance to ask your doctor specifically what he or she thinks about the disparity in your imaging results?