Help Understanding First/One-year Size Monitoring Scan

Posted by bitsygirl @bitsygirl, Apr 12 12:51pm

I am looking for some input on the measurement of an ascending aortic dilation/aneurysm. Long story short of the measurements:

First measurement was a calcium CT. 4.5 cm
Second measurement was coronary CT angiogram (for other reasons): 4.3 cm (just a couple of months after the calcium CT)
First follow up scan almost exactly one year after the calcium CT: 4.7 w/o contrast. 4.5 w/contrast.

I know there is some error in the scans. I am a little overwhelmed trying to pin it down. Does anyone know if there's any chance this thing has not grown or is under 4.5cm?

Thanks!

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@mustangsally67

Have you gotten and echo cardiogram. This can measure your aneurysm yoo

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@mustangsally67 Thanks for your reply. Yes. I had one around a year ago. It measured 4.1. There were some other measurements in the results that contradicted the coronary CTA significantly and for some other reasons I believe it is the least reliable. But my fingers are crossed! I’m glad that I’ll finally be able to talk to the surgeon at any rate.

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@upartist

Hang in there Bitsygirl! What does your husband's cardiologist say? He/She and team need to talk with you and your husband. Variations do occur among the imaging techniques. They should clarify your husband's status and lay out a plan. Peace of mind is extremely important.
🌸

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Thank you @upartist! Surprisingly my husband and I both have ascending aorta aneurysms. These are my measurements. I am usually the more optimistic about health concerns, but I am a little worried. I had seen a PA early on and he said that we could go over the scan results by phone since I live two hours away from their office. Less than two hours after the scan they called and arranged an appointment with the surgeon in a couple of weeks. So I am working to not worry. I imagine that the potential growth has just caught their attention and they will start taking a closer look. I found one mention in an article that implied .2cm might be in the margin of error.

Thank you for your support and advice. It helps!!

REPLY

Have you gotten and echo cardiogram. This can measure your aneurysm yoo

REPLY

Hang in there Bitsygirl! What does your husband's cardiologist say? He/She and team need to talk with you and your husband. Variations do occur among the imaging techniques. They should clarify your husband's status and lay out a plan. Peace of mind is extremely important.
🌸

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