I was diagnosed very recently that my aorta was enlaged

Posted by concern @concern, May 14 10:22am

Just by chance l had CT scan done for another issue. But when the results came back it showed l had a borderline descended aorta size 4.5 cc. Not sure what that means. I'm scheduled to see a cardiologist. I'm 63 never really had any serious heart trouble. But I'm concerned about this. Can someone please explain this to me.

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@concern

Thank you for the encouraging words. I know there's a lot of people dealing with sickness and medical issues of their own. I'm just one of many.
Take care

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I think it helps us all when we help you. Sure, we have opinions, some of them different.
But when you put your question up, you are the most important person right now. And we respond to you in this moment.
Happy to have my little boat bump into yours for a short time, maybe we sail together and maybe you bump into someone else and share your experience with them.
We sail as a mighty fleet, together as one.

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It’s such a common occurrence especially as we get older , doctors I think tend to be not worried about it until it reaches 5.0 I have had a 4.2 arotic
root for years l truly don’t believe any doctor has brought it up to me , including cardiologist and electrophysiologist I’m now seeing for heart rhythm issues afib, pvc’s pac’s tachycardia to mention a few so it’s not surprising if you truly lack any heart issues a doctor might not be concern Second the fix for it is open heart surgery So keep an eye on it do some research make sure you find seasoned cardiologist Good health

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With descending aortic aneurysms, you may have the advantage of endovascular surgery which is much easier than open surgery. Keep us posted!

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@relax2

It’s such a common occurrence especially as we get older , doctors I think tend to be not worried about it until it reaches 5.0 I have had a 4.2 arotic
root for years l truly don’t believe any doctor has brought it up to me , including cardiologist and electrophysiologist I’m now seeing for heart rhythm issues afib, pvc’s pac’s tachycardia to mention a few so it’s not surprising if you truly lack any heart issues a doctor might not be concern Second the fix for it is open heart surgery So keep an eye on it do some research make sure you find seasoned cardiologist Good health

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I agree 100 percent that in general an aneurysm below 5.0 is not something to panic about. And it is a very manageable issue if you work with a cardiologist who specializes in aortic disease and you follow their advice. However, according to Cleveland Clinic (see link) thoracic aortic aneurysms occur in only about .01% of the population - so they are not common and it’s important to be working with specialists who know how dangerous these can be if not monitored regularly.
https://my.clevelandclinic.org/health/diseases/17552-aorta-thoracic-aortic-aneurysm

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@chrisn61

I agree 100 percent that in general an aneurysm below 5.0 is not something to panic about. And it is a very manageable issue if you work with a cardiologist who specializes in aortic disease and you follow their advice. However, according to Cleveland Clinic (see link) thoracic aortic aneurysms occur in only about .01% of the population - so they are not common and it’s important to be working with specialists who know how dangerous these can be if not monitored regularly.
https://my.clevelandclinic.org/health/diseases/17552-aorta-thoracic-aortic-aneurysm

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Can l get your opinion about this. The reason I'm stressing probably more than l should is l have not had an echocardiogram or any test since my CT scan on February 14 2025. My number then according to the CT was my aorta was 4.5 cm. Prior to this l had my annual echocardiogram in July 2024 and my number was 4.0 cm. In only 7 months it has enlarged by .5 cm. That doesn't seem normal. Do you think that is a normal rate of enlargement. Now it's May and l have not been tested again. I'm worried it has enlarged more over these last few months. Anyone please give me an option.

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@concern

Can l get your opinion about this. The reason I'm stressing probably more than l should is l have not had an echocardiogram or any test since my CT scan on February 14 2025. My number then according to the CT was my aorta was 4.5 cm. Prior to this l had my annual echocardiogram in July 2024 and my number was 4.0 cm. In only 7 months it has enlarged by .5 cm. That doesn't seem normal. Do you think that is a normal rate of enlargement. Now it's May and l have not been tested again. I'm worried it has enlarged more over these last few months. Anyone please give me an option.

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Remember you are referencing two measurements taken by two different methods, read by different people, you would be surprised how much measurements vary. More than likely your dilation has not grown by .5. That is why it is so important to establish a baseline and get periodical measurements done in a consistent manner to determine a more accurate growth rate. Again, an aortic disease specialist would recommend the most accurate method and establish the frequency of follow ups.

I know it is hard not to think about this, and get anxious about the info you have, but the right Dr would give you the best answers

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@houston13

Remember you are referencing two measurements taken by two different methods, read by different people, you would be surprised how much measurements vary. More than likely your dilation has not grown by .5. That is why it is so important to establish a baseline and get periodical measurements done in a consistent manner to determine a more accurate growth rate. Again, an aortic disease specialist would recommend the most accurate method and establish the frequency of follow ups.

I know it is hard not to think about this, and get anxious about the info you have, but the right Dr would give you the best answers

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100% agree with this post! Echo’s and CT scans can sometimes be a bit like comparing apples and oranges. Are you being treated at a high volume aortic specialty center?

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I did find another cardiologist that's in a large group. I was lucky to get an appointment on Monday 19th. I didn't get a chance to ask exactly what he mainly treated. But hopefully he can at least evaluate me and if he's not what l need maybe he would recommend the specific cardiologist l need for my situation. God is the great physician and l believe he will put me with the right person that can help me. I know God is in control I just have to keep my faith strong .
I just want to say thanks to everyone who has replied to me. It does help talking with people who have been through this or currently going through it.

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@relax2

It’s such a common occurrence especially as we get older , doctors I think tend to be not worried about it until it reaches 5.0 I have had a 4.2 arotic
root for years l truly don’t believe any doctor has brought it up to me , including cardiologist and electrophysiologist I’m now seeing for heart rhythm issues afib, pvc’s pac’s tachycardia to mention a few so it’s not surprising if you truly lack any heart issues a doctor might not be concern Second the fix for it is open heart surgery So keep an eye on it do some research make sure you find seasoned cardiologist Good health

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I’m in a similar situation with no risk factors. If yours is growing, have you evaluated for risk factors- high BP, triglycerides, cholesterol, medications and even type of exercise…. ? Definitely need a cardiologist with experience as well as empathy and compassion as these do create anxiety … Mist I’ve spoken with have been awesome.

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@houston13

Remember you are referencing two measurements taken by two different methods, read by different people, you would be surprised how much measurements vary. More than likely your dilation has not grown by .5. That is why it is so important to establish a baseline and get periodical measurements done in a consistent manner to determine a more accurate growth rate. Again, an aortic disease specialist would recommend the most accurate method and establish the frequency of follow ups.

I know it is hard not to think about this, and get anxious about the info you have, but the right Dr would give you the best answers

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I finally got into see an experience cardiologist Monday 19th. Got an echo done that day results back showing 4.0 cm. But my CT scan done in the hospital in February 2025 showed 4.5 cm ascending aorta. Now I have to wait a month until l can get scheduled for another CT scan. He doesn't feel it's urgent. The nurse l spoke to said the CT scan number was more reliable.
At the rate it's growing l hope nothing will happen until l can get checked again June 19 it's kind of scary not knowing. Any advice I'm really stressing over this.

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