Newly Diagnosed: 4.9 cm ascending aortic looking for support

Posted by lmcfarland @lmcfarland, Dec 13, 2025

I am so thankful to have found this forum! Four days ago, I had a heart scan to see if there was any plaque. Everything was good that way, but my doc called to share the news that I have a 4.9 cm ascending aortic aneurysm. I’m seeing a Cardiothoracic surgeon on Tuesday.
I have a list of questions for him, but would welcome any suggestions from this group.

I am very uncomfortable with a wait and see approach.

I’ve never been a smoker, no history of high blood pressure, cholesterol has been well managed, and no family history. I guess I'm just stunned.

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

jfmifka3 | @jfmifka3 | Jan 7 10:38am

In reply to @hopeseeker22 "At 4.5 since found 3 years ago. Stable. CT or CTA scans? Check me every 6..." + (show)

I've since learned that MRI, particularly with advance sequences such as 4D Flow, provides multiparametric evaluation without radiation exposure for those of us requiring repeat imaging every 6 months or every year. Did your cardiologist or cardiothoracic surgeon ever give you that option ?

delprice112 | @delprice112 | Jan 9 10:02am

In reply to @houston13 "@23997929 I had my surgery at the Texas Medical Center in Houston, and it could not..." + (show)

@houston13 Can you provide your surgeon's name? I am in Texas.

houston13 | @houston13 | Jan 9 11:10am

In reply to @delprice112 "@houston13 Can you provide your surgeon's name? I am in Texas." + (show)

@delprice112 of course my surgeon was Dr Anthony Estrera, wonderful surgeon and person and my cardiologist Dr Siddharth Prakash an authority in aortic diseases, both work under UT Physicians , below a link to their bios:
https://www.utphysicians.com/provider/anthony-l-estrera/
https://www.utphysicians.com/provider/siddharth-k-prakash/

gamecock77 | @gamecock77 | Jan 20 1:08pm

I am in the same boat as you. 4.2cm. I am having an aortic angiogram soon before intervention decisions will be made. That will tell the tale on the extent of my plaque found in the left anterior artery (LAD) as well. Did your Dr. do that also?

houston13 | @houston13 | Jan 20 2:02pm

In reply to @gamecock77 "I am in the same boat as you. 4.2cm. I am having an aortic angiogram soon..." + (show)

@gamecock77 in my case I did have an angiogram, that is standard procedure (should be done always) they want to make sure there’s is nothing else to fix while they have you open.

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