Treatment FAQ

what is the treatment for a dilated aorta

by Johnathan Vandervort Published 2 years ago Updated 2 years ago
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Beta blockers. Beta blockers lower your blood pressure by slowing your heart rate. For people with Marfan syndrome, beta blockers may reduce how fast the aorta is dilating. Examples of beta blockers include metoprolol (Lopressor, Toprol-XL), atenolol (Tenormin) and bisoprolol (Zebeta).

Open-chest surgery.
Your surgeon removes a section of your aorta and sometimes the aortic valve and replaces the section of the aorta with a graft. The aortic valve may be replaced with a mechanical or biological valve. If the valve is not removed, the surgery is called valve-sparing aortic root repair.
Mar 5, 2020

Full Answer

What can I do to keep my aorta from enlarging?

Apr 09, 2020 · Once an aorta enlarges or dilates to 3.7 centimeters or greater, it may continue to dilate at an average rate of 2 millimeters per year, states HealthCentral. Therefore, dilated aortas should be monitored yearly. Once an aneurysm reaches 5.5 centimeters, surgical intervention is required. ADVERTISEMENT.

Does an enlarged aorta always mean surgery?

Methods: In recommending elective surgery for the dilated ascending aorta, the patient's age, the relative size of the aorta, the structure and function of the aortic valve, and the pathology of the aortic wall have to be considered. The indications for replacement of the ascending aorta in patients with Marfan's syndrome, acute dissection, intramural hematoma, and endocarditis …

How serious is an enlarged aorta?

Jan 09, 2018 · But with awareness, monitoring and proper care, aortic aneurysm treatment can be relatively simple — often with a minimally invasive procedure if surgery becomes necessary. To raise awareness of aortic aneurysms, also known as an enlarged aorta, Michigan Medicine vascular surgeon Jonathan Eliason, M.D., outlines the symptoms and risk factors.

What can be done for an enlarged aorta?

May 19, 2016 · For patients requiring open surgical repair of their aorta, a large incision is made in the abdomen to expose the aorta. Once the abdomen is opened, the aneurysm is repaired with a graft. Open repair remains the standard procedure for an abdominal aortic aneurysm repair. Bob Stephens, who had surgery for an abdominal aortic aneurysm, in 2013.

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How serious is a dilated aorta?

The dilated or aneurysmal ascending aorta is at risk for spontaneous rupture or dissection. The magnitude of this risk is closely related to the size of the aorta and the underlying pathology of the aortic wall.

What happens if you have a dilated aorta?

When the aortic root becomes dilated, this can mean the valve cannot fully close and the blood that flows out of the heart to the body can flow back into the heart as a result of aortic valve regurgitation.Jul 21, 2020

Is a dilated aorta an aneurysm?

In contrast, an aneurysm is defined as a localized dilation of the aorta that is more than 50% of predicted (ratio of observed to expected diameter ≥ 1.5). Aneurysm should be distinguished from ectasia, which represents a diffuse dilation of the aorta less than 50% of normal aorta diameter.

How do you live with a dilated aorta?

Living With Aortic AneurysmKeep a healthy weight or have a body-mass index (BMI) of less than 30. (Calculate your BMI).Keep your blood pressure controlled.Quit smoking, if you do. ... Be physically active. ... Keep your alcohol intake to at most 1-2 drinks a day.Aug 30, 2021

Can you live a long life with enlarged aorta?

Yes, you can live with an aortic aneurysm, and there are many ways to prevent dissection (splitting of the blood vessel wall that causes blood to leak) or worse, a rupture (a burst aneurysm).Oct 14, 2020

What foods to avoid if you have aortic aneurysm?

Popular foods that are bad for your aortic health include the following:Fatty meats, such as red meat.Fried foods.Refined, white carbohydrates.Sugary drinks, such as soda.Fatty oils, such as margarine and butter.Processed, packaged foods.High cholesterol foods.Full-fat dairy products.Oct 5, 2020

How common is dilated aorta?

66% of our patients were males and 34% females. 146 patients were found to have aortic dilatation. Therefore, the incidence of aortic dilatation was 6.8% in our study population. Conclusion The incidence of aortic dilatation in our hospital population of 6.8% was significantly higher than we expected.

What causes aortic dilation?

Progressive dilatation of the aortic root is caused by medial degeneration and destruction of the elastic and collagen fibers and can be also associated with high blood pressure, high stroke volume, and inflammatory diseases [14–17].

What causes an aorta to enlarge?

When the aorta is weak, blood pushing against the vessel wall can cause it to bulge like a balloon (aneurysm). A thoracic aortic aneurysm is also called a thoracic aneurysm, and aortic dissection can occur because of an aneurysm.Mar 5, 2020

Can you exercise with a dilated aorta?

It may be that jogging (or even brisk walking), rather than running, will be your best exercise. Heavy lifting is not recommended.Oct 24, 2016

What activities should be avoided with aortic aneurysm?

DON'T:Push, pull, bear down or lift anything heavier than 30 pounds (or 10 pounds for patients recovering from surgery).Get a tattoo or body piercing.Smoke (or be exposed to secondhand smoke) or use any other tobacco products.Shovel snow, chop wood, dig earth or use a sledgehammer or snow blower.Take illicit drugs.More items...•Mar 6, 2019

How do you stop an aortic aneurysm from growing?

To prevent an aortic aneurysm or keep an aortic aneurysm from worsening, do the following:Don't smoke or use tobacco products. Quit smoking or chewing tobacco and avoid secondhand smoke. ... Eat a healthy diet. ... Keep your blood pressure and cholesterol under control. ... Get regular exercise.

How many people die from an aortic aneurysm each year?

Each year in the United States, aortic aneurysms contribute to nearly 20,000 deaths. But with awareness, monitoring and proper care, aortic aneurysm treatment can be relatively simple — often with a minimally invasive procedure if surgery becomes necessary.

Is smoking a risk factor for an aortic aneurysm?

Smoking is by far the strongest risk factor for aortic aneurysm, even a remote history of smoking cigarettes or breathing secondhand smoke. Uncontrolled high blood pressure is also a risk factor, though far less than cigarette smoking. Hardening of the carotid or coronary arteries contributes as well.

What is an enlarged aorta?

If you’ve been diagnosed with an enlarged aorta, a condition affecting the main artery that carries blood from the heart to the rest of the body, you likely have many questions.

How big is the aorta?

The typical size of an abdominal aorta is 2.0 to 3.0 centimeters. An enlarged abdominal aorta is typically greater than 3.0 centimeters, but each patient is different. For patients requiring open surgical repair of their aorta, a large incision is made in the abdomen to expose the aorta.

What is a fenestrated endograft?

For those who don’t qualify for EVAR, the fenestrated endograft is a minimally invasive option for people with abdominal aortic aneurysms. The fenestrated endograft is inserted into the femoral artery through a groin incision, then guided through the blood vessel to the aneurysm.

Overview

Aortic root surgery is a procedure to treat an enlarged section ( aneurysm) of the aorta. The aorta is the large blood vessel that carries blood from the heart to the body. The aortic root is located near where the aorta and the heart connect.

Why it's done

Doctors perform aortic root surgery to prevent a burst aneurysm. They also perform it to prevent a tear in the inner layer of the aorta's wall ( aortic dissection ). They also do it to prevent the enlarged aorta from stretching the attached aortic valve.

How you prepare

Before aortic root surgery, your doctor may talk with you about the most appropriate treatment or surgery for your condition. Together, you will discuss surgery benefits and risks.

What you can expect

An ascending aortic root aneurysm procedure may be done in two ways. In aortic root replacement, your surgeon removes a section of your aorta and your aortic valve. The aortic section is replaced with an artificial tube (graft). The aortic valve is replaced with a mechanical or biological valve (bottom right image).

How to treat an aneurysm?

If it's less than 5 centimeters, or 2 inches, your doctor might try to treat it with medication first. They might prescribe drugs, such as beta blockers and calcium channel blockers to lower your blood pressure and relax your blood vessels.

What to do if an aneurysm is growing?

If your aneurysm continues to grow and if you have symptoms, like chest, back, or jaw pain, your doctor may decide to perform surgery on you to remove the bulge.

Where can an aneurysm be found?

An aneurysm can be in your chest or in your abdomen. Most of the time they’re found by accident when your doctor is checking your heart or chest for something else. They might detect a large throbbing mass in your abdomen that feels very painful, or they may hear an unusual sound when they listen to your abdomen with a stethoscope.

How long after aneurysm can you get a CT scan?

Usually, you'll have an echocardiogram, CT or magnetic resonance angiography (MRA) scan at least six months after your aneurysm is diagnosed, and at regular follow-up exams. How often you have these tests done depends on the cause and size of the aneurysm, and how fast it's growing.

What is the best medicine for high blood pressure?

These medications could include: Beta blockers . Beta blockers lower your blood pressure by slowing your heart rate.

Why do you need contrast on a CT scan?

A dye, called contrast, may be injected into a vein to help your arteries be more visible on the images. One downside of the use of a CT in detecting and following aortic aneurysms is the exposure to radiation, particularly for people who require frequent monitoring, such as those with Marfan syndrome.

What is the purpose of echocardiogram?

Echocardiogram. An echocardiogram uses sound waves to capture real-time images of your heart and the ascending aorta. This test shows how well your heart chambers and valves are working. It may be used to diagnose thoracic aortic aneurysms and screen family members of those with thoracic aortic aneurysm.

What is the purpose of MRI?

Magnetic resonance imaging (MRI). An MRI uses a magnetic field and radio waves to make pictures of the body. MRI may be used to diagnose an aneurysm and determine its size and location. In this test, you lie on a table that slides into the tunnel (magnet).

Can you repair an aortic aneurysm with endovascular surgery?

After endovascular surgery, you'll need to have regular follow-up imaging scans to ensure that the graft isn't leaking. Emergency surgery. Although it's possible to repair a ruptured aortic aneurysm with emergency surgery, the risk is much higher and there is a greater chance of complications.

Can you lift heavy if you have an aortic aneurysm?

If you've been diagnosed with a thoracic aortic aneurysm, your doctor will likely advise you to avoid heavy lifting and some vigorous physical activities, as these can increase blood pressure, putting additional pressure on your aneurysm.

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