3.98 Aortic Root and scared.

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craig10
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Date Joined Feb 2010
Total Posts : 117
   Posted 5/24/2012 4:47 PM (GMT -6)   
I am a 56 y/o male. 6'3" 178, low bp always about 110/80 or so. No cardiac or major health issues. I am mostly vegan for the last 2 years and never smoked.
 
I went for a baseline echocardio stress and the doc found....trace regurg from all valves I think, and a 3.98 root. I am seeing him later today to chat about all of this. I have no symtoms other that the occaisional extra heart beat that I have had for decades.
 
I think he is going to tell me about watching/waiting and maybe another scan to check the rest of the aorta. Do these things always grow? Like everyone else here I feel pretty scared. Is 3.98 a huge concern? I read somewhere that iit could almost be in the upper range of normal?
 
Sjhould I get a second opinion?
 
Anyone know a great cardiologist in the Southern Cal area? I don't know how great mine is?
 
Thanks-- Craig10

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 5/24/2012 10:21 PM (GMT -6)   
OK--- I met with my cardiologist today-- he said it was a miild dilitation and that the regurgitation was only a trace and that my ticker was all good in every other aspect of the stress echo---- net step a CTA scan of the entire aorta to rule out an aortic anuerism.

Anyone out here think I am on the right track? Should I get a second opinion?

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 5/24/2012 10:55 PM (GMT -6)   
one last question--- My dr. is advises I get a ct of the aorta--- I have had 2 other ct's in my life--- is this too much radiation? Should I aslk for an MRI ?
age 55, married, kids and grandkids
2008 psa 4.7
2010 psa 5.5
biopsy 2-10 -- 3 of 12 samples positive ca 60% 25% and 20%
perineural invasion not seen
location rt apex
3+4=7
negative prostascint/mri fusion for ca in body scan, pelvic scan, and neg scan in pelvic lymphs or vas def's bi-lat
DaVinci rp on 3-15-10 city of hope
Dr. Kawachi
nerves spared both sides
biopsy-- clean margins, organ confined, no capsule penetration
clean vas def and lymphs
10% total involvment
Catheder out 7 days later, 4 pads for 2 days, then 3 pads a day for a week or so
now no pads at night and one in the day trying only when i go out...getting better all the time...ED--- 50 mg viagra per day-- slight stirrings at this point, maybe a semi erection or two--- good feelings there though-----
One month psa---- undetectable... less than 0.1

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 5/25/2012 11:14 AM (GMT -6)   
Hello and welcome.
 
If your Dr. feels you need a CT scan of the aorta I would tend to trust his advice. If you have had CT scans in the past remember that each scan exposes you to a different amount of radiation. 
 
Please know you can always call the radiologist at your facility to ask how much is to much when it comes to CT scans.
 
Kindly,
Kitt 
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.

www.healingwell.com

"Life is not about waiting for the storms to pass...
It's about learning how to dance in the rain."~ Vivian Greene

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 5/25/2012 11:51 AM (GMT -6)   
Thanks Kitt---  I have had one other ct scan in my life and maybe 2, I can't remember. I am radiation concerned. My doc says it's ok. I frankly don't know what to think. I will aksk the radiiologist as well....... 

jdiane
Veteran Member


Date Joined Jan 2003
Total Posts : 1157
   Posted 5/26/2012 8:11 AM (GMT -6)   
MRI is pretty standard for accurately measuring aorta root. For a typical person, surgical intervention of the aortic root isn't protocol until a 5cm. In congenital heart disease it's 4.5 cm. I have congential heart disease and just had my aortic valve replaced and didn't touch my aorta as it still only measures 3.9cm. It's scarey I know, but I would just watch it. If you begin to have symptoms, that's a different ball gall. Good luck.

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 5/26/2012 11:38 AM (GMT -6)   
thanks---- I read a paper from the journal of echocardiography that says depending on body surface area and age a 3'98 can be normal....I found a clevland clinic site that calcs body surface area and looked at the chart and it seems to show that for my age at 3.98 I am still within the 95% normal area---- i am still getting the cta scan to check the rest of the aorta though. Ever herd of his??

jdiane
Veteran Member


Date Joined Jan 2003
Total Posts : 1157
   Posted 5/28/2012 8:30 AM (GMT -6)   
Yes. both/either or are protocol for most accurate measurement. I've always done an MRI, but I can't have them anymore since my open heart surgery, so I will do CT's moving forward.

Good luck? BTW, where do you live? Do you have a good heart center near by? I'm in GA so I'm luck to have Emory in my backyard, and Children's Healthcare of Atlanta. As I have congenital disease, even at 36 I still see Pediatric docs too :)

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 5/28/2012 2:31 PM (GMT -6)   
JDLANE--- Thanks for the reply. I live in southern cal...la/orange county area and do not know what the great heart center is yet.

Does a 3.98 always get bigger?

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 5/28/2012 2:32 PM (GMT -6)   
Sorry-- I mean jdiane !

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 7/3/2012 11:31 PM (GMT -6)   
Just got my ct results--- "Normal thoracic angio ct 3.7 max diameter of the proximal aorta distal to the aortic valve"

Cardiologist says I am ok-- the echo is not as accurate as this--- the 3.7 is arguably normal for me----- I am very tall...wants to take another look in 2 years------ i am getting a second opinion but does this all sound in the ball park to anyone out here that has experience? Thx

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 7/4/2012 10:45 AM (GMT -6)   
 
Glad to read your good report and I would trust the test and your Dr.  I am sure after a second opinion you will be ready to accept that you are OK and be able to put this worry behind you.
 
Hope you have a great 4th of July holiday.
 
Kindly,
Kitt

~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"I am not afraid of storms for I am learning how to sail my ship" ~ Louisa May Alcott

craig10
Regular Member


Date Joined Feb 2010
Total Posts : 117
   Posted 8/27/2012 12:17 PM (GMT -6)   
Thanks for the help Kitt----
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