Aortic root aneurism

Posted by: LINCinNYC

Aortic root aneurism - 01/04/20 03:23 PM

Hi all. I have not been around much but a lot has happened. Recently I did some heart tests, and echocardiogram and cat scan, that show I have an aortic root aneurysm, specifically in the sinus of valsalva. It was actually detected two years ago by echocardiogram but there was no follow up by the doctor. The two echos showed it was 4.2cms. It hadn’t changed. But the recent cat scan said 4.8cms. I was told not to worry but have emailed the doctor to see if my follow up appointment can happen sooner than the end of the month. I wonder if this is AS related but it’s possible it’s congenital. Anyone else experience this or have any info????
Thanks, you all rock.
Posted by: DragonSlayer

Re: Aortic root aneurism - 01/06/20 11:28 AM

Hi, Linc

Yes, I had the same thing and it is AS-related. The technician was uncharacteristically open with me and said he had seen many people with AS who have the same kind of "bauble" or distortion on a heart valve.

Several years later, I had another ultrasound and it was gone I suppose because my disease was then (and now) inactive.

Here is a paper on Cardiac Involvement in AS

In AS, the presence of aortic root and valve disease is related to the duration of underlying disease [1]. One of the primary pathophysiological explanations for valve disease in AS proposed by Bulkley and Roberts has been that aortic root dilatation results from fibrous growth along the intima [27], after they examined the autopsy findings of eight patients with AS. In more detailed examinations, it has been observed that the cellular inflammatory process that leads to endarteritis around the aortic root and valve and is sustained by platelet aggregation leads to tissue thickening, as well as to aortic valve insufficiency by stimulating fibroblast hyperactivity [1, 28]. In their study, Roldan et al [28] examined the aortic root and valves using transthoracic echocardiography (TEE) in patients with AS, and found aortic root and valve disease in 82% of patients with AS compared to the control group. Other findings included aortic root thickening, increased aorta root stiffness and vessel dilatation. In their study with follow-up for > 39 months, they detected 25 patients (24%) who developed new aortic root or valve abnormalities, while current valve insufficiencies significantly worsened in 12%, and abnormalities were resolved in 20%. Valve replacement was performed in 20% of patients who developed cardiac failure.

I don't think I had much regurgitation with it, and thankful it is no longer an issue!

Hope You get it under control before it becomes a bigger problem!