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--- aortic_aneurysm_tx [2026/07/09 04:22] – [Mx of incidental asymptomatic dilated aortic root] gary1
+++ aortic_aneurysm_tx [2026/07/09 04:24] (current) – [Introduction] gary1
@@ Line 12: / Line 12: @@
   *they are rare, occurring in approximately 6-10 per every 100,000 people.
   ***a dilated thoracic aorta is defined as having a diameter greater than 3.5cm**, however in young or small adults, the descending aorta upper limit may be regarded as being 2.3cm, while in larger adults or the elderly, the upper limit for the ascending aorta may be regarded as being 4.3cm
-  *the **normal aortic root size** is dependent upon age, gender, body surface area (BSA) and usually increases by 1mm per decade in normal adults
+    * **see also [[aorticroot]]**
-    * see [[https://pmc.ncbi.nlm.nih.gov/articles/PMC3462295/|2013: Normal Limits in Relation to Age, Body Size and Gender of Two-Dimensional Echocardiographic Aortic Root Dimensions in Persons ≥15 Years of Age]]
-    * as a rough guide, a size > 4cm but < 4.5-4.9cm is regarded as dilated and probably should have 1-2 yearly monitoring and good BP control
   *a diameter greater than 4.5-4.9cm (depending on BSA, etc) is regarded as aneurysmal and needs 6-12 monthly monitoring
-    * some place these patients on [[statins]], [[ACEIs]] and [[betablockers]] to try to slow the rate of dilatation
   *surgery is offered when the risk of rupture is greater than the risk of the operation
     *thoracic aneurysms are much more difficult to repair and carry much greater risks from treatment than do [[AAA]]