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Expanding Thoracic Aortic aneurysm
- While general recommendations are indeed to advice aortic root replacement when the ascending aorta reaches a size of 5cm diameter, it appears yours is expanding rapidly (almost 10% in 6 months). It is therefore reasonable to consider surgery earlier rather than later when dangerous complications such as a dissection are more likely:
- Interval treatment, such as avoiding straining (and a high blood pressure in general) is important.
- An underlying systemic disease (such as Marfan Syndrome or possibly your sarcoidosis) would not change my opinion whether to operate now or not, but may have future implications for follow-up management.
- Consider to have your surgery at a major medical center and a surgeon with extensive experience with thoracic aortic surgery.
Hope this helps,
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