Suggest Remedies For An Enlarged Aorta

Hello, In the asymptomatic patient with mild to moderate aortic root enlargement, medical treatment based upon β blocker therapy and serial follow‐up with echocardiography once or twice a year is recommended. β blockers have a negative inotropic and chronotropic effect, lessening the rate and rise of the arterial pulse over time. They are known to retard aortic root dilatation and improve survival in patients with Marfan syndrome. 1,4 Whether other causes of ascending aortic aneurysms, including the bicuspid aortic valve, also benefit from prophylactic β blocker therapy is unknown, but this treatment is recommended by most authors in all cases of ascending aortic aneurysms. Associated cardiovascular risk factors should be aggressively controlled. Activities or lifestyle should be modified, because high intensity, competitive and collision sports are potentially dangerous and may precipitate aortic dissection or rupture. Patients with a dilated aortic root can practise isokinetic activities, with low static and dynamic components, such as golf, cricket or other sports, but at a decreased level of intensity. Pregnancy is discouraged. Clues, however, often lie in a person’s age, gender and medical history. Also at play are the size and position of the enlargement (which can occur in the chest or abdomen). Other enlarged aorta risks include a history of blood or chest pressure and lifestyle factors such as smoking habits. To consider surgery when a patient’s aortic diameter is greater than 50 percent of what is considered normal. 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. Your cardiologist will be the best judge. Please do lifestyle modifications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician