Abnormal fusiform dilatation of the aortic root and ascending thoracic aorta

[rai1961]

24 year old boy 6 feet 3 inch ht , 92kg weight has abnormal fusiform dilatation of the aortic root and ascending aorta for approximate length of around 76mm -aneurysm . No intraluminal thrombus seen . No sesection seen . Rest of the ascending aorta is normal in diameter .have bicuspid aortic valve.
Average diameters are : Aprtic annulus -3.2cm, ascending aorta (at the level of aneurysm  -6.5cm ), (just distal to aneurysm -2.7cm,)  arch of of aorta -2.2cm , Descending thoracic aorta - at the level of main pulmonary artery 2.0cm , just above diaphragm -2.1cm , Abdominal aorta - Suprarenal -1.7cm , Infrarenal 1.4cm , just before bifurcation 1.4cm
Does this boy of 24 who has normal life uptil now, but blood pressure 150/80 and pulse 90 require surgery or any othe option to avoid surgery , please advise

[skydnsr]

There is an Expert forum on this same site that is answered by Cleveland Clinic doctors, if you want to see what one of them will say.  I wish your young man the best.

[skydnsr]

What jumps out of the data is that the young man has an ascending aortic diameter of 6.5cm.  The root (annulus) is a little larger than normal at 3.5cm, but the ascending aorta measurement of 6.5 cm is very, very enlarged.  Almost any aortic surgeon will want to operate when the diameter of an aneurysm reaches 5.5 cm.  Many will operate at 5.0 cm.  When a bicuspid aortic valve is present, some surgeons will operate at 4.5 cm.  The bigger the aneurysm and the higher the blood pressure, the greater the risk of dissection or rupture while awaiting surgery.  In the hands of a skilled surgeon, an excellent outcome can be achieved.  For an aneurysm of 6.5 cm, I do not know of any treatment than surgical repair.  The bicuspid aortic valve very likely will need to be replaced at the same time.  

Please understand that you have posted on the Community Forum, where most of the members are patients.  I am not a doctor, and I am not qualified to give you medical advice.  I have had my aortic valve replaced, and I had a thoracic aortic aneurysm repaired at the same time.  But what you are asking about is pretty basic information, when it comes to thoracic aortic aneurysm treatment.