I'm 48 years old, and have been dealing with chronic dull aching pain in my chest for the past 3 years. It was a night of pain on a 6-7 scale that sent me to the ER, ultimately resulting in the diagnosis of having two aneurysms - one on the ascending aorta of 4.2cm, and one on the pulmonary artery of 4.4cm.
I've done a lot of research, and recently had a follow-up echo after 2 years where my health provider was not scheduling or looking. I think that's probably not the best course of action, given my condition, and the fact that I present with chronic pain behind my breastbone (sternum), and have mitral regurgitation, and dilation of the aortic root, also.
So, my question is, given my age and the size of the aneurysms (I realize they are on the low end of the risk scale at the present time), and the symptoms I experience (pain, frequent heavy PVC's, shortness of breath, dizziness), what would you advise for a proper and reasonable schedule for serial examinations, and what type is going to be the most accurately revealing - cost issues aside. Echocardiogram, CT (though I'd rather not have repeated ones due to the xray exposure) or MRI?
How frequently should I be having them done? every 6 months, every year or can it go longer with a good margin of safety? I am not panicking, but I am concerned something will cause the aorta or pulmonary artery to enlarge sufficiently to be a serious issue in the intervening time, and I do admit it worries me.
Thanks for your time