Dilated aortic arch12/26/2023 ![]() ![]() If the aortic valve does not close properly, then the aortic valve regurgitation can produce symptoms of shortness of breath, palpitations, and ankle swelling. This should never be allowed to happen in the modern day as surgical treatment can avoid this situation. If the dilated aortic root ruptures, this can cause more severe aortic root dilation symptoms including sharp chest pain as well as in the back, more severe shortness of breath, fainting or issues with swallowing. The symptoms associated with aortic root aneurysms are often non-existent but can include dull chest pain, shortness of breath and chest pain whilst exercising. We recommend that all adults with a family history of aortic root dilatation, or bicuspid aortic valve (image credit Medical Graphics), receive screening to ensure that they have not had this condition passed onto them in their genes. This can mean that in many cases the diagnosis is made accidentally perhaps during a regular heart screening. Unfortunately, many of those who develop an aneurysm may not suffer any aortic root dilation symptoms. Aortic Root Dilation Symptoms & Complications Separating the left ventricle from the aorta, if the aortic valve is not fully formed and not flexible enough to open and close efficiently, complications and symptoms become noticeable and potentially severe. Along with the Tricuspid, Pulmonary and Mitral valves, the Aortic valve needs to work consistently with the others so that blood, oxygen, and nutrients reach all parts of the body successfully. The aortic valve has a vital role in helping with healthy blood circulation, meaning the risks associated with it developing problems can be life-threatening. When the aortic root becomes dilated, this can mean the valve cannot fully close and the blood that flows out of the heart to the body can flow back into the heart as a result of aortic valve regurgitation. Aortic aneurysms that occur near the root can be related to Marfan’s syndrome as well as other congenital heart conditions such as the presence of congenital bicuspid aortic valve anatomy, and the risks of suffering from complications associated with a dilated aortic root can be heightened by smoking, any infections someone has had in the past around the heart, high blood pressure and atherosclerosis where the arteries become hardened. When this enlargement reaches a critical size, there is a risk of it rupturing or tearing, leading to a life-threatening situation. ![]() Otherwise known as an aortic root aneurysm, a dilated aortic root is when the first section of the aorta, where the aortic valve resides, becomes enlarged. What is a Dilated Aortic Root & Why Is It Important? ![]() We will also describe what a bicuspid aortic valve is, and why it is so important. This article describes what dilated aortic root means for you if you have been given this. One situation that benefits from this is the approach to the treatment of dilated aortic root aneurysm associated with bicuspid aortic valve disease. Keyhole surgery has opened many doors to providing those who require heart surgery with an alternative option, recognising that not all heart conditions require an intrusive approach. Here at The Keyhole Heart Clinic, we specialise in minimally invasive heart surgery that provides quicker healing and recovery whilst leaving much less visible scarring for the patient. However, whilst a traditional sternotomy is still performed in this way, advancements in medical technology have meant it isn’t the only option. To many, having to undergo heart surgery will conjure images of an intrusive approach involving splitting the breastbone. ![]()
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