In cases where the aneurysm does not involve the aortic root or the aortic valve, the surgeon may perform a replacement of the ascending aorta without touching the aortic valve.  This will require open heart surgery.

Medical management of ascending aortic aneurysms involves regular monitoring of the aneurysm’s size and shape and taking steps to prevent it from growing or rupturing. Monitoring typically involves regular imaging tests, such as CT scan, MRA, or ultrasound/echocardiogram, to track the size and shape of the aneurysm. The frequency of these tests will be determined by your doctor based on the size and rate of growth of the aneurysm.  

Medical management of an ascending aortic aneurysm also involves managing underlying health conditions, such as high blood pressure or smoking, that can contribute to aneurysm growth. If appropriate, your healthcare provider may prescribe medications such as beta-blockers or angiotensin receptor blockers. It is essential to modify your risk for rupture by controlling high cholesterol and high blood pressure and avoiding tobacco use. In some cases, surgical intervention may be necessary to repair or remove the aneurysm.  

It is important to follow your provider’s recommendations and attend all scheduled appointments and tests to ensure proper monitoring and management of an ascending aortic aneurysm. 

Certified genetic counselors are healthcare professionals with specialized training in genetics and counseling. They are available to discuss the potential role of genetics in the development of aortic aneurysms. The genetic counselor will review your personal and family medical history and may perform genetic testing to identify any potential genetic mutations that increase the risk of developing aortic aneurysms. If a mutation is found, the genetic counselor will discuss the implications for you and your family members, including the risks of inheriting the condition and the potential for future generations to be affected. They will also provide information about available screening and monitoring options and the importance of regular check-ups. 

Genetic counselors work with you and your family to discuss: 

• The inheritance pattern, including the role of genetic and environmental factors.
• The potential risks for the individual and their family members, including the likelihood of developing the condition and the potential impact on their health and daily life.
• The available genetic testing options, including the benefits, limitations, and results of genetic testing for a thoracic aortic aneurysm.
• The management options for an aortic aneurysm, including medical, surgical, and lifestyle interventions.
• The psychological and emotional impact of an aortic aneurysm and the importance of support and resources for individuals and families affected by the condition.