Aortic disease refers to conditions affecting the aorta, the main artery carrying blood from the heart to the body. Common issues include aortic aneurysms (enlargement) and aortic dilation, which can weaken the vessel wall and increase the risk of rupture or dissection.
At Heart & Vascular Specialists DFW, we offer comprehensive evaluation, screening, and monitoring of aortic disease to ensure early detection and timely intervention.
Many patients with aortic dilation or aneurysms have no symptoms until the condition becomes severe. When present, symptoms may include:
Chest, back, or abdominal pain
Pulsating sensation in the chest or abdomen
Shortness of breath
Difficulty swallowing (if the aorta compresses nearby structures)
Sudden severe pain in the chest or back (emergency)
Because aortic disease can be silent, regular screening is important for patients with risk factors.
High blood pressure (hypertension)
Atherosclerosis (plaque buildup)
Genetic conditions (e.g., Marfan syndrome, bicuspid aortic valve)
Family history of aortic aneurysm
Age (older adults at higher risk)
Smoking
Our team uses advanced imaging to assess the aorta:
Echocardiography – evaluates the aortic root and ascending aorta
CT Angiography – detailed imaging of the entire aorta
MRI Angiography – high-resolution imaging without radiation for ongoing monitoring
Physical and Risk Assessment – identifies contributing factors and guides follow-up intervals
These tools allow early detection, precise measurement, and careful monitoring of aortic disease.
Management depends on the size, location, and growth rate of the aortic aneurysm or dilation:
Blood pressure control to reduce stress on the aortic wall
Cholesterol management and lifestyle modification
Regular imaging follow-up to monitor aneurysm progression
Referral for minimally invasive endovascular repair or open surgical repair when indicated
Timely intervention prevents rupture and serious complications
Heart-healthy diet and exercise
Smoking cessation
Weight management and ongoing cardiovascular risk reduction
