Search our website Find job opportunies at THI and St. Luke's Find a doctor location and contact information
Heart Information Center
Ask a Heart Doctor
  Back to previous page


Help us improve this service.

Your feedback will help guide us in developing this site.

Ask a Texas Heart Institute Doctor 
Informed patients make better patients.


Based on my family history, when should I consider aortic surgery?

My maternal grandfather, my mother, and my older brother have all had aortic aneurysms. My brother has had two dissections in his aortic root, at 4.2cm. I have now found that my aortic root is 4.2cm. Based on my family history, when should surgery be considered? 

submitted by Susan from Houston on 11/13/2012


by Texas Heart Institute cardiovascular surgeon, Joseph S. Coselli, MD    

Joseph S. Coselli, MDAortic aneurysm and aortic dissections clearly have a genetic basis in many, many, many cases.  You are absolutely correct that a family history of dissection of an abnormally dilated root at a small size increases the risk of other members of the family who have similar sized aortic roots.  Consequently, we have recommended a rather aggressive approach to such cases and, by and large, all the factors being equal, generally recommend surgery.          

See also on this site: 

Has your question or a similar one already been answered?

Search all the Heart Doctor questions and answers.

To search for a doctor or access St. Luke's physician referral service, use the "Find a Doctor" link at the top of this page.

Updated November 2012
Like us on Facebook Follow us on Twitter Subscribe to us on YouTube Find Us on Flicikr Follow Us on Pinterest Add us on Google+ Find us on LinkedIn 

Please contact our Webmaster with questions or comments.
Terms of Use and Privacy Policy
© Copyright Texas Heart Institute
All rights reserved.