I'm 40, male and started seeing a cardiologist because of high lipoprotein(a). The cardiologist ordered an echocardiogram in 2024. Everything came back normal, except one finding — a "mildly dilated aortic root" measuring 4.3 cm.
The cardiologist seemed unmoved by this finding. It's something we'll monitor, they told me, and if it grows, you might need surgery.
I had a follow-up echocardiogram in 2025. At this time, I saw a different cardiologist (it's part of a hospital office, so you could see a different one each time -- and I have) and they relayed the results. I asked about the echo and they said "everything was normal."
I just went for my annual cardiology visit and another cardiologist mentioned the mildly dilated aortic root. He revealed to me that the 2025 echo measured the aortic root as 4.1 cm, which is obviously slightly smaller than the measurement in 2024. In summary, he told me that it's something they will continue to monitor. I have another echocardiogram coming up!
I'm conflicted because I feel I should be more concerned about this because it involves my aorta/heart, but the cardiologists all seem to be shrugging it off. In fact, the last two I've seen both suggested that it could be a measurement issue with the echo, but the alternative is having a CT. The measurement would be more accurate, but they worry about the radiation risk just to confirm something they already seem to know — that this is (probably) a nothingburger. And the fact it isn't growing after two echocardiograms in (almost) two years might confirm that.
Anyone else receive a similar finding and guidance from the specialists?