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What Does Left Anterior Descending Artery Has Calcium Score Of Four Indicate?

My left main artery has a calcium score of 106. The left anterior descending artery has a calcium score of four. No additional coronary artery calcium is found. The ascending aorta is aneurysmal, measuring approximately 4.3 cm at the level of the right pulmonary artery. What is my greatest concern?
Tue, 10 Jun 2014
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Radiologist 's  Response
Hi,
Thanks for using healthcaremagic.
I understand you must have undergone a coronary CT study which would have given you the calcium scores and measurement of ascending aorta.
Calcium score upto 400 in total is normal and is not associated with significant stenosis. However, it is an arbitrary method and just shows a general trend rather than a specific person's clinical condition. People with less calcium scores can also have blockages while people with more calcium scores can live disease free. So it is not a very good marker for disease rather only a trend for determining disease status in community.
Aneurysmal dilatation of aorta is something you need to be worried about, especially in the ascending aorta segment as it is the most dangerous segment. The normal diameter is upto 4 cms so it is slightly dilated and regular follow up should be done. If there is an increase in size or if you are having any sudden chest pain you should immediately get a repeat study done to assess the aorta. So your greatest concern should be the aneurysmal dilatation of aorta and you should be careful about it.
Hope it sorts your problem and wishing you a speedy recovery.
Regards,
Dr. Pankaj Nagori
Specialist Radiology
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What Does Left Anterior Descending Artery Has Calcium Score Of Four Indicate?

Hi, Thanks for using healthcaremagic. I understand you must have undergone a coronary CT study which would have given you the calcium scores and measurement of ascending aorta. Calcium score upto 400 in total is normal and is not associated with significant stenosis. However, it is an arbitrary method and just shows a general trend rather than a specific person s clinical condition. People with less calcium scores can also have blockages while people with more calcium scores can live disease free. So it is not a very good marker for disease rather only a trend for determining disease status in community. Aneurysmal dilatation of aorta is something you need to be worried about, especially in the ascending aorta segment as it is the most dangerous segment. The normal diameter is upto 4 cms so it is slightly dilated and regular follow up should be done. If there is an increase in size or if you are having any sudden chest pain you should immediately get a repeat study done to assess the aorta. So your greatest concern should be the aneurysmal dilatation of aorta and you should be careful about it. Hope it sorts your problem and wishing you a speedy recovery. Regards, Dr. Pankaj Nagori Specialist Radiology