So throughout this entire journey, through all of the eye surgeries, unexplained health problems and pain, I still held out hope that maybe this was all a coincidence. Maybe I wouldn't be in pain forever and they'd find something wrong with me other than a Connective Tissue Disorder...something curable. I know that I have a lot of symptoms and that this would explain things nothing else could, but like I said; I still had hope.
Anyone knows the biggest worry with some of the CTDs like Marfan Syndrome is the problems they can cause with your heart. Since they know with 100% certainty I have one of these disorders they have kept a close watch on my heart to make sure that it hasn't begun to be affected. The main concern is dilation of the aorta. This is when the wall of your aorta (your body's largest artery) begins to weaken and stretch. This is dangerous because the more dilated your aorta becomes the higher risk you are at for an aortic dissection. An aortic dissection is a potentially fatal medical emergency resulting from a tear in the inner wall of the aorta which allows blood to flow between the layers of the wall of the aorta and force them apart. If the blood tears through all of the aortic walls massive blood loss will occur and the chance of survival becomes slim. Some people may remember John Ritter's death a few years back as the result of an aortic dissection. That is why diagnosis and proper observation is vital for those with Marfan Syndrome and similar disorders. Though it is still possible those of us who are being monitored will more likely never have to face aortic dissection. Once your aorta is dilated to the point where it may become dangerous open heart surgery to replace the damaged portion is performed. Some famous figures have undergone the same type of surgery (but for other reasons), such as Barbara Walters, Robin Williams, Bill Clinton and David Letterman.
I have undergone an echocardiogram once every year since I was diagnosed with a tissue disorder to measure my aorta. It is like having an ultrasound on your heart. I am never nervous because for some reason or other -in that department- I've always sort of felt invincible and could never imagine the results coming back any other way than fine. I had never even thought for a second something would show up. But I was pulled back into reality last fall when my echo did in fact show that my aorta had become slightly dilated. This is no immediate concern, but it painfully shattered my denial and smacked me into reality -so to speak. I couldn't look at my mom while we were receiving the results. I knew one look at her reaction and I wouldn't be able to keep myself composed long enough to get the important information that I'd need and want to know. A few times while the meaning of the results was being explained to us I had zoned out. I wanted to be outside where I could scream. It felt so odd to get such personal life altering news while confined to a room with a practical stranger. I kept thinking about my mom and how I had to be strong because I knew this news would hurt her more than me. The things I had the hardest time with was knowing that like I said I wasn't invincible and the fact that I would one day need heart surgery (which I should mention has a very high success rate), but regardless it is still open heart surgery. Those are some terrifying words when uttered in regards to your future treatment. I will also need to be placed on beta blockers or Losartan to hopefully slow the rate at which my aorta does weaken and dilate. This will slow my body down and take some of the stress off of the artery. As of now I still have a few months left before my next echo and before they will put me on one of those medications. I haven't been fretting the next echo. I choose not to think of whether or not it will be even more dilated. I just know that for now it is only slight and I should enjoy that for as long as I can. There are enough things ahead of me to worry about when I come to them, so for now I will try to focus on the positive. Though at times it does sink in.
For now I am living as if I had never received this news. My next appointment will arrive soon enough so until then I will pretend all is well. I'm not in denial, I'm just coping. And I think this is a positive way to do so.
The diagram to the left is one I edited based on my cardiologist's description of aortic root dilation. He drew where the widened part of my aorta was (in my case the root) and how it would look compared to a normal person's. The measurement in centimetres are just to give a basic idea of the average root size and the size of one that would be considered dilated. However the size of your aorta is based on height, age, weight etc so what would be dilated to one person may not be to another. All of this is taken into consideration and calculated when measuring the aorta to help determine whether it is a healthy size or not. Mine is just outside of the average limits which is why I say it is slightly dilated. At the moment it is 3.8cm which is larger than it should be for someone my age height and weight. Usually an aorta is not operated on until it is 5cm-5.5cm, although it is becoming more common to have the operation at 4.5cm to reduce the chance of dissection and aneurysm. Either way it would seem I have quite a while before I have to worry about that, depending on how quickly my aorta continues to expand. The speed at which it does so is unpredictable so like I said before; I try not to think about it. It isn't the end of the world, though at first it felt like it. But I have come to accept that this will be a part of my future.










