• J. Cardiothorac. Vasc. Anesth. · Dec 2020

    Case Reports

    Aortic Root Dilation and Testosterone Use: Are They Associated?

    • Benyam Goitom, DeSean Thom, Dominic Emerson, Luke Henderson, James D Grant, and Nicola D'Attellis.
    • Michigan State University, College of Human Medicine, East Lansing, MI.
    • J. Cardiothorac. Vasc. Anesth. 2020 Dec 1; 34 (12): 3395-3397.

    AbstractAortic root dilation and thoracic aortic aneurysms are relatively rare in young and healthy patient populations. However, a number of observed incidental cases regarding young males and testosterone use raises suspicion of a potential risk factor for aortic root dilation. The authors' patient, a healthy 40-year-old man with a significant history of testosterone use who developed a massively dilated aortic root, is sufficiently alarming to report. Notwithstanding anecdotal cases, there exists a well-known association between elite strength athletes and aortic root dilation. Nevertheless, very little clinical research exists on the relationship between testosterone use and aortic root dilation and/or thoracic aortic aneurysms. Furthermore, a small number of animal studies showed a relationship between testosterone and vascular dilation, particularly the aorta. Although testosterone may play a role in the development of aortic pathologies, further research is necessary to clarify the possible relationship if cases such as these are to be prevented.Copyright © 2020 Elsevier Inc. All rights reserved.

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