An ectatic aorta
is an enlarged or dilated aorta. This can be related to a leaking aortic valve
. This, in turn , can result in breathlessness. If your doctor has indicated he has a strong heart, this would suggest that the heart muscle is functioning well despite the leaking valve.
Taking this into consideration and coupled with his reduced quality of life, it sounds appropriate that he should be offered heart surgery.
This is a major operation. However, with a strong heart, he is most likely to have a good result and will have a much better exercise tolerance following surgery. Without surgery, this condition is unlikely to improve significantly.
I wish him good health.
Dr K A Pottinger,