Can sleep apnea cause a dilated ascending aorta?

Yes, sleep apnea can contribute to cardiovascular issues, including a dilated ascending aorta. The condition is associated with intermittent hypoxia, increased blood pressure, and inflammation, which can strain the aorta over time. Additionally, the stress from frequent awakenings and disrupted sleep may exacerbate underlying cardiovascular risks, potentially leading to changes in aortic structure. However, other factors such as genetics and hypertension also play significant roles in the development of a dilated ascending aorta.