Acute Aortic Dissection Management Quiz

Rapid aortic root growth or ascending aortic aneurysm growth, an indication for intervention, is defined as $≥0.5$ cm in $1$ year or $≥0.3$ cm per year in $2$ consecutive years for those with sporadic aneurysms and $≥0.3$ cm in $1$ year for those with heritable thoracic aortic disease or bicuspid aortic valve.

Valve-sparing aortic root replacement is considered reasonable if the valve is suitable for repair and when performed by experienced surgeons in a Multidisciplinary Aortic Team.

The operative repair of type A aortic dissection should entail at least an open distal anastomosis rather than just a simple supracoronary interposition graft.

<p>Patients with acute type A aortic dissection, if clinically stable, should be considered for transfer to a high-volume aortic center to improve survival.</p> Signup and view all the answers

<p>There is an increasing role for thoracic endovascular aortic repair in the management of uncomplicated type B aortic dissection.</p> Signup and view all the answers

<p>Outcomes for patients with aortic disease are enhanced at programs with higher volumes, experienced practitioners, and extensive management capabilities, and Multidisciplinary Aortic Team care is considered in determining the appropriate timing of intervention.</p> Signup and view all the answers

<p>Shared decision-making involving the patient and a multidisciplinary team is highly encouraged to determine the optimal medical, endovascular, and open surgical therapies.</p> Signup and view all the answers

<p>Computed tomography, magnetic resonance imaging, and echocardiographic imaging of patients with aortic disease should follow recommended approaches for image acquisition, measurement and reporting of relevant aortic dimensions, and the frequency of surveillance before and after intervention.</p> Signup and view all the answers

<p>The threshold for surgical intervention for sporadic aortic root and ascending aortic aneurysms has been lowered from $5.5$ cm to $5.0$ cm in selected patients, and even lower in specific scenarios among patients with heritable thoracic aortic aneurysms.</p> Signup and view all the answers

<p>Shared decision-making is especially important when considering the cardiovascular risks of pregnancy, the diameter thresholds for prophylactic aortic surgery, and the mode of delivery for patients with aortic disease contemplating pregnancy or who are pregnant.</p> Signup and view all the answers