Threshold for intervention upon ascending aortic aneurysms: an evolving target and implication of bicuspid aortic valve.
Publication/Presentation Date
6-1-2019
Abstract
With the proliferation of non-invasive thoracic imaging modalities, the question of when to operate on asymptomatic ascending aortic aneurysms for non-syndromic patients is becoming increasingly relevant. Operation is extensive, often involves circulatory arrest, and subjects the patient to significant risk of mortality and morbidity. Surgery is performed to avert fatal aortic adverse events, which carry a markedly poor prognosis. The question of when the balance is tipped toward preemptive surgical repair is challenging and is centered around predicting the risk of an acute aortic syndrome. Size of the aneurysm has been the traditional guide for decision-making but how this is measured, what risks it truly predicts, the influence of the patient's size, valve morphology, genetic profile, and other risk factors for non-syndromic patients are poorly understood. We here review this issue in detail.
Volume
35
Issue
Suppl 2
First Page
96
Last Page
105
ISSN
0973-7723
Published In/Presented At
Fukuhara, S., Ibrahim, M., Dohle, D., & Bavaria, J. E. (2019). Threshold for intervention upon ascending aortic aneurysms: an evolving target and implication of bicuspid aortic valve. Indian journal of thoracic and cardiovascular surgery, 35(Suppl 2), 96–105. https://doi.org/10.1007/s12055-018-0674-7
Disciplines
Medicine and Health Sciences
PubMedID
33061073
Department(s)
Department of Surgery
Document Type
Article