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Aortic surgery for ascending aortic aneurysms under 5.0 cm in diameter in the presence of bicuspid aortic valve.
- Source :
-
JACC. Cardiovascular imaging [JACC Cardiovasc Imaging] 2013 Dec; Vol. 6 (12), pp. 1321-6. - Publication Year :
- 2013
-
Abstract
- Aneurysm of the ascending aorta may cause acute type A aortic dissection, and the primary aim of a prophylactic operation is avoidance of this life-threatening complication. Current guidelines recommend prophylactic replacement of the aneurysmal ascending aorta at a diameter of ≥5.5 cm. However, several reports have shown that nearly 50% of patients with an acute type A aortic dissection present with an aortic diameter <5.5 cm. It is controversial how to best respond to these observations. Because surgical advances have led to a reduction of early surgical mortality between 1% and 3%, many clinicians believe that surgery is warranted in smaller aortas. Given the frequency of a bicuspid aortic valve (BAV), such a strategy has health implications for this population.<br /> (Copyright © 2013. Published by Elsevier Inc.)
- Subjects :
- Aortic Dissection etiology
Aorta pathology
Aortic Aneurysm diagnosis
Aortic Aneurysm etiology
Aortic Valve surgery
Bicuspid Aortic Valve Disease
Dilatation, Pathologic
Disease Progression
Heart Valve Diseases diagnosis
Heart Valve Diseases surgery
Heart Valve Prosthesis Implantation
Practice Guidelines as Topic
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Aortic Dissection prevention & control
Aorta surgery
Aortic Aneurysm surgery
Aortic Valve abnormalities
Blood Vessel Prosthesis Implantation adverse effects
Blood Vessel Prosthesis Implantation standards
Heart Valve Diseases complications
Patient Selection
Subjects
Details
- Language :
- English
- ISSN :
- 1876-7591
- Volume :
- 6
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- JACC. Cardiovascular imaging
- Publication Type :
- Academic Journal
- Accession number :
- 24332284
- Full Text :
- https://doi.org/10.1016/j.jcmg.2013.08.009