Guidelines for the management of thoracic aortic disease in 2017
- 1.6k Downloads
This review provides a general overview of the consensus statement from the 2010 more recent updates AHA/ACC Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease, and highlights current practice patterns. The suggestions herein are intended to facilitate clinical decision making in the management of thoracic aortic disease. The main intent of this report is to highlight screening, surveillance, initial and definitive management of thoracic aortic disease, and special populations that should be considered.
KeywordsThoracic aortic dissection Thoracic aortic aneurysm Thoracic aortic disease Guidelines Management
Compliance with ethical standards
Conflict of interest
Authors declare that they have no competing interests.
Cleveland Clinic Heart and Vascular Institute.
- 2.Peterss S, Mansour AM, Ross JA, Vaitkeviciute I, Charilaou P, Dumfarth J, Fang H, Ziganshin BA, Rizzo JA, Adeniran AJ, Elefteriades JA. Changing pathology of the thoracic aorta from acute to chronic dissection: literature review and insights. J Am Coll Cardiol. 68(10):1054–65. doi: 10.1016/j.jacc.2016.05.091 (Review).
- 3.Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the. American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. J Am Coll Cardiol. 2010;55:e27–e129.CrossRefGoogle Scholar
- 8.Olsson C, Thelin S, Stahle E, et al Olsson C, Thelin S, Stahle E, et al. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation. 2006;114:2611–8.CrossRefGoogle Scholar
- 9.Debakey ME, Henly WS, Cooley DA, et al. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130–49.Google Scholar
- 10.Peacock TB. Cases of dissecting aneurysm, or that form of aneurysmal affection in which the sac is situated between the coats of the vessels. Edin Med Surg J. 1843;60:276.Google Scholar
- 12.Hiratzka LF, Creager MA, Isselbacher EM, Svensson LG. 2014 AHA/ACC guideline for the management of patients with valvular heart disease representative members, Nishimura RA, Bonow RO, Guyton RA, Sundt TM 3rd. J Thorac Cardiovasc Surg 2016;151(4):959–66. doi: 10.1016/j.jtcvs.2015.12.001 (Epub 2015 Dec 9).CrossRefGoogle Scholar
- 14.Wojnarski CM, Svensson LG, Roselli EE, Idrees JJ, Lowry AM, Ehrlinger J, Pettersson GB, Gillinov AM, Johnston DR, Soltesz EG, Navia JL, Hammer DF, Griffin B, Thamilarasan M, Kalahasti V, Sabik JF 3rd, Blackstone EH, Lytle BW. Aortic dissection in patients with bicuspid aortic valve-associated aneurysms. Ann Thorac Surg. 2015;100(5):1666–73. doi: 10.1016/j.athoracsur.2015.04.126 (Epub 2015 Jul 22; discussion 1673–4).CrossRefGoogle Scholar
- 16.White RA, Miller DC, Criado FJ, et al. Multidisciplinary Society for Vascular Surgery Outcomes Committee. Report on the results of thoracic endovascular aortic repair for acute, complicated, type B aortic dissection at 30 days and 1 year from a multidisciplinary subcommittee of the Society for Vascular Surgery Outcomes Committee. J Vasc Surg 2011;53:1082–90.CrossRefGoogle Scholar