title: When to replace the ascending aorta?
abstract: Ascending aortic aneurysm, while usually detected incidentally, is a serious condition that requires close monitoring and timely surgical follow up. Management of patients with thoracic aortic aneurysms (TAA) is optimally performed in a multidisciplinary manner that prevents or delays the need for surgical intervention. Patients with aneurysmal degeneration should be followed in a medical aortic clinic that manages all risk factors in an effort to delay or prevent the need for replacement of the ascending aorta. Symptoms, aortic size, growth rate, and genetic/familial factors are taken into account to develop a treatment plan specific to each patient that is in line with the most recent national guidelines. This article provides an evidence-based overview and key recommendations for intervention on the ascending aorta.
authors: Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA. BRamlawi@tmhs.org
authors: Basel
authors: B
authors: Ramlawi
authors: Stephen H
authors: SH
authors: Little
authors: Dipan
authors: D
authors: Shah
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D019317:Evidence-Based Medicine; D006801:Humans; D018579:Patient Selection; D011474:Prosthesis Design; D018570:Risk Assessment; D012307:Risk Factors; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome