Skip to main content
Top
Published in: General Thoracic and Cardiovascular Surgery 1/2019

01-01-2019 | SPECIAL EDITION

Guidelines for the management of thoracic aortic disease in 2017

Authors: Suyog A. Mokashi, Lars G. Svensson

Published in: General Thoracic and Cardiovascular Surgery | Issue 1/2019

Login to get access

Abstract

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.
Literature
1.
go back to reference Goldfinger JZ, Halperin JL, Marin ML, Stewart AS, Eagle KA. Valentin fuster. Thoracic aortic aneurysm and dissection. Review article. J Am Coll Cardiol. 2014;64(16):1725–39.CrossRefPubMed Goldfinger JZ, Halperin JL, Marin ML, Stewart AS, Eagle KA. Valentin fuster. Thoracic aortic aneurysm and dissection. Review article. J Am Coll Cardiol. 2014;64(16):1725–39.CrossRefPubMed
2.
go back to reference 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). 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.
go back to reference 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.CrossRef 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.CrossRef
4.
go back to reference Elefteriades JA, Farkas EA. Thoracic aortic aneurysm clinically pertinent controversies and uncertainties. J Am Coll Cardiol. 2010;55:841–57.CrossRefPubMed Elefteriades JA, Farkas EA. Thoracic aortic aneurysm clinically pertinent controversies and uncertainties. J Am Coll Cardiol. 2010;55:841–57.CrossRefPubMed
5.
go back to reference Mészáros J, Mórocz J, Szlávi, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–8.CrossRefPubMed Mészáros J, Mórocz J, Szlávi, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–8.CrossRefPubMed
6.
go back to reference Olsson C, Thelin S, Ståhle 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.CrossRefPubMed Olsson C, Thelin S, Ståhle 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.CrossRefPubMed
7.
go back to reference Howard DP, Banerjee A, Fairhead JF, et al. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Circulation. 2013;127:2031–7.CrossRefPubMedPubMedCentral Howard DP, Banerjee A, Fairhead JF, et al. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Circulation. 2013;127:2031–7.CrossRefPubMedPubMedCentral
8.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
9.
go back to reference Debakey ME, Henly WS, Cooley DA, et al. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130–49.PubMed Debakey ME, Henly WS, Cooley DA, et al. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130–49.PubMed
10.
go back to reference 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. 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.
11.
go back to reference Daily PO, Trueblood HW, Stinson EB, et al. Management of acute aortic dissections. Ann Thorac Surg. 1970;10:237–47.CrossRefPubMed Daily PO, Trueblood HW, Stinson EB, et al. Management of acute aortic dissections. Ann Thorac Surg. 1970;10:237–47.CrossRefPubMed
12.
go back to reference 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).CrossRef 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).CrossRef
13.
go back to reference Prokop EK, Palmer RF, Wheat MW Jr. Hydrodynamic forces in dissecting aneurysms. In-vitro studies in a Tygon model and in dog aortas. Circ Res. 1970;27:121–7.CrossRefPubMed Prokop EK, Palmer RF, Wheat MW Jr. Hydrodynamic forces in dissecting aneurysms. In-vitro studies in a Tygon model and in dog aortas. Circ Res. 1970;27:121–7.CrossRefPubMed
14.
go back to reference 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).CrossRefPubMedPubMedCentral 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).CrossRefPubMedPubMedCentral
15.
go back to reference Fattori R, Cao P, De Rango P, et al. Interdisciplinary expert consensus document on management of type B aortic dissection. J Am Coll Cardiol. 2013;61:1661–78.CrossRef Fattori R, Cao P, De Rango P, et al. Interdisciplinary expert consensus document on management of type B aortic dissection. J Am Coll Cardiol. 2013;61:1661–78.CrossRef
16.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
Metadata
Title
Guidelines for the management of thoracic aortic disease in 2017
Authors
Suyog A. Mokashi
Lars G. Svensson
Publication date
01-01-2019
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 1/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-017-0831-8

Other articles of this Issue 1/2019

General Thoracic and Cardiovascular Surgery 1/2019 Go to the issue