Advertisement

General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 1, pp 59–65 | Cite as

Guidelines for the management of thoracic aortic disease in 2017

  • Suyog A. Mokashi
  • Lars G. Svensson
SPECIAL EDITION Controversies in Surgery for Thoracic Aorta

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.

Keywords

Thoracic aortic dissection Thoracic aortic aneurysm Thoracic aortic disease Guidelines Management 

Notes

Compliance with ethical standards

Conflict of interest

Authors declare that they have no competing interests.

Funding

Cleveland Clinic Heart and Vascular Institute.

References

  1. 1.
    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.CrossRefGoogle Scholar
  2. 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. 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
  4. 4.
    Elefteriades JA, Farkas EA. Thoracic aortic aneurysm clinically pertinent controversies and uncertainties. J Am Coll Cardiol. 2010;55:841–57.CrossRefGoogle Scholar
  5. 5.
    Mészáros J, Mórocz J, Szlávi, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–8.CrossRefGoogle Scholar
  6. 6.
    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.CrossRefGoogle Scholar
  7. 7.
    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.CrossRefGoogle Scholar
  8. 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. 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. 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
  11. 11.
    Daily PO, Trueblood HW, Stinson EB, et al. Management of acute aortic dissections. Ann Thorac Surg. 1970;10:237–47.CrossRefGoogle Scholar
  12. 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
  13. 13.
    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.CrossRefGoogle Scholar
  14. 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
  15. 15.
    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.CrossRefGoogle Scholar
  16. 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

Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  1. 1.The Cleveland ClinicClevelandUSA

Personalised recommendations