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Aortic surgery for ascending aortic aneurysms under 5.0 cm in diameter in the presence of bicuspid aortic valve
Citation
Kallenbach, K and Sundt, TM and Marwick, TH, Aortic surgery for ascending aortic aneurysms under 5.0 cm in diameter in the presence of bicuspid aortic valve, JACC: Cardiovascular Imaging, 6, (12) pp. 1321-1326. ISSN 1936-878X (2013) [Contribution to Refereed Journal]
DOI: doi:10.1016/j.jcmg.2013.08.009
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.
Item Details
Item Type: | Contribution to Refereed Journal |
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Keywords: | aortic aneurysm; bicuspid aortic valve; surgery |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Cardiovascular medicine and haematology |
Research Field: | Cardiology (incl. cardiovascular diseases) |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Marwick, TH (Professor Tom Marwick) |
ID Code: | 90504 |
Year Published: | 2013 |
Web of Science® Times Cited: | 13 |
Deposited By: | Menzies Institute for Medical Research |
Deposited On: | 2014-04-08 |
Last Modified: | 2014-04-08 |
Downloads: | 0 |
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