Thoracic aortic aneurysm: Optimal surveillance and treatment

被引:26
作者
Wang, Tom Kai Ming [1 ]
Desai, Milind Y. [1 ,2 ,3 ]
机构
[1] Cleveland Clin, Sect Cardiovasc Imaging, Heart Vasc & Thorac Inst, J1-5,9500 Euclid Ave, Cleveland, OH 44195 USA
[2] Cleveland Clin, Aorta Ctr, Heart Vasc & Thorac Inst, Cleveland, OH 44195 USA
[3] Case Western Reserve Univ, Lerner Coll Med, Cleveland Clin, Cleveland, OH 44106 USA
关键词
MARFAN-SYNDROME; DISSECTION; SURGERY; DILATATION; OUTCOMES; ECHOCARDIOGRAPHY; ASSOCIATION; MANAGEMENT; STIFFNESS; BLOCKADE;
D O I
10.3949/ccjm.87a.19140-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aneurysm of the thoracic aorta is less common than in the abdominal aorta, but it is clinically important because of the risk of rupture and death. Cases are often found incidentally. Indications for surgical or endovascular repair are based on aneurysm location and risk factors for rupture such as aneurysm size, rate of growth, and associated conditions, while medical management is also important. Surveillance with various imaging tests is critical before and after intervention to guide treatment.
引用
收藏
页码:557 / 568
页数:12
相关论文
共 36 条
[1]  
Ahimastos AA, 2015, JAMA-J AM MED ASSOC, V314, P2692
[2]   RETRACTED: Effect of perindopril on large artery stiffness and aortic root diameter in patients with Marfan syndrome - A randomized controlled trial (Retracted Article) [J].
Ahimastos, Anna A. ;
Aggarwal, Anuradha ;
D'Orsa, Kellie M. ;
Formosa, Melissa F. ;
White, Anthony J. ;
Savarirayan, Ravi ;
Dart, Anthony M. ;
Kingwell, Bronwyn A. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (13) :1539-1547
[3]   ESC Guidelines for the management of grown-up congenital heart disease (new version 2010) [J].
Baumgartner, Helmut ;
Bonhoeffer, Philipp ;
De Groot, Natasja M. S. ;
de Haan, Fokko ;
Deanfield, John Erik ;
Galie, Nazzareno ;
Gatzoulis, Michael A. ;
Gohlke-Baerwolf, Christa ;
Kaemmerer, Harald ;
Kilner, Philip ;
Meijboom, Folkert ;
Mulder, Barbara J. M. ;
Oechslin, Erwin ;
Oliver, Jose M. ;
Serraf, Alain ;
Szatmari, Andras ;
Thaulow, Erik ;
Vouhe, Pascal R. ;
Walma, Edmond .
EUROPEAN HEART JOURNAL, 2010, 31 (23) :2915-2957
[4]   Aortic Stiffness Is Increased in Hypertrophic Cardiomyopathy With Myocardial Fibrosis Novel Insights in Vascular Function From Magnetic Resonance Imaging [J].
Boonyasirinant, Thananya ;
Rajiah, Prabhakar ;
Setser, Randolph M. ;
Lieber, Michael L. ;
Lever, Harry M. ;
Desai, Milind Y. ;
Flamm, Scott D. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 54 (03) :255-262
[5]   Endovascular Aortic Repair Versus Open Surgical Repair for Descending Thoracic Aortic Disease A Systematic Review and Meta-Analysis of Comparative Studies [J].
Cheng, Davy ;
Martin, Janet ;
Shennib, Hani ;
Dunning, Joel ;
Muneretto, Claudio ;
Schueler, Stephan ;
Von Segesser, Ludwig ;
Sergeant, Paul ;
Turina, Marko .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 55 (10) :986-1001
[6]   Losartan Added to β-Blockade Therapy for Aortic Root Dilation in Marfan Syndrome: A Randomized, Open-Label Pilot Study [J].
Chiu, Hsin-Hui ;
Wu, Mei-Hwan ;
Wang, Jou-Kou ;
Lu, Chun-Wei ;
Chiu, Shuenn-Nan ;
Chen, Chun-An ;
Lin, Ming-Tai ;
Hu, Fu-Chang .
MAYO CLINIC PROCEEDINGS, 2013, 88 (03) :271-276
[7]  
Cleveland Clinic, HEART VASC THOR I MI
[8]   Improved prognosis of thoracic aortic aneurysms - A population-based study [J].
Clouse, WD ;
Hallett, JW ;
Schaff, HV .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (22) :1926-1929
[9]   Familial patterns of thoracic aortic aneurysms [J].
Coady, MA ;
Davies, RR ;
Roberts, M ;
Goldstein, LJ ;
Rogalski, MJ ;
Rizzo, JA ;
Hammond, GL ;
Kopf, GS ;
Elefteriades, JA .
ARCHIVES OF SURGERY, 1999, 134 (04) :361-367
[10]   Yearly rupture or dissection rates for thoracic aortic aneurysms: Simple prediction based on size [J].
Davies, RR ;
Goldstein, LJ ;
Coady, MA ;
Tittle, SL ;
Rizzo, JA ;
Kopf, GS ;
Elefteriades, JA .
ANNALS OF THORACIC SURGERY, 2002, 73 (01) :17-27