Ascending Aortic Aneurysm- Algorithms

Tedi Vlahu, Jeffrey Schwartz

***Repair at following sizes:

  1. >4.0 cm if woman with Marfan Syndrome and contemplating pregnancy (also need to replace root)
  2. >4.2 cm by TEE or 4.4-4.6 by CT if patient with Loeys-Dietz syndrome or TGFBR1/TGFBR2 mutation
  3. >4.5 cm if family history of aortic dissection
  4. Ratio of maximum ascending aortic root area (3.14 x r^2) in cm2 divided pt. height in meters > 10 in Marfan Syndrome, BAV and other genetic disorders.

BAV, Bicuspid Aortic Valve; CAD, Coronary Artery Disease; TEE, Transesophageal Echocardiogram; TTE, Transthoracic Echocardiogram

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