Question

A 58-year-old man has a 5.6 cm ascending thoracic aortic aneurysm due to degenerative disease (trileaflet valve), blood pressure controlled. What is the recommended management?

Accepted Answer

Elective surgical repair now

Answer

Continue surveillance until diameter reaches 6.0 cm

Answer

Start warfarin anticoagulation

Answer

Start high-dose steroids to reduce risk of rupture

Answer

Percutaneous endovascular repair is preferred for ascending aorta in all cases

Practice question

A 58-year-old man has a 5.6 cm ascending thoracic aortic aneurysm due to degenerative disease (trileaflet valve), blood pressure controlled. What is the recommended management?