A 69-year-old woman with severe aortic stenosis and 5.2 cm ascending aorta (degenerative) is referred for surgery. What threshold supports replacing t...

Question

A 69-year-old woman with severe aortic stenosis and 5.2 cm ascending aorta (degenerative) is referred for surgery. What threshold supports replacing the ascending aorta during valve surgery?

Accepted Answer

≥5.0 cm at time of planned valve surgery

Answer

≥6.5 cm

Answer

Only if >4.0 cm

Answer

No concomitant aorta surgery unless symptomatic

Answer

Always avoid combined procedures

us-abim MCQ (SBA): Concomitant Aortic Surgery Threshold

A 69-year-old woman with severe aortic stenosis and 5.2 cm ascending aorta (degenerative) is referred for surgery. What threshold supports replacing the ascending aorta during valve surgery?