Question

A 64-year-old with severe aortic root aneurysm (ascending 5.1 cm) at high-volume center with bicuspid valve but no other risk factors. Management threshold?

Accepted Answer

Elective surgery may be reasonable at 5.0-5.4 cm in selected patients

Answer

Only operate at 5.5 cm

Answer

Wait until symptomatic

Answer

Endovascular stent-graft

Answer

Operate at 4.0 cm

Practice question

A 64-year-old with severe aortic root aneurysm (ascending 5.1 cm) at high-volume center with bicuspid valve but no other risk factors. Management threshold?