AHA/ACC Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease (2010)

View the full text of the Guidelines

Commentary by Reed E. Pyeritz, MD, PhD

Pocket Guidelines

Click here to request a copy.

Support Our Mission

Post-dissection care

Back

Recommendations for surveillance of previously repaired patients

Class IIa
  1. Computed tomographic imaging or magnetic resonance imaging of the thoracic aorta is reasonable after a Type A or B aortic dissection or after prophylactic repair of the aortic root/ascending aorta. (LOE: C)
 
  1. Computed tomographic imaging or magnetic resonance imaging of the aorta is reasonable at 1, 3, 6, and 12 months post-dissection and, if stable, annually thereafter so that any threatening enlargement can be detected in a timely fashion. (LOE: C)
 
  1. When following patients with imaging, utilization of the same modality at the same institution is reasonable, so that similar images of matching anatomic segments can be compared side by side. (LOE: C)
 

Recommendation for employment and lifestyle in patient with Thoracic Aortic Disease

Class IIa
  1. For patients with a current thoracic aortic aneurysm or dissection, or previously repaired aortic dissection, employment and lifestyle restrictions are reasonable, including the avoidance of strenuous lifting, pushing, or straining that would require a Valsalva maneuver. (LOE: C)