• Mayo Clinic proceedings · Jan 2024

    Review

    Thoracic Aortic Aneurysmal Disease: Comprehensive Recommendations for the Primary Care Physician.

    • Prajwal Reddy, Kaavya S Nair, Vinayak Kumar, Juan M Bowen, David R Deyle, Alberto Pochettino, Heidi M Connolly, and Nandan S Anavekar.
    • Department of Cardiology, Mayo Clinic, Rochester, MN. Electronic address: Reddy.Prajwal@mayo.edu.
    • Mayo Clin. Proc. 2024 Jan 1; 99 (1): 111123111-123.

    AbstractThoracic aortic aneurysm (TAA) is a commonly encountered disease that is defined as aortic dilation with an increase in diameter of at least 50% greater than the expected age- and sex-adjusted size. Thoracic aortic aneurysms are described by their size, location, morphology, and cause. Primary care clinicians and other noncardiologists are often the first point of contact for patients with TAA. This review is intended to provide them with basic information on the differential diagnosis, diagnostic evaluation, and medical and surgical management of TAAs. Management decisions depend on having as precise a diagnosis as possible. Fortunately, this can often be achieved with a stepwise diagnostic approach that incorporates imaging and targeted genetic testing. Our review includes recommendations. In this review, we discuss these issues at a basic level and include recommendations for patients considering pregnancy.Copyright © 2023 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

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