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Surveillance for Moderate-Sized Thoracic Aortic Aneurysms: Equality is the Goal
  • Metesh Acharya,
  • Giovanni Mariscalco
Metesh Acharya
Glenfield Hospital
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Giovanni Mariscalco
Glenfield Hospital
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Abstract

Comprehensive clinical and imaging-based surveillance represents a fundamental aspect in the management of thoracic aortic aneurysms (TAAs), affording the opportunity to identify intermediate-sized TAAs before the onset of worrying symptoms or devastating acute aortic dissection/rupture. Currently, size-based indices are favoured as the major determinants driving patient selection for surgery, as supported by aortic guidelines, although it is recognised that smaller sub-threshold TAAs may still confer substantial risks. Prophylactic aortic surgery can be offered within set timeframes at dedicated aortic centres with excellent outcomes, to mitigate the threat of acute aortic complications associated with repeatedly deferred intervention. In this commentary, we discuss a recent article from the Journal of Cardiac Surgery which highlights important socio-economic disparities in TAA surveillance and follow-up.

Peer review status:Published

24 Nov 2021Submitted to Journal of Cardiac Surgery
24 Nov 2021Assigned to Editor
24 Nov 2021Submission Checks Completed
25 Nov 2021Editorial Decision: Accept
03 Dec 2021Published in Journal of Cardiac Surgery. 10.1111/jocs.16174