Korean J Med.  2015 Oct;89(4):377-380. 10.3904/kjm.2015.89.4.377.

Periodic Surveillance and Medical Management of Thoracic Aortic Aneurysm

Affiliations
  • 1Division of Cardiology, Department of Medicine, Heart Vascular Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sh1214.choi@samsung.com

Abstract

Thoracic aortic enlargement is a silent, but deadly, disease that is often diagnosed on imaging studies performed for unrelated indications and result in life threatening event such as aortic rupture and dissection. The etiologies underlying thoracic aortic enlargement are diverse and can range from degenerative or hypertensive aortic enlargement to more rare genetic disorders including Marfan syndrome and Loeys-Dietz syndrome. Therefore, the diagnosis and management of this disease can be complex. This review focuses on the periodic surveillance using imaging modality before surgical intervention and medical management of asymptomatic patients with thoracic aortic aneurysm.

Keyword

Aortic aneurysm, Thoracic; Surveillance; Medication therapy management

MeSH Terms

Aortic Aneurysm, Thoracic*
Aortic Rupture
Diagnosis
Humans
Loeys-Dietz Syndrome
Marfan Syndrome
Medication Therapy Management
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