{"title":"Aortic Aneurysmectomy: The American College of Cardiology/American Heart Association Guidelines","authors":"Davut Cekmecelioglu MD, MSc , Ourania Preventza MD","doi":"10.1053/j.semtcvs.2025.03.007","DOIUrl":null,"url":null,"abstract":"<div><div>Aneurysmectomy is a primary intervention for thoracic aortic aneurysms due to their high risk of rupture or dissection. Recent updates to the American College of Cardiology/American Heart Association (ACC/AHA) and European Association for Cardiothoracic Surgery/The Society of Thoracic Surgeons (EACTS/STS) guidelines provide refined criteria for intervention, integrating genetic risks, body-size adjustments, and advanced imaging protocols. This review examines these guidelines, focusing on surgical indications, threshold rationales, and morphological and genetic factors influencing dissection risk. By synthesizing guideline recommendations with data from pivotal studies, this review provides clinicians with an evidence-based framework for balancing guideline criteria with individualized patient risk profiles.</div></div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 4","pages":"Pages 372-379"},"PeriodicalIF":2.5000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Thoracic and Cardiovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043067925000437","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Aneurysmectomy is a primary intervention for thoracic aortic aneurysms due to their high risk of rupture or dissection. Recent updates to the American College of Cardiology/American Heart Association (ACC/AHA) and European Association for Cardiothoracic Surgery/The Society of Thoracic Surgeons (EACTS/STS) guidelines provide refined criteria for intervention, integrating genetic risks, body-size adjustments, and advanced imaging protocols. This review examines these guidelines, focusing on surgical indications, threshold rationales, and morphological and genetic factors influencing dissection risk. By synthesizing guideline recommendations with data from pivotal studies, this review provides clinicians with an evidence-based framework for balancing guideline criteria with individualized patient risk profiles.
期刊介绍：
Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.
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