Surgery for Aortic Dilatation in Patients With Bicuspid Aortic Valves
| Autor: | Biykem Bozkurt, John S. Ikonomidis, Kim K. Birtcher, Duminda N. Wijeysundera, Lesley H. Curtis, Thoralf M. Sundt, Mark A. Hlatky, Federico Gentile, Samuel S. Gidding, Sana M. Al-Khatib, Rick A. Nishimura, Frank W. Sellke, Eric M. Isselbacher, Jeffrey L. Anderson, Lars G. Svensson, Jose A. Joglar, E. Magnus Ohman, Win Kuang Shen, Loren F. Hiratzka, Lee A. Fleisher, Ralph G. Brindis, Richard J. Kovacs, Mark A. Creager, Susan J. Pressler, Robert O. Bonow, Jonathan L. Halperin, Joaquin E. Cigarroa, Robert A. Guyton, Nancy M. Albert, Glenn N. Levine |
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| Rok vydání: | 2016 |
| Předmět: |
Aortic valve
medicine.medical_specialty Advisory Committees Aortic Diseases Cardiology Heart Valve Diseases 030204 cardiovascular system & hematology Thoracic aortic aneurysm 03 medical and health sciences 0302 clinical medicine Bicuspid Aortic Valve Disease Physiology (medical) Internal medicine medicine Humans In patient 030212 general & internal medicine Disease management (health) health care economics and organizations Aortic dissection business.industry valvular heart disease American Heart Association Guideline Evidence-based medicine medicine.disease United States Surgery medicine.anatomical_structure Aortic Valve Practice Guidelines as Topic cardiovascular system Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 133:680-686 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/cir.0000000000000331 |
| Popis: | Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: the “2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease” (Circulation. 2010;121:e266–e369) and the “2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease” (Circulation. 2014;129:e521–e643). However, the 2 guidelines differ with regard to the recommended threshold of aortic root or ascending aortic dilatation that would justify surgical intervention in patients with bicuspid aortic valves. The ACC and AHA therefore convened a subcommittee representing members of the 2 guideline writing committees to review the evidence, reach consensus, and draft a statement of clarification for both guidelines. This statement of clarification uses the ACC/AHA revised structure for delineating the Class of Recommendation and Level of Evidence to provide recommendations that replace those contained in Section 9.2.2.1 of the thoracic aortic disease guideline and Section 5.1.3 of the valvular heart disease guideline. |
| Databáze: | OpenAIRE |
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