From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm

Thoracic aortic aneurysms (TAAs) are commonly seen in cardiovascular practice. Acquired and genetic conditions contribute to TAA formation. The natural history of genetically mediated TAA underscores the importance of early detection, regular monitoring, and prompt treatment to prevent complications...

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Main Authors: Yuliya Paulenka, Christopher Lee, Mays Tawayha, Sam Dow, Kajal Shah, Stanislav Henkin, Wassim Mosleh
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Cardiogenetics
Subjects:
Online Access:https://www.mdpi.com/2035-8148/13/4/15
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author Yuliya Paulenka
Christopher Lee
Mays Tawayha
Sam Dow
Kajal Shah
Stanislav Henkin
Wassim Mosleh
author_facet Yuliya Paulenka
Christopher Lee
Mays Tawayha
Sam Dow
Kajal Shah
Stanislav Henkin
Wassim Mosleh
author_sort Yuliya Paulenka
collection DOAJ
description Thoracic aortic aneurysms (TAAs) are commonly seen in cardiovascular practice. Acquired and genetic conditions contribute to TAA formation. The natural history of genetically mediated TAA underscores the importance of early detection, regular monitoring, and prompt treatment to prevent complications, including dissection or rupture. The prognosis is poor in the event of acute dissection, with high rates of in-hospital mortality. Healthcare providers need to remain vigilant in their efforts to identify and surveil TAA to reduce the risk of complications. In this manuscript, we review the natural history of TAA, discuss the most common causes leading to the development of TAA, assess the value and limitations of diagnostic modalities, and review the management and long-term surveillance of patients with aortic disease.
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spelling doaj.art-f709e6f81bc84a899be49b82020c62e22023-12-22T13:59:19ZengMDPI AGCardiogenetics2035-82532035-81482023-11-0113415417210.3390/cardiogenetics13040015From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic AneurysmYuliya Paulenka0Christopher Lee1Mays Tawayha2Sam Dow3Kajal Shah4Stanislav Henkin5Wassim Mosleh6Department of Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USADivision of Cardiology, University of California, San Francisco, CA 93106, USASchool of Medicine, Jordan University of Science and Technology, Irbid 3030, JordanHeart and Vascular Center, Interventional Cardiology | Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USAHeart and Vascular Center, Interventional Cardiology | Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USAGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USAHeart and Vascular Center, Interventional Cardiology | Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USAThoracic aortic aneurysms (TAAs) are commonly seen in cardiovascular practice. Acquired and genetic conditions contribute to TAA formation. The natural history of genetically mediated TAA underscores the importance of early detection, regular monitoring, and prompt treatment to prevent complications, including dissection or rupture. The prognosis is poor in the event of acute dissection, with high rates of in-hospital mortality. Healthcare providers need to remain vigilant in their efforts to identify and surveil TAA to reduce the risk of complications. In this manuscript, we review the natural history of TAA, discuss the most common causes leading to the development of TAA, assess the value and limitations of diagnostic modalities, and review the management and long-term surveillance of patients with aortic disease.https://www.mdpi.com/2035-8148/13/4/15aortic diseaseaortic aneurysmaortic dissectiongeneticsMarfan syndromeLoeys–Dietz
spellingShingle Yuliya Paulenka
Christopher Lee
Mays Tawayha
Sam Dow
Kajal Shah
Stanislav Henkin
Wassim Mosleh
From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm
Cardiogenetics
aortic disease
aortic aneurysm
aortic dissection
genetics
Marfan syndrome
Loeys–Dietz
title From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm
title_full From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm
title_fullStr From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm
title_full_unstemmed From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm
title_short From Natural History to Contemporary Management of Aortic Diseases: A State-of-the-Art Review of Thoracic Aortic Aneurysm
title_sort from natural history to contemporary management of aortic diseases a state of the art review of thoracic aortic aneurysm
topic aortic disease
aortic aneurysm
aortic dissection
genetics
Marfan syndrome
Loeys–Dietz
url https://www.mdpi.com/2035-8148/13/4/15
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