TABLE 5.
Recommendation | Class/LOE |
---|---|
Repair of the ascending aorta/root is recommended when the aortic diameter is ≥55 mm in patients without risk factors | I/B26,27,33,155,226 |
Repair of the ascending aorta/root should be performed when the aortic diameter is ≥50 mm in patients with risk factors (ie, root phenotype or predominant AI, uncontrolled hypertension, family history of aortic dissection/sudden death, coarctation, aortic growth >3 mm/y) | IIa/B26,27,33,155,226 |
Repair of the ascending aorta/root may be performed in patients with an aortic diameter of ≥50 mm when the patients are at low surgical risk and operated on by an experienced aortic team in a center with established surgical results. | IIb/C2,174 |
Concomitant repair of the ascending aorta/ root should be performed when the aortic diameter is ≥45 mm in patients undergoing cardiac surgery. | IIa/B26,33,57,155,166,191 |
Repair of the aortic arch is recommended in patients with an aortic arch diameter of ≥55 mm. | I/B221,227 |
Concomitant repair of the aortic arch should be performed in patients undergoing cardiac surgery with an aortic arch diameter of ≥50 mm. | IIa/C228 |
Concomitant repair of the aortic arch may be performed in patients undergoing cardiac surgery with an aortic arch diameter of ≥45 mm, provided the patients are at low surgical risk and operated on by an experienced aortic team with established surgical results. | IIb/C220 |
It is recommended that patients undergoing elective aortic arch repair be referred to an experienced aortic team with established surgical results. | I/B224,225 |
LOE, Level of evidence; AI, aortic insufficiency.