2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease

. Author manuscript; available in PMC: 2023 Dec 13.

Published in final edited form as: J Am Coll Cardiol. 2022 Nov 2;80(24):e223–e393. doi: 10.1016/j.jacc.2022.08.004

Recommendations for PAU With IMH, Rupture, or Both

Referenced studies that support the recommendations are summarized in the Online Data Supplement.

COR	LOE	RECOMMENDATIONS
1	B-NR	1. In patients with PAU of the aorta with rupture, urgent repair is recommended.^1–3
1	B-NR	2. In patients with PAU of the ascending aorta with associated IMH, urgent repair is recommended.^1–3
2a	C-LD	3. In patients with PAU of the aortic arch or descending thoracic aorta with associated IMH, urgent repair is reasonable.^1–3
2b	C-LD	4. In patients with PAU of the abdominal aorta with associated IMH, urgent repair may be considered.⁴