Recommendations for Diagnosis and Management of Infection of the Native Aorta

COR	LOE	Recommendations
1	C-EO	1. In patients with infectious aortitis and associated aneurysms or dissection of the thoracic or abdominal aorta, open surgical repair is recommended.  In select patients, treatment with endovascular repair may be considered.1–3
2b	C-LD
2a	C-EO	2. In patients with infectious aortitis complicated by rupture, either open or endovascular repair is reasonable, based on the patient’s status at presentation and institutional expertise.
2b	C-EO	3. In patients with infectious aortitis, intravenous antimicrobial therapy of at least 6 weeks’ duration may be considered, with lifelong suppressive therapy in select cases not amenable to interventional repair or who have recurrent infection.