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. |