3
8. Patients with acute type A aortic dissection, if clinically stable,
should be considered for transfer to a high-volume aortic center to
improve survival. The operative repair of type A aortic dissection
should entail at least an open distal anastomosis rather than just a
simple supracoronary interposition graft.
9. There is an increasing role for thoracic endovascular aortic repair
in the management of uncomplicated type B aortic dissection.
Clinical trials of repair of thoracoabdominal aortic aneurysms with
endografts are reporting results that suggest endovascular repair is
an option for patients with suitable anatomy.
10. In patients with aneurysms of the aortic root or ascending aorta, or
those with aortic dissection, screening of first-degree relatives with
aortic imaging is recommended.
