22
Treatment
4.0. Recommendations for Multidisciplinary Aortic Teams
COR LOE
Recommendations
1 C-EO 1. For patients with acute aortic disease that requires urgent
repair, a multidisciplinary team should determine the most
suitable intervention.
2a C-LD 2. For patients who are asymptomatic with extensive aortic
disease, or who may benefit from complex open and
endovascular aortic repairs, or with multiple comorbidities for
whom intervention is considered, referral to a high-volume
center (performing at least 30–40 aortic procedures annually)
with experienced surgeons in a Multidisciplinary Aortic Team
is reasonable to optimize treatment outcomes.
4. Multidisciplinary Aortic Teams
5.0. Recommendations for Shared Decision-Making
COR LOE
Recommendations
1 C-LD 1. In patients with aortic disease, shared decision-making is
recommended when determining the appropriate thresholds
for intervention, deciding on the type of surgical repair,
choosing between open surgical versus endovascular
approaches, and in medical management and surveillance.
1 C-EO 2. In patients with aortic disease who are contemplating
pregnancy or who are pregnant, shared decision-making is
recommended when considering the cardiovascular risks of
pregnancy, the diameter thresholds for prophylactic aortic
surgery, and the mode of delivery.
5. Shared Decision-Making
