Question

A 58-year-old man has a degenerative ascending aortic aneurysm measuring 5.6 cm (transthoracic echocardiogram confirmed; growth 0.2 cm/year). He is asymptomatic. BP controlled on beta blocker. What is the recommended management?

Accepted Answer

Elective surgical repair of the ascending aorta

Answer

Start dual antiplatelet therapy

Answer

Continue surveillance; re-image in 12 months

Answer

Start ACE inhibitor and re-image in 6 months

Answer

Endovascular stent graft repair

Practice question

A 58-year-old man has a degenerative ascending aortic aneurysm measuring 5.6 cm (transthoracic echocardiogram confirmed; growth 0.2 cm/year). He is asymptomatic. BP controlled on beta blocker. What is the recommended management?