Question

A 55-year-old man with bicuspid aortic valve has ascending aorta diameter 5.1 cm, a family history of dissection, and rapid growth 0.6 cm/year. BP well controlled. What is the recommended management?

Accepted Answer

Elective surgical repair now

Answer

Continue surveillance; repair when ≥5.5 cm

Answer

Start ACE inhibitor and re-image in 6 months only

Answer

Elective repair when ≥6.0 cm due to bicuspid valve

Answer

Percutaneous endovascular repair only

Practice question

A 55-year-old man with bicuspid aortic valve has ascending aorta diameter 5.1 cm, a family history of dissection, and rapid growth 0.6 cm/year. BP well controlled. What is the recommended management?