Question

A 67-year-old woman with HTN and LVH has ascending aortic aneurysm 5.6 cm without genetic syndrome. Best recommendation?

Accepted Answer

Elective surgical repair now (≥5.5 cm threshold)

Answer

No repair until ≥6.5 cm

Answer

Medical therapy only; avoid surgery unless symptomatic

Answer

Repair only if rapid growth >2 cm/year

Answer

Delay surgery until dissection occurs

Practice question

A 67-year-old woman with HTN and LVH has ascending aortic aneurysm 5.6 cm without genetic syndrome. Best recommendation?