Question

A 59-year-old with asymptomatic ascending aortic aneurysm due to degenerative disease has diameter 5.6 cm on CT. BP controlled; no syndromic disease. Next step?

Accepted Answer

Start anticoagulation

Answer

Observe with annual imaging

Answer

Schedule elective surgical repair

Answer

Start high-dose statin therapy only

Answer

Start ACE inhibitor and avoid surgery until >=6.5 cm

Practice question

A 59-year-old with asymptomatic ascending aortic aneurysm due to degenerative disease has diameter 5.6 cm on CT. BP controlled; no syndromic disease. Next step?