Surgery for aortic dilatation in patients with bicuspid aortic valves: A statement of clarification from the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

Loren F. Hiratzka, Mark A. Creager, Eric M. Isselbacher, Lars G. Svensson, Rick A. Nishimura, Robert O. Bonow, Robert A. Guyton, Thoralf M. Sundt

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Two guidelines from the American College of Cardiology (ACC), the American Heart Association (AHA), and collaborating societies address the risk of aortic dissection in patients with bicuspid aortic valves and severe aortic enlargement: The "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease" (J Am Coll Cardiol. 2010;55:e27-130) and the "2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease" (J Am Coll Cardiol. 2014;63:e57-185). However, the 2 guidelines differ with regard to the recommended threshold of aortic root or ascending aortic dilatation that would justify surgical intervention in patients with bicuspid aortic valves. The ACC and AHA therefore convened a subcommittee representing members of the 2 guideline writing committees to review the evidence, reach consensus, and draft a statement of clarification for both guidelines. This statement of clarification uses the ACC/AHA revised structure for delineating the Class of Recommendation and Level of Evidence to provide recommendations that replace those contained in Section 9.2.2.1 of the thoracic aortic disease guideline and Section 5.1.3 of the valvular heart disease guideline.

Original languageEnglish (US)
Pages (from-to)959-966
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume151
Issue number4
DOIs
StatePublished - Apr 1 2016

Keywords

  • AHA Scientific Statements
  • anticoagulation therapy
  • heart valves
  • thoracic aortic aneurysm
  • thoracic aortic disease
  • thoracic aortic dissection
  • valvular heart disease

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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