DR.MOHAMMED IRFAN SHEIKHabout 1 year ago

A 65-year-old woman with hypertension is found to have a systolic ejection murmur. A transthoracic echocardiogram reveals a bicuspid aortic valve and a dilated ascending aorta. A thoracic CT scan shows that the ascending aorta is 5.6 cm in diameter (reference, <3.5 cm). Which one of the following management approaches is most appropriate for this patient? Options:- •Annual monitoring with transesophageal echocardiography •Beta-blocker therapy and continued observation •Endovascular repair •Annual monitoring with CT of the chest •Surgical repair