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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 repairInnocent and Pathological MurmurSystolic heart failureCauses of systolic heart failureSummary of MurmursDiastolic MurmurSystolic MurmurContinuous Murmur IContinuous Murmur IISystolic stretch
