Schulich school of Medicine and Dentistry logo Minimally-Invasive Cardiac Surgical Procedures Schulich Medicine & Dentistry

Dr. Michael Chu and colleagues publish the 2016 joint position statement for Open and Endovascular Surgery for Thoracic Aortic Disease

Can J Cardiol. 2016 Jun;32(6):703-13.


Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery Joint Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease.

Appoo JJ, Bozinovski J, Chu MW, El-Hamamsy I, Forbes TL, Moon M, Ouzounian M, Peterson MD, Tittley J, Boodhwani M; CCS/CSCS/CSVS Thoracic Aortic Disease Guidelines Committee.

Can J Cardiol. 2016 Jun;32(6):703-13.

In 2014, the Canadian Cardiovascular Society (CCS) published a position statement on the management of thoracic aortic disease addressing size thresholds for surgery, imaging modalities, medical therapy, and genetics. It did not address issues related to surgical intervention. This joint Position Statement on behalf of the CCS, Canadian Society of Cardiac Surgeons, and the Canadian Society for Vascular Surgery provides recommendations about thoracic aortic disease interventions, including: aortic valve repair, perfusion strategies for arch repair, extended arch hybrid reconstruction for acute type A dissection, endovascular management of arch and descending aortic aneurysms, and type B dissection. The position statement is constructed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, and has been approved by the primary panel, an international secondary panel, and the CCS Guidelines Committee. Advent of endovascular technology has improved aortic surgery safety and extended the indications of minimally invasive thoracic aortic surgery. The combination of safer open surgery with endovascular treatment has improved patient outcomes in this rapidly evolving subspecialty field of cardiovascular surgery.

Read the full article in Canadian Journal of Cardiology