Guideline for the Treatment of Acute and Chronic Diseases of the Thoracic Aorta: Aortic Arch

Introduction

Acute and chronic diseases of the thoracic aorta have increased in prevalence and incidence and thus in clinical importance in recent years. The aortic arch, although anatomically a delimited area, is involved in many acute and chronic thoracic aortic pathologies, whether they are proximal thoracic aortic pathologies extending into or beyond the aortic arch, or pathologies of the descending aorta or thoracoabdominal aorta, beginning proximally within the aortic arch. In this respect, this delimit anatomical segment is enormously important as the relation among all three supra-aortic vessels to the underlying pathology must be constantly considered and, depending on the therapy's extent, these must be also included in the decision-making process.[1] [2] [3] [4]

Initiated by the German Society of Thoracic and Cardiovascular Surgery (DGTHG) and derived from the joint expert consensus document of the European Association for Cardio-Thoracic Surgery and European Society for Vascular Surgery, we addressed treatment strategies for acute and chronic pathologies of the thoracic aorta involving the aortic arch.[5] Together with the German societies for Interventional Radiology and Minimally Invasive Therapy (DeGIR), Anaesthesiology (DGAI), Cardiovascular Engineering (DGfK), Vascular Surgery (DGG), Neurology (DGN), Cardiology (DGK), Radiology (DRG), and, representing the patients’ interests, the German Heart Foundation (Deutsche Herzstiftung e.V.) this guideline was developed and written while consulting with the German Working Group of Scientific Medical Societies (AWMF).

Publikationsverlauf

Eingereicht: 14. März 2023

Angenommen: 17. März 2023

Accepted Manuscript online:
22. März 2023

Artikel online veröffentlicht:
03. Mai 2023

• References

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