Comprehensive clinical and imaging-based surveillance represents a fundamental aspect in the management of thoracic aortic aneurysms (TAAs), affording the opportunity to identify intermediate-sized TAAs before the onset of worrying symptoms or devastating acute aortic dissection/rupture. Currently, size-based indices are favored as the major determinants driving patient selection for surgery, as supported by aortic guidelines, although it is recognized that smaller subthreshold TAAs may still confer substantial risks. Prophylactic aortic surgery can be offered within set timeframes at dedicated aortic centers with excellent outcomes, to mitigate the threat of acute aortic complications associated with a repeatedly deferred intervention. In this commentary, we discuss a recent article from the Journal of Cardiac Surgery that highlights important socioeconomic disparities in TAA surveillance and follow-up.

中文翻译：

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中型胸主动脉瘤的监测：平等是目标

全面的临床和基于影像学的监测是胸主动脉瘤 (TAA) 管理的一个基本方面，提供了在令人担忧的症状或破坏性急性主动脉夹层/破裂出现之前识别中型 TAA 的机会。目前，在主动脉指南的支持下，基于大小的指数被认为是推动患者选择手术的主要决定因素，尽管人们认识到较小的阈下 TAA 仍可能带来重大风险。可以在设定的时间范围内在专门的主动脉中心提供预防性主动脉手术，并获得良好的结果，以减轻与反复推迟干预相关的急性主动脉并发症的威胁。在这篇评论中，我们讨论了《心脏外科杂志》最近的一篇文章这突出了 TAA 监测和后续行动中的重要社会经济差异。