Thoracic aortic aneurysm: Optimal surveillance and treatment

Cleve Clin J Med. 2020 Aug 31;87(9):557-568. doi: 10.3949/ccjm.87a.19140-1.


Aneurysm of the thoracic aorta is less common than in the abdominal aorta, but it is clinically important because of the risk of rupture and death. Cases are often found incidentally. Indications for surgical or endovascular repair are based on aneurysm location and risk factors for rupture such as aneurysm size, rate of growth, and associated conditions, while medical management is also important. Surveillance with various imaging tests is critical before and after intervention to guide treatment.

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Aorta, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Aneurysm, Thoracic / therapy*
  • Computed Tomography Angiography*
  • Heart Disease Risk Factors
  • Humans
  • Magnetic Resonance Angiography*
  • Patient Care Team
  • Sentinel Surveillance*


  • Adrenergic beta-Antagonists