Indications for Prophylactic Surgery in Dilated Ascending Aortas Revisited

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An observational study of patients with dilated ascending aortas not due to inflammatory or syndromic conditions supports the current guideline recommending clinicians consider prophylactic surgery at ≥ 5.5 cm in diameter, and the risk of dissection or rupture is not greater in those with bicuspid aortic valves.

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