What are the guideline sources, guidelines and references for Infectious aortitis ?
Guideline sources The following summarized guidelines for the management of infectious aortitis are prepared by our editorial team based on guidelines from the American Heart Association (AHA/ACC 2022). 1 Guidelines 1. Medical management Setting of care: Determine the most suitable intervention in patients with acute aortic disease requiring urgent repair by a multidisciplinary team. B Consider referring asymptomatic patients with extensive aortic disease, patients likely to benefit from complex open and endovascular aortic repairs, and patients with multiple comorbidities eligible for an intervention to a high-volume center (performing at least 30-40 aortic procedures annually) with experienced surgeons in a multidisciplinary aortic team to optimize treatment outcomes. C Shared decision-making: Ensure shared decision-making when determining the appropriate thresholds for intervention, deciding on the type of surgical repair, choosing between open surgical versus endovascular approaches, and in medical management and surveillance in patients with aortic disease. B https://web.pathway.md/diseases/recwFtWgfSzl4BpGo 1/2 6/24/23, 2:34 PM Infectious aortitis Pathway Ensure shared decision-making when considering the cardiovascular risks of pregnancy, the diameter thresholds for prophylactic aortic surgery, and the mode of delivery in patients with aortic disease contemplating pregnancy or who are pregnant. B Antibiotic therapy: consider initiating IV antimicrobial therapy for at least 6 weeks along with lifelong suppressive therapy in selected patients with infectious aortitis not amenable to interventional repair or having recurrent infection. C 2. Nonpharmacologic interventions Physical activity: provide education and guidance about avoiding intense isometric exercises (such as heavy weightlifting or activities requiring the Valsalva maneuver), burst exertion and activities, and collision sports in patients with significant aortic disease. B Psychosocial care: consider screening for anxiety, depression, and posttraumatic stress disorder in patients with clinically significant aortic disease and provide resources for support when indicated. Consider providing education and resources to minimize patients' concerns, support optimal decision-making, and enhance the quality of life. C 3. Surgical interventions Indications for repair: perform open surgical repair in patients with infectious aortitis and associated aneurysms or dissection of the thoracic or abdominal aorta. B Show 2 more 4. Specific circumstances Patients with aortic graft infection: consider obtaining cross-sectional imaging to evaluate for an underlying aortic graft infection in patients with a prosthetic aortic graft having signs and symptoms or culture evidence of unexplained infection or unexplained gastrointestinal bleeding. C Show 5 more References 1. Eric M Isselbacher, Ourania Preventza, James Hamilton Black rd et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022 Nov 2. Open https://web.pathway.md/diseases/recwFtWgfSzl4BpGo 2/2