Thoracic aortic aneurysm care at Mayo Clinic

Your Mayo Clinic care team

A team works together to evaluate and treat people at Mayo Clinic

At Mayo Clinic, a multidisciplinary team of surgeons, cardiologists, vascular specialists, medical geneticists, vascular radiologists and other specialists collaborate to provide you with coordinated, comprehensive care. This team works together to determine whether and what type of surgery is appropriate for your condition. This means that you're not getting just one opinion — you benefit from the knowledge and experience of each specialist on the multidisciplinary team. This collaborative approach means doctors can often evaluate you and develop an individualized treatment plan within two or three days.

If your aneurysm is caused by an inherited condition, such as Marfan syndrome, or by a condition that involves parts of your body in addition to the aorta, Mayo Clinic cardiovascular doctors collaborate with specialists such as spine and eye doctors.

Individualized approach

Your Mayo treatment team works together to provide you with whole-person care and to develop a lifelong management plan individualized to your condition and medical needs.

Advanced diagnosis and treatment

At Mayo Clinic, imaging and other tests are evaluated by experienced cardiac specialists who interpret and synthesize the results. Mayo Clinic doctors use the most current imaging tests available to accurately diagnose thoracic aortic aneurysms and determine your treatment. Tests may include echocardiography, computerized tomography (CT) angiogram, magnetic resonance angiogram (MRA) and other tests. More than 10,500 CT scans and other imaging tests are performed each year at Mayo Clinic by vascular radiologists at Mayo Clinic's campus in Rochester, Minnesota. Genetic specialists may order genetic tests.

Mayo Clinic maintains state-of-the-art laboratory and imaging facilities. The thoracic specialists use this advanced technology and sophisticated imaging equipment to obtain detailed information and images to make a diagnosis.

Treatment experience

Mayo Clinic cardiovascular specialists and surgeons have more than 50 years of experience evaluating and treating children and adults with thoracic aortic aneurysms. Each year, more than 3,700 people with thoracic aortic aneurysm are evaluated and treated at Mayo Clinic.

Mayo doctors and surgeons will evaluate you to determine the appropriate treatment for you, including what type of surgery and when surgery may be needed.

Depending on the size and growth rate of your thoracic aortic aneurysm, treatment may vary from watchful waiting to emergency surgery. Ideally, surgery for a thoracic aortic aneurysm can be planned if necessary.

Mayo Clinic's thoracic surgeons are experienced in repairing thoracic aortic aneurysms. Mayo Clinic surgeons perform more than 220 thoracic aortic aneurysm repairs a year.

Surgeons have expertise and experience in treating thoracic aortic aneurysms using endovascular surgery, open-chest surgery, aortic root surgery and other treatment options. Mayo doctors have experience performing surgery to treat a thoracic aortic aneurysm located anywhere in the thoracic aorta.

People with Marfan syndrome and related conditions may be treated by doctors experienced in treating Marfan syndrome and related conditions in the Marfan Syndrome and Thoracic Aorta Clinic.

Children with heart conditions may be treated by doctors trained in treating children with heart conditions (pediatric cardiologists) at Mayo Clinic's campus in Minnesota.

Research

With the goal of gaining new knowledge and improving the reliability, comfort and cost of care for thoracic aneurysms, Mayo Clinic doctors study new diagnosis and treatment options and test them through clinical trials. Participation in clinical trials and other research studies may be available to you at Mayo Clinic. You have access to the expertise of Mayo's clinician-researchers.

Nationally recognized expertise

Mayo Clinic campuses are nationally recognized for expertise in cardiology and cardiovascular surgery:

  • Mayo Clinic in Rochester, Minn., is ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report.
  • Mayo Clinic Children's Center in Rochester, Minn., is ranked among the Best Children's Hospitals for heart and heart surgery by U.S. News & World Report.
  • Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report.

With Mayo Clinic's emphasis on collaborative care, specialists at each of the campuses — Minnesota, Arizona and Florida — interact very closely with colleagues at the other campuses and the Mayo Clinic Health System.

April 13, 2018
References
  1. What is an aneurysm? National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health/health-topics/topics/arm. Accessed Sept. 12, 2017.
  2. Pagon RA, et al., eds. Heritable thoracic aortic disease overview. In: GeneReviews. Seattle, Wash.: University of Washington, Seattle; 1993-2017. https://www.ncbi.nlm.nih.gov/books/NBK1116/. Accessed Sept. 13, 2017.
  3. Thoracic aortic aneurysms. Merck Manual Professional Version. http://www.merckmanuals.com/professional/cardiovascular-disorders/diseases-of-the-aorta-and-its-branches/thoracic-aortic-aneurysms. Accessed Sept. 12, 2017.
  4. Black JH, et al. Epidemiology, risk factors, pathogenesis, and natural history of thoracic aortic aneurysm. https://www.uptodate.com/contents/search. Accessed Sept. 12, 2017.
  5. Woo YJ, et al. Clinical manifestations and diagnosis of thoracic aortic aneurysm. https://www.uptodate.com/contents/search. Accessed Sept. 12, 2017.
  6. Hiratzka LF, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: Executive summary. Catheterization and Cardiovascular Interventions. 2010;76:E43.
  7. Mohler ER, et al. Management of thoracic aortic aneurysm in adults. https://www.uptodate.com/contents/search. Accessed Sept. 12, 2017.
  8. What is Marfan syndrome? National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health/health-topics/topics/mar. Accessed Sept. 12, 2017.
  9. Wright MJ, et al. Management of Marfan syndrome and related disorders. https://www.uptodate.com/contents/search. Accessed Sept. 18, 2017.
  10. Dines DE, et al. Thoracic aortic aneurysm: Case report of fatal rupture. Rocky Mountain Medical Journal. 1961;58:39.
  11. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Aug. 31, 2017.
  12. AskMayoExpert. Thoracic aortic aneurysm (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
  13. Severson RM. Society of Thoracic Surgeons National Database. Mayo Clinic, Rochester, Minn. Sept. 21, 2017.
  14. Decastro GB. Surgical Services Network Drive. Mayo Clinic, Jacksonville, Fla. Sept. 26, 2017.
  15. Zimmerman KA. Society of Thoracic Surgeons National Database. Mayo Clinic, Phoenix, Ariz. Sept. 28, 2017.
  16. Nordland MR. Radiology information management system. Mayo Clinic, Rochester, Minn. Oct. 16, 2017.
  17. Connolly HM (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 23, 2017.