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Infectious aortitis
Guidelines
Key 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
Medical management
Setting of care
As per ACC/AHA 2022 guidelines:
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
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Shared decision-making
Antibiotic therapy
Nonpharmacologic interventions
Physical activity: as per ACC/AHA 2022 guidelines, 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
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Psychosocial care
Surgical interventions
Specific circumstances
Patients with aortic graft infection: as per ACC/AHA 2022 guidelines, 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
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