Aortic Center

• Valve Sparing Aortic Replacement 
• Aortic Valve Repair 
• Ross Procedure 
• Aortic Arch Replacement 
• Hybrid Arch Replacement 
• Endovascular Aortic Repair (TEVAR and EVAR)

A visit to The Aortic Center at Catholic Health includes:

• An exam with a cardiothoracic surgeon or vascular surgeon.
• Diagnostic imaging.
• A meeting with a genetic counselor for genetic testing if indicated. 

A visit typically lasts between one and two hours.

For patients diagnosed with thoracic aortic aneurysms, we schedule routine follow-up care that includes imaging studies to monitor for increases in the size of the aorta and the rate of growth. Those studies allow our team to continue a course of treatment or recommend new treatments.

The aorta can be monitored using various imaging exams based on the specific needs of each patient. Common imaging tests include:

A CT angiography uses a CT scanner to produce detailed images of both blood vessels and tissues in various parts of the body. During the exam, contrast material is injected through a small catheter placed in a vein of the arm.

A radiologic technologist will capture high-resolution CT images timed with each heartbeat to perfectly visualize the aorta.

An MRI takes images similar to CT scanning but without radiation exposure. It is helpful for patients who are intolerant of contrast dye. We work to use MRI where possible to limit exposure to radiation. 

As part of your visit to the Aortic Center, we offer genetic counseling and testing for early detection, monitoring and treatment of aortic disease. Appropriate treatment, guided by genetic testing, can help prevent aortic rupture.

Genetic counseling is recommended for those who:

• Had a thoracic aortic aneurysm or dissection at a young age.
• Have a family history of aortic dissection or rupture.
• Have a close family member who has a mutation in a gene related to aneurysms/dissections/ connective tissue disorders.
• Have clinical features or a clinical diagnosis of a connective tissue disorder, such as Marfan syndrome, Loeys-Dietz syndrome or Ehlers-Danlos syndrome.

Nearly 20% of patients with thoracic aortic dissection (TAAD) had a first-degree relative with the same. Knowing your genetic history can help other family members reduce their risk and start monitoring.

Surgical treatment for aortic aneurysms and dissections depends on the patient and their diagnosis. It is based on a patient’s medical history, family history, lifestyle and other risk factors.

We work to tailor the operation to the patient’s needs and goals, employing minimally invasive approaches whenever possible. 

The aorta is the largest artery (blood vessel) in the body. It carries blood from the heart to the limbs and vital organs. An aortic aneurysm is an enlargement of the artery that, if ruptured, can cause life-threatening bleeding.

An abdominal aortic aneurysm forms in the abdomen. It is the most common type of aneurysm, more prevalent in men older than 65.

A thoracic aortic aneurysm forms in the chest.

The Aortic Center provides early detection, treatment and monitoring of aneurysms to help avoid life-threatening situations.

Common risk factors for developing an aortic aneurysm include:

• Family history
• Age
• Gender
• High blood pressure
• Smoking
• A genetic condition such as Marfan syndrome
• Development of an aortic dissection 

The Aortic Center can help you lower your risk by beginning a program of aortic imaging surveillance and regular follow-ups with your aortic care team.

The aorta's wall has three layers. An aortic dissection occurs when a tear in the innermost layer allows blood to pass into the wall between the layers and creates a false passage. It is a medical emergency that requires immediate treatment. Severe chest and back pain are two of the most common symptoms.

Connective tissues support different parts of your body.

Connective tissue disorders often involve the joints, muscles and skin, but in some cases may affect other parts of the body, including the heart and blood vessels.